I started in a small community hospital. Neighbors taking care of neighbors. I was on a med/surg, telmetry floor. I was able to gain experience with ortho, surg, cardiac, respiratory, CA, and on and on...all on one floor. We have an ICU, Maternity, Peds and an ED, those are more specialty. From what I've heard from former classmates at larger hospitals is that if they are on a burn unit, all they get are burns, Ortho is ortho, yes there is crossing over, but it never sounds as diverse as we are on our floors. Another thing to consider, in our smaller hospital we get everything, and there aren't the specialists to call at the drop of a dime. So in our ED our staff has to be prepared for everything from the stubbed toe to major trauma. Also consider the size of a community hospital. In a large city nearby, their community hospital is doing valve replacements. Big community, big population, more need, and more $$$$ invested. Just more to think about.