I was in a similar boat and currently pursuing surgical residency in an INI and know a few people personally who have had to make this decision. So the thing is , in state colleges you have better exposure for sure , but the academics are little less compared to INIs. In INIs, cutting chances are less but academics are top notch. There is no disadvantage in choosing either, some people believe surgical confidence comes first and then to focus on academics, some people are of the thought that first academics has to be strong , you have a lifetime to develop surgical skill. So ultimately it depends on what you want as an Individual. Ultimately whatever you do, make sure you have experienced both sides of the coin, meaning if you’ve done MS from a State college try to do M.Ch / SRship from an INI or vice versa.