Hi, Jeff 4th year here...
So here's the thing: regarding first, second, etc choice, I'm not aware that the match actually makes such information known. Only the people who apply to match know which program rank it was when they find out, so the schools would have to ask each applicant for this info. Some programs here do this, but it's not like there's a giant database. Our match list isn't available online, but it's not like it's a secret. There are copies of it laying around the campus in most departments. We have plenty of plenty of people matching into great residencies in competitive programs of every field from Ophtho, to Ortho, to derm to RadOnc, etc, but we also have plenty of people going into primary care, psych, etc (compare that to Penn which has more people applying to Radiology than Medicine this year per one of the students there I met on the interview trail). We did have a high number of people stuck in surgical prelim programs last match, but reasons for that are too many to simply blame that on the school.
However, if you can remember one thing about Jeff, it's that this is a HUGE school with a WIDE bell curve of students. We had a number of step 1 scores hitting 270+ in my class, but at the same time we also had 25+ people failing. The mean was somewhere 5 points above the national average and usually is every year though, and I honestly can't see how one couldn't feel prepared given the way we were taught... some people studied poorly, but that's not the school's fault.