It's a small hospital located in the Wall Street area (right near the Brooklyn Bridge)...as noted above, very large Chinese population. The IM residency (the only one I'm even vaguely familiar with) is small, mostly comprised of prelims. I believe NYU ended its affiliation with the hospital a short time ago, but I could be wrong. Even so, their affiliation was really just in name only; no NYU students rotated there anymore and the residents at Downtown certainly never rotated at the main NYU hospitals. One good thing I did hear was that the housing is supposedly very cheap and pretty nice.