The residents are pretty happy from what I remember, although I'm no longer there, so I can't attest to the current camaraderie. In general, most of the residents are IMG's, but some are very good, and would be good residents anywhere. Others are not so good, but in general, I was mostly impressed. The residents do get fellowships, but not in GI, Cards, or the other competitive fellowships, like allergy. As for LV, it is a great city IMO, and the hospital itself is a pretty nice county hospital. Any other questions?