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I rotated at NS-LIJ and at this point on the interview trail I can confidently say that it is one of the most well-rounded programs in the country. Their operative experience is very strong; PGY-3 level and beyond is purely operative (aside from the PGY-4 research year) and the interns and 2's get in the OR more frequently than I saw anywhere else. I was very impressed with the operative competency of the chiefs and was even more impressed by the operative skill level of the 3's - they were on the same level as the 5's I've seen elsewhere. At North Shore (flagship, high volume center) there are probably 3-4 first starts a day w/ at least 4 additional cases (not including emergencies or angio); this is enough to require an intern or a 2 to cover a case almost every day, and there is definitely no double-scrubbing. Attendings are great in the OR and most will let the resident do the bulk of the case (except for aneurysm clipping/bypass/avm resection). By far the strongest aspect of the program is spine. Their spine surgeons do a huge variety of cases from minimally invasive to huge whacks for deformity and residents are all well trained in spine. As for crani, there are probably 3-4 tumor cases/week and 1-2 open vascular cases/week. Skull base is a relative weakness, but the residents will start rotating at Lennox Hill in 2017 and two of the faculty members there do primarily skull base and vascular (John Boockvar and David Langer). I can't really comment on the LIJ experience which is where they get their peds, but from what the residents say, it is a much slower service w/ much fewer cases than at NS.
Research wise, they have some phenomenal resources. The Feinstein Institute has a very busy brain tumor research center w/ plenty of basic science research in neuro-oncology going on, as well as TBI labs (Raj Narayan). Residents get a full protected year during PGY-4 and can opt for a second protected research year if they want. The program is also affiliated with Cold Spring Harbor, which is a mecca of basic neuroscience and oncology research.
I think a good overall gauge of a program is the fellowship track record and it seems like the guys/girls at NS-LIJ have a pretty damn good one. Fellowships taken by residents in the last few years include Stanford (peds), MD Anderson (neuro/onc), UPMC (skull base), Vanderbuilt (spine), UT Southwest (open vascular), Buffalo (endovascular), Stanford (spine), Wash U (peds).
I will definitely be ranking this program very highly. It is going to become a big program in coming years.

First off, it's a chill subI. Nobody really cares if you take call or not and there's so many residents that nobody looks after you. You have no responsibility to round or take notes (this might change this year as the people who matched this year apparently told the program director to make the SubI more legit)
You're entire job is to be helpful in the OR- you go to cases all day. The Jefferson case volume is impressive.They have 3 endovascular rooms running everyday (which students barely go to), and they have 1 hospital dedicated to neurosurgery where they do vascular and tumor. They have 2 skull base attendings, 2 tumor attendings, 2 functional attendings, 2 epilepsy, 3 vascular attendings and 5 spine attendings. Many attendings run two-three rooms at once and PA rules state that attending doesn't have to be in the room for time out so this lets the residents start many of the cases on their own. This usually amounts to 6-8 rooms running per hospital. Even with 2 spine fellows, 1 skull base fellow, 2 endovascular fellow, and usually 1 enfolded epilepsy fellow, many rooms often go uncovered. I got to do a lot in the OR as many of the residents are very nice and want you to have fun in the OR- and many of the attendings are incredibly nice (Judy, Andrews, Evans, Farrell come to mind).
When you're not in the OR, you usually stick with the intern who has the pager and you either see consults on your own or just tag along with them depending on the resident. Many of the residents were awesome- obviously like every program there's 1 or 2 less friendly but for the most part they look after each other and are a good team (the three they matched this year are all very nice as well)
As for a letter, Dr Sharan the program director is the guy to ask. He can seem extremely intimidating (he doesn't respond to emails and won't talk to you on purpose in the beginning) but this is his way of removing himself from the match process to make an unemotional decision. In reality he's one of the most supportive program directors I've met and always has the residents best interests in mind and from all accounts wrote me a very strong letter. Rosenwasser the chair is barely around but the work he does on the business side of things is very helpful for the hospital and the program which allows Jeff to be the most profitable and highest volume program in Philadelphia.
All in all, a great place to rotate.

