I am from Iowa City, and have done a few rotations in the ED there during my paramedic training, and also interviewed there for the EM residency too. The city is awesome if you like small town Iowa. If you are from a larger city, you will more than likely hate it. The PD is a great guy, I have worked a few shifts with him, and many of the attendings are pretty good too. The thing that is keeping me from ranking it is that the ED is pretty much a triage bay there. If there is a neuro problem, they call neuro, if there is a fracture......ortho gets the call, lac to the face.....ENT gets the call............It was actually kinda comical when I was rotating there on the calls services would get to the ED. Just my 2 cents.