It's a good school, residents are nice. I think the above poster was being a little too harsh. Their messy "divorce" from Methodist was over and in the past - their attendings are still great, you get a great county + private experience. It is still very well known, very highly respected, and good fellowships will be possible. You'll have a good chance if you're decently smart, but don't need top of your class for a US grad. They do take a small pinch of IMG's yearly, but rest assured, never the US-IMG / Caribbean type US rejects -- perhaps those who have finished training in other countries, are ridiculously published, + have stratospheric scores. If anything I'd consider working with people like that a a plus, given how much I think I'd learn from them.
Also, it seemed like the PD here would go to bat for you for the future. Very Vanderbilt-esque figure. A good program.