Well, I think the rumors have gotten a little out of control. I am a current resident at the Brigham and will try to clarify things a little.
1. While the Brigham is very selective, we interview far more than 100 people for our 70 spots. Probably in the 300's range based upon data given to us at a recent housestaff meeting. I don't really know how many people MGH and other very selective programs interview but we are not far off the norm for these super competitive places. Thus depending on how the match goes, at least 1/3 of those who interview have a great shot at matching here.
2. As residents we work very hard at the Brigham. However, data collected anonymously each month indicates that 99% of people meet work hour requirements every month. Our revised call system is overnight Q4 for interns and late night (10PM) Q4 for residents. This provides increased autonomy for interns. They are covered by night float overnight once the residents leave. In addition, the faculty, leadership and my colleagues are incredibly supportive while working. It is like a family here where people are looking out for each other and really trying to help anyone in need. However, the reputation that the Brigham is a cushier place than the other super-competitive places is probably false. No matter what you hear, these top places really push their house staff. I just think the Brigham takes care of their people better than anyone else. I have a biased opinion though🙂
3. In terms of the match, I do not know how far down we went on our list, nor do I think anyone could know this about any program except the PDs themselves. Certainly no one advertises the info. The top 5 places basically compete for the same 200-300 people. Thus, all years are probably different. Each year I think our intern class is amazing, not just based on their credentials, but in their personality and attitude. I would pick this place again in a heart beat. I bet most people here feel the same way.