This may be too little and too late for rank lists but I faced a similar dilemma last year regarding finalizing my list. Basically, I wanted to be in California near the coast and get the best possible training at a place that would offer as much opportunity as possible. That list came down to UCSF, UCSD, Stanford, and UCLA. I didn't interview at OHSU and UW because I didn't want to be in bad weather and no beach. I did a sub-I at UCLA and thought is was a great program. I agree with the other posts in the UCLA thread about it being the best in LA. In terms of caseload, I don't think any other program can top it. The strength of their surgical programs are unparalleled and this exposure is great for anesthesia. Still, I felt its reputation outside of LA was lacking, and since I don't plan to live in LA I did not rank it first. I guess the reason I ranked UCSF first was that it was an opportunity that I couldn't deny. It had all of the geographic factors, plus a network and reputation that is nationwide. My advisor trained at Stanford and he told me to rank UCSF 1st. The program director at UCSD mentioned that he felt UCSF was easily the best program on the West Coast and only seriously rivaled by MGH. Finally, as resident this year working in the ER, I treated a woman for a local cellulitis. Her daughter was with her and mentioned that she was a cardiac anesthesiologist at Johns Hopkins (the daughter). She told me I couldn't have chosen a better program. These anecdotes, plus the multiple job offers I've already received from the local groups, have convinced me I made the right choice. The reaction from many attendings here is that training there speaks for itself. As for workload, I just received an orientation e-mail mentioning that there is no call for the 1st two months, and that after that, it is a weekly night float system where you come in in the afternoon (3pm) and work until either a few or no rooms are running depending on which call you are doing. This is for a week every month or so and then you go back to regular days. Approximately 2 weekends off per month. This is for the Moffit-Long University Hospital. ICU is Q3 and I am unsure of the schedule at the SFGH and VA hospital. Overall, I believe the schedule is manageable. An attending I know here said he had ample time to surf and have fun while living in a really awesome place. Please feel free to PM me or e-mail me or post any questions.