Hi Spud,
A friend of mine is an ER resident at MCV- he's been pretty happy with the ER months- enjoyed the environment and experience in the ER. From what he said, they do around 3 months of surgery rotations as an intern- plastics, ortho, and trauma, I beleive. Was not too crazy about the call and hours on surgery (was q3, though is supposed to be changing to q4) with pretty heavy services and busy call nights. He's pretty happy with the city and the fellow interns/residents.
I'm not sure why some spots did not fill last year- next time I talk to my friend, I'll try to ask.
good luck!
Foxxy C.