I interviewed at both schools, and these were my thoughts:
-Cleveland and Pittsburgh are pretty comparable as cities go--bad history, cleaning up well, fantastic hospitals in the area that really boost the economy. The immediate areas surrounding both schools are nice. I know Cleveland has some pretty rough spots not too far off from campus, but I'm not so sure about Pittsburgh but I think its probably similar. Cars seem sort of necessary to navigate both cities.
-Curriculum-wise Pitt's incorporation of the "mixed" PBL + Lecture curriculum is much more established (1992 I think?) than Cases WR2 Curriculum, which just started like 2 years ago. Otherwise, they are pretty similar. Case is TRUE P/F for the first 2 years (no internal rankings) while Pitt was Honors/Pass/Fail and I am assuming things are ranked. The thing I really HATED about Pitt's curriculum is that the "Honors" title is generated on a CURVE (I think top 10% of students), which to me equals a lot of competition. Pitt has the awesome WISER simulation center, which I think Case doesn't have. Facilities seemed comparable. Both require some sort of academic (read: research) pursuit/thesis, which makes sense considering both schools rank very well in US News Research rankings (Pitt is tied for #15 with a few schools, Case #21). Pitt has the PSTP/CSTP program which lets you do a 5th research year, and Case also has the option for a tuition-free 5th year.
-Both schools are connected to fantastic hospital systems. UPMC is amazing (with like 1/2 the transplants in the country being done there) and I know they are top of the line for many specialties (especially neurosurg/neurology). Case is connected to University Hospitals, which has a top Children's Hospital (Rainbow Babies) and is fairly solid in most specialties. It's also affiliated with the Cleveland Clinic, #4 hospital in the country, #1 in cardiology for more than a decade.
-Cost-wise, I think Case is about $7000 more/yr than Pitt.
-So overall, the difference in the schools (for me) came down to the personal "fit" and "feel." I felt a lot more comfortable at one school than the other (I'm not going to say which). Both had really large interview groups, but I felt that I meshed with one school's students a lot more. The other school, though they treated us well, just felt cold and unfriendly. I dont know if it was just my interview group, but nobody even bothered to talk to each other for the entire day so we sat in complete silence the entire time, which really boggled my mind. My student interview felt forced, and though the students were friendly, I felt uncomfortable for the entire interview day and just couldn't really see myself there (even the lady who made me my sandwich was rude!!).
So my advice to you is to check out Case if you are not 100% sure on Pitt. However, if you LOVED Pitt and know you can see yourself there and you are on strict finances, I don't think you would be losing out too badly if you didn't make it to Cleveland for your interview. They appeal to a similar group of applicants, and I'm sure it's because they are so similar.
Anyway, just wanted to share my thoughts. Good luck!

