tmudphud-
I think that mrravioli summarized things pretty well. "Malignant" is a funny word, and means different things to different people. If you use malignancy as a proxy for work-load, it is true that UCSF was perhaps a bit over-the-top in the past. However, this is changing quickly, and the current program structure would be a shock to the residents of only a few years ago. For example, the Moffitt senior used to supervise the junior on the inpatient service AND handle consults. This job is now done by three separate people - and they all keep busy! Likewise, the duties I did as neurovascular resident last year are divided between two R2 residents this year. Finally, the Moffitt call used to be a fairly terrifying solo experience, but now there are two residents in house until at least 10 PM 6 nights a week. I'm taking call this month, and it is hard to overstate what a dramatic improvement this is for both residents and patients.
In terms of the other use of malignancy - just a general state of unhappiness and dysfunction - I don't think anyone would accuse UCSF of falling into that category. The residents get along very well, the faculty treat residents with respect, and the program administration is always willing hear and act on our suggestions for improvement.
I don't want to paint a picture so rosy that you think it can't be true. Every residency program has annoyances. The UC medical record system is currently a sort of unstable transitional species between paper and electronic, allowing us to deal with the down-sides of both systems. This will hopefully resolve itself before too much more time passes. There are other similar examples, but overall I think UCSF is an excellent program, and I would rank it just as highly if I was matching again this year.