I am a student at Jeff who matched elsewhere (Phew!), but if I could do it again, I would have scheduled an away at Penn. From a hospital standpoint, Jeff has the best reputation for orthopaedics in Philly (Rothman is one of the ortho gods you'll find scattered throughout the US). However, while all the attendings are awesome, world-class orthopods, and the residents are a good bunch of guys, didactic teaching is seriously lacking at Jeff. As a result, many rotators, including yours truly, felt dumber after finishing the rotation there. You'll work your ass off typically arriving to round at 4:00 am and won't finish your day until 6 or 7 pm. Of course working that much is not a problem as long as you feel someone is taking the time to teach you during the process. You can't really blame them though, when you have ~65-70 patients in house on the joint service and ~20-30 on the spine service, everyone is pretty much spent just taking care of the patients. This is the strength of the Jeff program, you will leave here as an extremely capable surgeon. But the fact that the ratio of work vs education is so skewed in favor of the program, might explain why they had to go to #21 on their match list this year, and why Penn might be a better ortho residency. The bottom line is, when you are talking about great ortho programs like Jeff and Penn it breaks down to where you feel like you fit best. Keep this in mind when you are rotating/interviewing. Good luck.