Congratulations on getting both acceptances. I think you have a difficult decision to make, but I think if you look at it differently you may be able to easily answer it. Personally, I think you will get the best education at the school where you feel the most comfortable. In the end, the level of education is going to depend on how much effort you put in. If when you visited UMD you felt like you would fit in there then that is where you should be. However, if you visited USU and felt better about the school, staff, and other students then that is where you should go. No matter where you go, whether it be USU or UMD, if you don't enjoy your environment, including the people and staff, then you are not going to be motivated to study. Also, I spoke with a surgeon resident director that takes both USU and non-USU students, and he told me the USU students are better prepared, more mature, and have a better understanding of what is required of a physician. Ultimately, the decision should be where you think you can get the best experience -- money aside.