Yeah, so interesting conversation...looks a lot like what we talked about with the chair and PD last pm like llogg mentioned. btw I'm from UTSW as well.
So with regard to the unhappy residents business...work hours and respect, that's what it boils down to. But I will say this - while they are stretched for time (as many programs likely are) and while they are front loaded quite a bit (as lots of programs are) you probably hear about more because of the respect issue. So one problem is leading to the exageration of other problems, really.
The respect issue is coming from the fact that most of the resies are coming in as PGY-2's into this internal medicine dominated hospital and rendering consult opinions (which the internists often don't want to get or don't care to follow) without any knowledge of the culture of Parkland. After the first few months of this, the PGY-2 will say "Screw this! I don't like this place's disrespect of my profession" while the internist is saying "what the heck is wrong with this resident? neuro must suck". And thus begins the beautiful cycle of disrespect.
Next year, slots will be offered that are categorical. So when some of the new neuro resies come in and go through the prgram at Parkland, they'll know the IM resies and get along much better. It will be a much better climate for neurology.
I don't think anyone would doubt that FMGs are just as qualified (and sometimes more qualified) than any USMG. But with that said, yes it reflects on the marketability of the UTSW program only. I don't think anyone would argue with the quality of faculty and the incredibly good training opp. that comes with a community hospital program, either. So while the residents report being unhappy (and i couldn't disagree with you, unfortunately) I think the next crop of residents will be much happier.
btw, despite being from UTSW, I'm not going to be a resident there, so I'm not a complete plant