If you wanna go west, consider University of Utah. Its kind of a dark horse...here between U of Colorado and U of Washington. Skiing/snowboarding is 20-30 minutes away...so you can leave post call and get a 3-4 hours in. Weather is about perfect too...short hot summers, very mild autumns and springs...Cold but not bone-chilling winters....with plenty of white stuff on the mountains. Reasonable cost of living, very little commuting...
Oh...as for the program....based at 3 hospitals...University, VA and private. Strong pulmonary/CCM program, Nephrology, GI. Teaching is good...but this place is best suited for self motivated folks. Generally only a modicum of hard-core pimping. No one I know of has struggled to find a fellowship spot. Most of the folks here tend to have shunned the typical hard core top ten residencies...finding they could satisfy their egos in other ways (hiking, climbing, mountain biking, kayaking, skiing, etc.) Cardiology seems to be the fellowship of choice for many...followed by GI.
Downsides...well politics...its a republican stronghold here with the LDS church buying and controlling most public offices, television stations. Diversity...needless to say...not a large number of minorities...except quite a few immigrants, especially Russian and Tongan. VA catchment area is 5 states big including Nevada, Utah, Wyoming, Montana, eastern Idaho and Western Colorado....
Despite what you might think about the Mormon Mecca, there is adequate social disease here....We got your cirrhotics, lungers, junkies, Hi Fivers, etc...
hope that broadens y'all horizons some....