I'm a 4th year at EVMS and I can definately say that the interview here was quite difficult. Granted, it was 4 years ago, but the questions don't seem to have changed, from what I've seen.
As far as the match list is concerned, there are a significant number of people from Virginia and as a result, many people do stay on the east coast. Some people have families here with spouses that are already established in the community, so they choose to stay at EVMS. We have more non-traditional students than some other schools, so this is a lot different than what I've seen from schools in say, NYC. DC is also very popular for residency here. And our students get great residencies there: Children's National for peds, for example. We have students go to Hopkins all the time. You also have to look at what specialty the residency is in. Getting ENT and derm residencies are SUPER difficult, but we always have students each year going into those fields. We have quite a few radiology people as well each year. Our average for unmatched students who have to scramble is about 1 per year (out of 100) and this is usually in a very competitive field. Specifically in 2003, we had quite a few go to the West Coast: we had a peds at Stanford, medicine at Scripps, and 5 or 6 go to Denver for a variety of things.
As for me, I'll be heading to the NYC area for peds (I almost went into anesthesiology). Probably Schneider Children's or SUNY Stonybrook (I don't want to be in the city itself). But I got interviews at CHOP (ranked #1), Mt. Sinai, etc. I think it's a matter of what part of the country you want and how you rank in the class. Our top people always get impressive residencies.