I loved both these places and I'm trying to figure out which one to rank above the other too. UVA as you know will have a new chair next year, so that's a big question mark, but Vandy's current chair is a little strange, to put it mildly. However I loved the PD's at both places. If patient diversity and hospital diversity matter to you, then Vandy might be a better bet, although the UVA residents kept saying that their patient pop was more diverse than they expected. I'm not sure how their GI departments compare, but I imagine you'd do great at either place, fellowship-wise. I thought Charlottesville was adorable, but I think Nashville might offer more for me, as a single woman with a fondness for music and culture. However, during my interview, one guy mentioned Bill Frist as a local philanthropist for various buildings, events, etc, and I couldn't help shuddering. I think Frist is such a tool, and it would seriously gross me out to have him as my senator. Not that this should factor into my choice of residency, LOL.