Both VCU and UVA are great programs but since you asked, here are the negatives:
VCU: Richmond has a high crime rate, particularly homicides. The hospital is very old ("historic"). Like I said before, they don't have any exposure to cardio/pulm rehab. Residents weren't very happy with their experience at the VA, but they are now undergoing some faculty changes there.
UVA: Charlottesville is pricey and a somewhat isolated, small town. The residents complained about the quality of lectures. The inpatient experience was not as strong as other places I had interviewed. The board pass rate is below average. There are no fellowships at UVA and they had a recent "falling out" with the anesthesia-based pain fellowship there.
A great way to find out more inside info is to email residents. Go to the AAPMR website and on the medical student page, there are medical student mentors from different programs.
I'm definitely ranking both programs but would prefer to wait until after the match to share my list. You never know who will be reading these posts. I've heard PD's mention this website. It's not too hard to put one and one together. 😱