I am not entirely sure what I want to go in to. I have had a lot of surgical exposure so General Surgery or Urology are both areas that I really like. I figure there is a lot of exposure in the Pittsburgh area (and good exposure to residencies, too). But it seems like that would be pretty high on most peoples list and with the addition of Seton Hill I am thinking it may be tough to get that area. Have you heard much about York, Cleveland, or Buffalo areas?
York - two hospitals, York Memorial & York Hospital (confused yet ??? ) York Memorial offers one of the "13" options (all rotations at the hospital). York Hospital - haven't heard much about it but it does have a few allopathic residency programs which have decent reviews online.
Buffalo - really only one site left, Sisters of Charity Hospital, for "core" rotations, the other option being Niagara Falls Memorial Medical Center which is about a 1/2 hour commute - have friends that have gone there and give positive reviews
Cleveland - not too much left here either, Aultman (Canton) & South Pointe (20 mins from cleveland), the other option being the UH13 group (University Heights) - you rotate between the hospitals in the group for all of your core rotations (a "13" group) - heard mainly positive reviews for that as well but they did say their schedules got changed around frequently (i.e. the order of the rotations)
The one caveat I have to include is that no one will be able to spend their entire 3rd or 4th years in a given area UNLESS they do one of the "13" groups. Otherwise, inevitably everyone has to do a "mandatory" rotation somewhere (Erie is the most common, also mandatories in Scranton, Meadville, Clarion & others). In addition, your ability to stay in a given area is compromised by the number of other people interested in that area which are assigned to your rotation group (done by a committee composed of fellow students & class president). For example, if there are two people who want Buffalo and only one true Buffalo site...you get the idea (most often only one spot per site for a given rotation with a few exceptions).
Pittsburgh has the same problems as everywhere else. The numbers of rotation sites are going down, especially with the closings associated with West Penn/AGH consolidation, while the number of students increases due to Seton Hill. I'm not optimistic about it all going well for pittsburgh interested people any many may have to change their plans. That being said, there are still many sites in the Pittburgh area but they are generally not the biggest/best (i.e. not many of the larger hospitals are well represented).
Surgery is tough in the osteopathic world. There are relatively few residencies for D.O's, but plenty in the allopathic match which still has some difficulties associated with it. It's doable, but there's a lot of legwork to do. Urology is the same but the match is different from the others since you have to go through the San Francisco match (google it). I'm not 100% familiar, but I know it's a bit different than the allo or osteo match.
Let me know if you have any other questions.