I'm from the east coast and I really wanted to move out to california.
I put UCSD as my number 1 choice, but I didn't get it. I did get into a top program in New York though, so I'm not too disappointed.
Why did I think UCSD was one of the best place in california? First, I interviewed at almost every california program. After doing that, I realized that UCSF, UCSD, and Stanford were good choices. I thought USC, UCLA-Harbor, UCI, Loma Linda, and UCD were all mediocre programs. And the worse of those being Harbor and Loma Linda. Even though they are small programs, they just did not impress me at all.
I think that no matter what people say is the "best" program and let's face it most base it on US NEWS which is complete hogwash. The best programs are the ones that give you the best training, good exposure to general and subspecialities of Orthopaedics, and get you to the best fellowships. If you're looking to stay in Cali, your best choices are UCSF and UCSD. Also in terms of rankings, UCSD's chairman says on the website that the program is ranked in the top 10% nationally. UCSF is known to be a strong program by the medical community in general.
UCSD seemed like a tight knit family. They have 4 great hospitals which you rotate at. The best thing I liked about it is that they have 3 month rotations which really gives you time to learn something. Also it is small so everyone knows everyone. The research year blows, but everyone there said they enjoyed san diego life and did research on the side. Plus, the get top fellowships because they have good research on their CV's. They get a great clinical training with good didactic teaching so you are not learning how to operate from the R5, who learned from his senior resident when he was a junior. Not a good way to learn. Their Program Director is amazing as well.
I would rotate at UCSF and UCSD if you are interested because both seem to be very partial to rotators like every other school.
Hope that helps. IF you need info about NYC programs let me know as well.