I am currently a resident at OHSU, and just wanted to comment on the program, prior posts, etc.
OHSU is a smaller program compared to UW, etc, which is an advantage and/or disadvantage, depending how you look at it. We have basically a 1:1 faculty to resident ratio, and even higher if you look at Emanuel (the other level 1 trauma center we cover), which means tons of OR time. The quality of faculty continues to improve as newer / younger faculty continue to arrive (8 new faculty in the past 4 years).
First to the positives- As an R2 I did over 12 total knees, 7 acl's, 40 knee scopes, and 25 nails (femur/Tibia/Humerus) as first surgeon- pretty lofty numbers for a 2. Another positive- we have only 1 spine fellow, so you are never 2nd assist on the cases except in spine. That was one of the big reasons I ranked it No. 1. We have about 6 hours of lecture a week- less than Mayo and other more didactic oriented programs, but more than enough. Our call currently is based on a night-float system, but next year we will be going back to a q6 schedule which isnt too bad. I have never gone over 75 hours.
A huge positive is the residents here. I am pretty sure that all of us (except 1 or 2) ranked OHSU number 1, and this year was the first year we went past 5 on our rank list in 4 years (I attribute it to the chairman issue). The residents here love the program, and we all get along, hang out outside of the program, etc. Portland is a great city if you love skiing, biking, etc. 1 hour to Mt Hood, 1 hour to the coast. A little rain, but nothing a nice goretex coat cant handle.
Now for the big question- the chairman issue. I was disappointed when Dirschl left, but I think the 4 candidates we have narrowed it down to are actually vast improvements. They are all top applicants in their respective subspecialties who want to come to Portland and OHSU. OHSU as an institution is in the midst of a $300 million facilities upgrade and I think that also attracted top chairman applicants as well. The reason I say an improvement- Dirschl was good, young and energetic, but he wanted to be chair at UNC (his residency program) all along (he turned down 8 other chairman posts while at OHSU), and I think that is no good for a program to have a chairman waiting to leave. I dont think we are a mid-major program in response to O-pod. We have had 3 chairman in the past 30 years, not exactly high turnover.
The downsides- obviously the chairman issue was a detractor, but it will be an upgrade for the program in the long run I believe. I think we are a little short on Foot and ankle experience, but the new F&A staff member here is great and will replace that deficiency shortly. Portland's cost of living is higher than the midwest, but much less than Seattle, SF, and other comparable "cool" west coast cities.
There you have it. Feel free to fire off additional questions. I recommend rotating here if interested as it is a highly competitive program, but a rotation is not necessary. (3 out of the past 9 have rotated here). Good luck, and congrats to the 4th years who matched (enjoy the next 2 months!!!)