PA is a very solid state to be a resident of for Med School purposes. There is no state school but there are tons of schools in PA and all except Pitt and Penn show a level of bias towards IS(ie the % chance of getting an II from PA is way higher at Temple, Drexel, Penn State, Jefferson and TCMC IS than OOS). TCMC by giving II's to 40% of PA residents basically functions as a state school, and a good one at that giving a higher proportion of II's to their own than a decent majority of state schools. Alot of PA residents are able to have success at WVU as well, particularly those in the western part of the state.