Format: 4 weeks at the main hospital, with campus call or main hospital call q5-7 with the pgy-4
Residents: overall good group of residents, enjoyed working with them
Pros:
-tons of NPs
-PGY2s were actually operating all day.
-Huge case volume and great autonomy
-only saw double scrubbing when appropriate (chief leading pgy- 3 through spine, etc.)
-Strong depth of faculty and Payner and Shah are amazing. Dr Jea joined recently in peds.
-Indianapolis is actually an a great city
-Plenty of interesting cases
-Take call q5-7
-Get to do a good amount in the OR
-No scut work, just came in early to round on my post-ops and pulled the occasional drain but it wasn't required
Cons:
-More for residency but you take campus call for multiple hospitals

Thought I'd post about my experience at the Barrow and regarding recent rumors about the chairmanship. The overall rotation was the best I've been on so far. It's tailored to get med students in the OR as much as possible. The day begins with rounds at 6 and you're expected to present 2 patients. Then you spend the rest of the day in the ORs until cases are done. Volume was impressive. 11 dedicated OR's with an average of over 20 cases per day - the lightest day I saw was 10 cases because half of the attendings were out of town. The residents have tremendous autonomy and it shows is how good they are in the OR. Most of the 4/5's were doing complex cases comfortably that I've seen chief residents at other centers just watch their attendings do. During the cases, the residents and attendings also teach you to do a lot as a med student beyond just opening/closing like placing spinal instrumentation and helping out under the scope. Despite being so busy, the residents were extremely nice, patient, and just positive - you could tell that they were happy to be training there and it really contributes a lot to the culture. The residents and staff were also very open about the recent leadership changes - Theodore leaving for hopkins and spetzler stepping down. Its now confirmed that Lawton will be taking over after Spetzler steps down. They're also interviewing several big name spinal guys, a lot of deformity and minimally invasive names to fill in for Theodore's role. Even with these changes, I think the BNI is still going to continue being the powerhouse that it is.

Overall a light subinternahip without much responsibility and low case volume, often with multiple medical students in the same OR. Call responsibility mostly involves shadowing a resident and staying up not doing much - very few opportunities to stand out.
Pros: Boston is pleasant and the location of the hospital is great, despite being expensive. Residents are nice and laid back, overall very nice to be around. Subi has teaching sessions for students although many are canceled. Good for basic science research. Cafeteria is above average.
Cons: Chair is leaving this year and position is being advertised, so uncertainty as to whom will take his place. Program director not really invested or interested. Very low clinical volume across the board, most cases at least double scrubbed. Almost no vascular. Very little spine, and almost no complex spine. Lots of attendings don't let the residents do more than open and close which leaves very little for Subi to do.

I rotated at Baylor as my first away. I had a pretty good time overall. If you perform well, they really favor you as an applicant. I wasn't required to do any grand rounds presentation. However, they interviewed us while we were there, which can be a good or bad thing for some folks. I guess one bad thing was I never knew how exactly I stood on their rank list since all rotators were interviewed. Dr. Yoshor is a really cool guy. I know he gets some backlash because of his direct personality sometimes, but he was very nice and beyond welcoming to the rotators. The PD is also a very genuine guy - you'll meet with him during your interviews. If you do rotate there, I would recommend requesting time at Ben Taub, their huge county hospital. Some rotators were not placed there and it's a real shame since that's where most of the residents' training is done.

