I was a med student @ UB a couple of years ago, so my info may be dated. First off, Dr. Lema, the chair is excellent. He is pro-student/resident and is well known throughout the country. I think UB is probably a good clinical program, you rotate through a VA, Womens/Children's, county and semi-private hospital. I think the caseload is ok, but most attendings are private practice guys. Now, I think you will learn to be a slick pp anesthesiologist, but when looking for a residency you need to look for more depth. I know people in the program who are very happy but complain of lack of didactics and ability to use different anesthetic techniques. The one thing I did notice was the surgery/anesthesia relationship is not the greatest but probably not atypical compared country wide. Definitely worth looking at if you are interested in living in upstate NY.