Okay, here's an outsiders perspective.
I spent a month at CWRU (2+2 Metro/Univ) and thought it was a great program, especially the Metrohealth rotation. Patterson (sp?) is perhaps the most amazing ortho trauma surgeon I've seen. He put most trauma teams to shame. Think...MacGyver...I saw him fix a Schatzker 4 with a stick of gum and the top of a tin can.
The Wilber bros. where amazing as well.
After the first 2 weeks at Metro I knew CWRU would be No. 1 on my list...THEN... I went to University Hospitals.
Beautiful place...Mixed review of nurses and scrub techs (or whatever the h$%& that one guy is) Spine attendings were excellent... Sports guy (won't mention any names) errr well..."if you can't say anything nice"... you know the rest.
As far as residents...Good mix? Not really, here's the deal: Older residents/seniors were more "intelligent jock-type". Junior residents were a bit too "nerd heavy" which I felt would reflect the direction of the program.
Overall it's a great high ranking program. I would say it's ideal for many...just not me. I met BoneJock on the interview trail and I'm sure he'll love it, but me, by the end of the 4th week, I was through with CWRU and CLEVELAND.