I think GW sounds like a better choice. I know I would feel reluctant to go to USF, knowing that after two years I'd have to up-root and move 1,000+ miles, only to likely have to do it again two years later for residency. The pros for GW you list are sweet; P/F preclinical, closer to home and support, moderate weather, great city location, and well known / nicely ranked school. Also, if you look at PD Rankings, USF is at 93 but GW is at 54. Not suggesting rankings are that key, but pointing out the PD ranking suggests USF maybe punches well below its USNEWS rank. I'd go GW. Good luck!