Hello, Chitown82! I'm not particularly interested in California IM programs. In fact, I recently decided to apply to Neurology instead of IM! That said, I think you were on the right track with your preliminary thoughts. I've read enough of these forums, so I might be able to help The "big four" IM programs nation wide are: Hopkins, MGH, Brigham and Women's and UCSF. I don't know if there is any order to these four, but it is said that Brigham is the most difficult of these four to match at and Hopkins the least (most likely due to its Baltimore location). Besides the "big four," it seems that the following programs are considered elite by most people: Columbia, Penn, Duke, UCLA, Stanford, University of Washington. Other highly regarded programs (that are often, but a little less frequently, placed in the elite category) include: Cornell, Yale,
UT-Southwestern, Mayo, Washington University, Northwestern, University of Michigan, University of Chicago, Beth Isreal Deaconness, UAB, Emory. You should be able to land a Cards fellowship from any of the above places, without too much trouble, so long as you're a good resident and play the game well (get involved in research, ask any high powered attendings you know to write you letters, make phone calls on your behalf, etc). Obviously, it helps to be a good talker and make a good impression in person.
The top California IM programs include UCSF in the top, number one spot. It's unlear to me which is #2 and which is #3 between UCLA and Stanford. I'd recommend Stanford, b/c it's a bigger name overall and probably has better Cards fellowship matching outside of Cali (even though it seems you prefer Cali. For Cards, you should be a bit more liberal with geography, as it's insanely competitive.) The other excellent programs in California include UCSD, Cedars-Sinai (great for Cards). From what I can gather, the quality (while still high) falls a little bit at this stage, as it did after UCLA and Stanford. Other noted programs include: UC-Davis (supposedly on the rise), Scripps Green or Scripps Mercy (forget which one is considered superior), UC Irvine and UCLA-Harbor.
The program you are referring to at UCLA (the "best" UCLA program) is identified as follows on FREIDA:
UCLA Medical Center Program
Identifier: 140-05-11-046
Specialty: Internal Medicine
This would certainly qualify as the "best" (and, as a result, most selective) of all the IM programs that maintain an affiliation with UCLA. Hope this helps. If you want more info, try googling FREIDA and follow the links. Good luck!