I'm finishing up at OHSU this year. In PDX the programs rank as following: OHSU > Providence > Legacy-Emanuel > Providence St. Vincents. OHSU and Legacy are the two largest programs. OHSU is of course the only academic program in the state, so if you want an academic program..... It is a very good program, and I would be happy to answer any questions about it. There are about 90+ residents with 10 ward teams: 5 at OHSU and 5 at the VA. The VA and OHSU are connected by the longest sky bridge in North America that crosses the ravine between the two hospitals. OHSU is the second largest employer in the state. We are in the middle of a large expansion. They are building an outpatient center down by the Willamette River that will be connected to the new 12 story patient tower by a cable car. OHSU is on a ridge overlooking the city. A 12 story research building is also in the middle of construction.
Half of my third year medicine rotation was at one of Legacy-Emanuel's hospitals, Good Samaritan. Legacy has Emanuel, Good Sam, and a third whose name escapes me at the moment. They are also building a fourth hospital across the river in Vancouver, WA. I liked the attendings at Good Sam. Most of the residents were very good, the teaching attendings were really good and the head of medicine for Legacy, Dr. Jones, is an amazing individual. One of my friends matched there and she is ecstatic. I have never rotated at their main hospital, Emanuel -- the other level 1 tertiary care center in town and chief competitor to OHSU.
Providence is a smaller program. Their upper level residents do rotate through the VA with the OHSU residents on both the wards and the VA MICU/CCU. And OHSU residents have the opportunity to rotate at Providence as an upper level. OHSU also rotates through Kaiser Permanente.
St. V's is another hospital run by the Sisters of Profit. The place is very swanky. The guy who invented the artificial heart valve left OHSU to go to St. V's. It has the reputation of the least competitive of PDX's medicine programs -- general consensus not my opinion. Saying that one of my classmates who is AOA ranked St V's as number 1 because she really liked it. St. V's also has the busiest ORs in town.
The programs in PDX are good to excellent. Portland is also a very nice place to live, funky neighborhoods, farmers' markets, outdoors stuff everywhere; although the public schools in Oregon are under funded.