I am a current PGY2 and absolutely love the program.
Pros-
The most diverse group of attendings and residents you'll find anywhere(in terms of race, sexuality, married vs. single, kids vs no kids, age and anything else you can think of)
-The ED experience is intense but you'll come out confident that you can handle anything.
-18 residents a year, this gives you alot of flexibilty. Because there are so many of us you can usually trade shifts very easily to get off for weddings,etc. Also we have had residents take maternity/medical leave without it being a huge deal because there are so many of us to spread out the extra work.
-We work hard and play hard. Our residents are know to go out and light up the town
We do have a lot of fun in the city, but at least in my experience I 've never worked with anyone who came to work drunk,stoned-not sure who the other poster was referring too, but that type of behavior is not tolerated here just as it wouldn't be anywhere else.
-Our attendings our great teachers even in the busy environment of a county ED
-We get lots of unpublished time off. Although technically we get 3 weeks vacation during the year, they usually try and give us the weekends before and after(making 11 days) and you have "light" selectives(US, radiology) where you can make your own schedule
Cons
-We work very hard. It is a busy county hospital so shifts can be physically exhausting.
-Its a county hospital, things are not always as efficient as they could be(radiology, labs)
-We consistantly stay over shifts about 1 hours(or more on a bad day)
Misconceptions
-Although it is a county hospital, a lot of things have changed and we don't do as much scut as you would think. In the past year the only time I have drawn labs or started IVs was when the nurses couldn't get it(EJs, central lines). We have phlebotomy and nurses now which is a change from the past. Also the only time I have transported pts to radiology is if there are patients I'm concerned about(CVA, traumas,etc) or if its at the end of a shift and I'm trying to speed things up to avoid having to sign out results.
-The ED nurses are great. Of course there are a few bad apples or people just having a bad day, but in general they are very good(some even bring you food).
I could go on but let me know if you have specific questions. I have one more year to go and would definitely rank it first again if I could do it over.
Good luck.