I say go the traditional route and go to the best med school you get into. Penn State isn't doing this out of the goodness of their hearts. They are trying to lure high-quality applicants who they know they would have no shot at in the regular match who are a little insecure or afraid of the uncertainty of the whole match process. If you can get into this program, you'll probably be able to get into a better med school and will probably be a strong neurosurgery applicant in the match.
Lol. Penn state is a solid program. Residents have solid opportunities. Harbaugh doesnt operate so while you wont have the name, you wont lose anything in operative experience. Decaying program is a massive stretch.
This has nothing to do with the quality of program, Penn State's program is fine. The issue is where you fit in, in terms of your social interaction with the residents and attendings, should be a huge part of your ranking process and you'd be completely giving that up.
I assume there is nothing that would stop a student from changing their mind and deciding to pursue a different specialty. Or simply deciding to participate in the match. It doesn't benefit the program or the student to force them into a residency they ultimately don't want.
Stop calling it Penn, it’s Penn State. Penn = university of Pennsylvania, vastly different universities