Both schools are good. Being in an honors program at VCU would give you priority registration for classes. Lots of opportunities for shadowing and clinical experiences at VCU. The campus of each school is very different. (Charlottesville vs Richmond) What are you planning to major in while in college? If there is a chance you may decide to not be premed in the future UVA has some nice depts. that you could switch into. (engineering/business) It is really a matter of personal preference. Did you visit both college campuses? Which one did you like better? Is the cost of attendance much higher at one school vs the other for you?