In response to the question about couples matching, I couples-matched into the Einstein-Montefiore program with my wife at OB/GYN at St.-Luke's-Roosevelt. So far the experience has been even better than I expected. I would definitely put our program among the better ones in the city, seeing the experience as a whole and where residents from this program end up when they're done.
The overall operative experience at this program is outstanding, and there's a great balance of sports, trauma, spine, joints, and hand. You also get great tumor experience with one of our best attendings. Wednesday mornings till noon are protected for grand rounds and lectures, and every Monday there's a Chief of Service journal article review led by an attending in the given field. As far as social activities, there's weekly pick-up basketball, and a city-league team that one of our attendings pays for.
In the end, the bottom line is that residents from this program get great fellowships. Two of this past year's chiefs, for example, are now at Harvard, one doing joints @ Brigham, and one doing tumor at MGH. Several recent graduates have also done fellowships at Starr Hand Center at St-Luke's-Roosevelt.
As far as living, more than half of the residents live in Manhattan. I commute from Manhattan to the Bronx, which is a breeze, and the intern year so far has been a great mix of challenging/fun/easy rotations (Ortho trauma intern 2months, radiology, plastics, and ER). Good luck as you all trudge through the next couple of months.