From what I can tell from these programs, it all comes down to the real estate mantra: location, location, location....
My guess is that the "SC" in your alias stands for socal, so going east may be the 1st thing for you, the next may be you comfort factor with c-ville and the east coast (but who knows, you may be going to school at VCU or georgetown right now...)
If you can appreciate the smaller town atmosphere of charlottesville, I would put UVA above both of the other programs. I spent 5 weeks there doing an away rotation, at no time was I not impressed with the knowledge and collegiality amongst the housestaff, the strength and approachablility of the attendings, and the facilities that UVA works out of. The chiefs this year were very dedicated and presented outstanding conferences, which were fully attended, and next year's chiefs will be just as strong. Fellow placement seemed solid, and the PD is a real presence in the day to day activities there.
Again, I would figure out if you can truly live/work in cville, and weather you feel the 1 hospital system and patient pop. would be a fit for you.
I liked UMD as well, but found the overall exp. to be a step below UVA- the PD was excellent, but the residents seemed a touch stronger in cville. Didn't interview at UCSD, so I'm no help there!
Good luck!
