I've worked in hospitals where each body system besides dermatology had its own floor, and in small hospitals where it was whittled down to ICU, tele/medical, and med-surg (heavy emphasis on ortho...retirement community- half of them had metal body parts
I loved that small hospital with the "who-knows-what-will-show-up-next" population. It was a great place to learn, and even though it was a small hospital, we had Pyxis years before the larger hospitals in MUCH bigger cities in the area. It's sad that "basics" are looked down on, when every other specialty still needs them to do their jobs. Sure, they focus on specific areas- but every specialty needs med-surg knowledge. And in a small hospital, you have to know enough of the specialty areas, because that's the only show in town. I learned more about equipment there than in a city literally 25 x larger. And, the docs were wonderful about talking to the nurses about anything weird that came in.
I've worked neuro/neurosurg- I liked it a lot. But it was sometimes too focused, and the tunnel vision could be limiting. I'm incredibly glad I worked there, and learned a lot (first hospital job out of school- 6 months after graduating)...but a stronger med-surg background would have gone a long way
It's sad that fundamentals are seen as inferior. Without them patients croak. Not good for satisfaction scores either