metro based on my experience (i have none with uh/rb)
Med/peds dept is very supportive, all PD and 3 assistant PD are very helpful to the residents.
IM - very strong. Lots of autonomy without losing attending teaching.
Peds - also strong, but the numbers are not as high as with IM, but that is for most combined programs. Lots of teaching done by faculty and as the residents rotate through CCF, it becomes more apparent how much more autonomy one has even as an intern.
PS this is not to knock CCF peds, as they are very busy, but the attending has to be called with every admission even if it is a straightforward case.
Hope that is helpful for anyone who is potentially looking at MH.
BTW if you would like to do any electives at UH/RB/CCF, almost never a problem.