First, there are two Case Western programs - University Hospitals and the MetroHealth program. The programs are very different.
University Hospitals - Very nice state of the art hospital and primary teaching hospital for Case Western Reserve School of Medicine. The anesthesia program is very resident friendly. They offer inhouse moonlighting at $65/hr. They do rare heart transplants but do frequent liver transplants. Call is not too bad either. They take 12 residents a year so it is a medium size program. Residents are pretty happy. Board pass rate has been close to 100%. Program director works with Niels Jensen teaching the oral board review course. Weakness is regional anesthesia which they are making up for now by offering a block month where all u do is blocks. Can do 5-12 blocks/day. Lots of "perks"... moonlighting, palm pilots, lap top computers (I dont know if they are still doing this), department pays for all expenses if you present at a conference, etc. They pay for most interview expenses except airfare. They have both a critical care and pain fellowships.
Metro - level 1 trauma center and county hospital. Lots of trauma. They just updated their ORs with electronic charting. No real rotations though... you just do whatever comes in. No "perks" that other programs offer. It's your basic county program.... you'll see cuz you get to eat at their cafeteria for the interview.