I can't help you rank as I'm MSI but if you have any questions on Lubbock since I'm at TTU I'd be happy to help.
UMC (the hospital) and TTU have a pretty good relationship. No financial worries from that aspect, UMC is a county hospital actually making money. Most TTU residents get good hands on experience from what I've heard with procedures et cetera and quite a bit of autonomy in comparison to other programs ... I can't speak specifically about this being the case for the TTU IM program.
At TTU, I know IM here seems ok, they have Lynn Bickley the editor of the Bates physical exam book. She probably has good contacts for fellowships.
As far as fellowships, they have a great physical facility for their cardiology people. There are two FMG's cards fellows so i'm not sure how that comments on their selectivity.
Advantages of Lubbock:
1) No traffic
2) Great place to have a family.
3) Safe.
4) Friendly, rugged people with good values.
Disadvantages:
1) Flat
2) Little cuture
3) A long way from big city
4) Not much "outdoors" stuff ... mountain biking, hiking, et cetera.
An Ad/Dis depending on you personally:
1) Very very conservative (republican)
2) Very religious
3) Very anti-abortion ... the med school couldn't even find an ob-gyn to come and discuss the procedure with the class.
