ok I'll try my best here. CCF is a very academic place. They are very interested in training academic surgeons since Iannotti too over ~ 9 years ago. Their residents seem to get top fellowships(Rush joints, Rush shoulder/sports, National Hand Center at Union Memorial, there's a list on their website). As far as the program itself there are ~70 staff members, they all seem pretty chill and seem to like to teach. There is a night float system that makes the lifestyle easier on the residents. They spend a few months each year at Metro (Local hospital and Level 1 Trauma) since there is not much trauma that comes into CCF. This is looked at as either an advantage or disadvantage depending upon the person.
CCF as a hospital is very surgeon dominated, so many patients are admitted to medicine floors for "babysitting" until surgery and then followed by medicine post-op except for their surgical complaints (not sure how this is elsewhere). The facilities are top notch with beautiful buildings and very nice satellite surgical centers in the suburbs where a lot of the ortho is done. There is a brand new Sports Health Center that has a combination of clinic, a surgery center, and I believe research facilities as well.
The sports dept is very strong(with Bergfeld, Parker, Miniaci and Andrish among others), as well as joints and shoulder (Iannotti). The spine center is a combination of ortho and neuro and has Dr Benzel (world famous neuro spine guy). They do all of the sports medicine for the professional sports teams in Cleveland as well as many of the colleges and high schools. The research is top notch from hardcore basic science (Apte, Hascall, etc) to more translational (Derwin, Muschler) to the clinical research center, which has developed a great databasing system over the last 5 years or so, which should facilitate a lot of good clinical papers in the near future. I think half of the positions are 6 year spots.
Residents from what I have been told get to operate quite a bit due to the enormous volume that they do, there's enough cases to go around.
The biggest downside probably being that the program is in Cleveland, which isn't the greatest city and the sky is gray from ~ November until March. That being said it is affordable and there is enough to do, lots of sports, good museums, a very nice metro park system, and plenty of restaurants and bars to go around.
Hope this helps.