Low volume ED, 3-yr academic program that has been around since early '80's. Full staffed hospital with virtually every consult service around. T-sheet documentation system in ED. A mildly frustrating computer system (only important on off-service months). Off-service rotations at University hospital and VA. Lots of transplanted New Yorkers as ED faculty (from Chair). Chair is boarded in EM and IM (as is PD). PD is likely leaving, but it's because his wife has finished her surgical fellowship and she will likely not find a lucrative job in Arkansas, not because the PD doesn't like or believe in the program.
Residents are happy and easy to get along with. Protected lecture time every Thursday- 5 hours. One lecture is reading quizzes so that Tintanalli is read x2 during residency. Accredited program so you learn the basics just like everywhere else. Constant peds exposure vs blocked exposure as you cover shifts at Arkansas Children's Hospital during the year (for those who don't know, ACH is a pretty darn good hospital... remember that ICU special on ABC about the pediatric CT surgeon and the peds cardiologists, that was ACH).
Patients tend to be poorly compliant. Lots of HTN, DM, I think half of Arkansas smokes, Little Rock has fair number of HIV cases.
Arkansas has great hiking, biking, fishing, duck and deer hunting. Low cost of living. Little Rock used to be a gang capital, but reputation is improving and homicide rate is far below larger cities. You still see a decent number of knife and gunners.
Drawbacks... Its Arkansas. Most people think its a bit too country. Not a great deal to do in Little Rock. Pretty low volume ED, but tend to have fairly high acuity. ED tends to close to traffic a lot because of higher ICU admission than other places.
Any other questions and I can probably answer it.