I did a rotation there. I liked it but I can clearly see why it wasn't popular.
1. FMG's - literally nearly 50% of their residents were FMG's. Most of these FMGs were not U.S. IMG's. They prematch a lot of FMG's to assure their program fills so they basically prematch the FMG's with the best step I scores and offer them a spot on their interview. Mind you, these FMG's were stellar and had step scores above 230. I don't have a problem with FMG's but for whatever reason programs get a red flag when they have a lot of FMGs.
2. Tucson - It's a lot smaller than it seems. There are cities that have a smaller population that feel much bigger. Tucson honestly feels like 100K-150K population city. They don't have highways within the city for one thing and there is really nothing to do there aside from hiking. The entire city is pretty much the University of Arizona.
3. Overworked residents - Their U.S. trained residents generally seemed ambivalent toward the program. When I asked them if they liked their program, I was suprised by how many would say "It's okay". Usually residents rave about their program but the U of A residents were very ambivalent. During our call nights at UMC, we had a huge patient cap and there was rarely a call night in which we slept. The Tucson population is underserved and you will get loads of illegals among other patients every night. They didn't dislike or hate their program but they didn't rave about their program when asked about it and this was consistent accross the board. They all had the same complaint about the patient load and hours.
4. Fellowship: This was one of their strengths. However, if you are interested in cardiology, this is definitely not the program to go to. Of their 20 residents or so, 11 or 12 of them were applying to cardiology. Aside from Cards and GI, their residents had no problem getting the fellowship of their choice.