Rotation at Duke. Here's a summary of the experience.
Hours/Workload: Very heavy workload for medical student rotators. Depending on the service (Vascular, Tumor, Spine, Peds and VA), you either get there at 5:30 or 3:30 am (really only one service is 3:30 am and the rest are 5:30-5:45am). Easily worked 80-90 hours a week. Call Q4, usually go home after call. Honestly, the service is saturated with students so you should go home to make room. Wednesday is Academic Day with lecture in the morning and again in the late afternoon, which can make it hard to get into the OR. There is also Brain School which is every two weeks where you have to present and discuss part of a research paper with Dr. Friedman. In addition, you get a packet of papers to read on your first day.
Hospitals: Duke Hospital is HUGE. It has a large coverage area and due to its reputation, lots of patients flock to it. You can also do a week at the VA which is super chill and they let you do a lot.
OR: You came to Duke for tumors, and tumors you will find. Dr. Friedman usually runs 2 ORs at a time for about 4-6 cases a day 4 days a week. You also get to see some endo/open vascular, function, spine and peds. Honestly, I felt crowded on service since we had too many students on at a time (junior + senior students). What you get to do in the OR is very, very resident dependent, but only when the attending isn't around/looking. There usually aren't enough cases for the residents so they are typically double scrubbed which limits your participation.
Clinic: You get a chance to work in Friedman's clinic weekly, which is a great experience and lets you get 1 on 1 time with him.
Overall Impression: The residents seem pretty close overall and were generally fun to work with. The rotation is busy and you spend a lot of time learning to manage patients. You also get a taste of academic nsgy with lots of lectures and journal club. The OR experience was less than what I was used to.

Honestly, an amazing experience. 1 week at CHOP, 1 week at Pennsylvania hospital (the outpt hospital) and 2 weeks at HUP (the main hospital). They also try to send you once a week to the trauma hospital or clinic. Call at HUP Q4 and they expect you to stay till around 10 am the next day. You usually get a few hours of sleep in a chair per call. The residents are very nice and will go out of their way to buy you lunch/dinner. The attendings also go out of their way to talk to you and get to know you. The hours are great. Honestly, the best experience I had of any Sub I. The operative experience was top notch and I was allowed to do more than at my home institution. I plan on ranking them very highly.

Format: There are 4 major services that subIs rotate through: Vascular, Tumor, Spine/Functional, and Pediatrics. I heard that some months when there were more than 4 subIs, it was an option to rotate at the county hospital in San Jose (tons of traumas), but I did not get that experience.

Call: q4. Basically spend the night with the PGY2. I typically stayed in the ORs until cases ended, and then hung out with the PGY2 seeing consults, taking care of ICU patients, bedside procedures, etc. You have the options to stay post call for clinic or first case, or you can go home and sleep after AM rounds.

Expectations: This was my favorite subI mainly due to the responsibility I had as a subI. I pre-rounded on the ICU patients for the team that was rotating on each week, presented those patients on morning rounds, and wrote the progress notes. The rest of the day was spent in the OR (first priority on any case on your team, but flexibility to scrub into any case not covered by another subI). There were between 4 and 6 first start cases each day (plus 1 or 2 more at the children's hospital, and 1 or 2 more at the county hospital). Impressive open vascular volume (seems like there was an aneurysm being clipped almost daily), and unmatched tumor volume. Between cases, I helped out with consults and management of ICU patients. One day a week, I was assigned to clinic with one of the attendings - saw patients independently, presented them to the attending, wrote the H&P. Good opportunity to get some face time with the senior faculty.

Residents: Overall a great group of residents. Operatively, the senior residents were some of the most technically skilled that I encountered throughout the application process, and juniors got great exposure to both complex as well as "junior-level" cases. The senior resident classes seem a bit fragmented, but still get along well and seem to be very supportive of their junior residents. The junior and mid level residents were a very tight-knit group and incredibly supportive of one another. Definitely a family/life-style friendly program - most of the senior residents are married and many have kids

Pros: Great group of residents, case volume (and case complexity) is on par with anywhere else, research opportunities at Stanford are unparalleled. Palo Alto is one of the most amazing locations to live - beautiful weather all year long, 30 minutes from SF, 30 minutes from beautiful beaches, just a few hours from Tahoe, Yosemite, etc.

Cons: very expensive place to live, not a walk in the park to find housing for your subI month.