If you can match into Vandy over Memphis, you'd be a fool not too. Nashville is a much better city than Memphis, the program at Vanderbilt has better training and reputation.... I would imagine you would have a much easier time finding a job coming out of Vanderbilt than UT-Memphis although I don't know specifically what kind of jobs/fellowships people at Memphis get. I have talked to path residents at other institutions that did med school at Memphis, and around the board they said that it is a lower tier program and they did not want to stay there for residency. It is true that St. Jude is a jewel in the middle of scum-infested Memphis, but I doubt UT path residents spend much time there. Vanderbilt is undergoing some transition now with a new chair and lots of new faculty, but this is a good thing and they are in the upswing of a big expansion right now. It is definitely a program on the rise. Vandy vs. UT-Memphis should be a no brainer unless you absolutely HAVE to live in Memphis.