I have worked at both large metro hospitals and now a small community hospital. The larger hospital gives a wider scope of pt. care and more unusual cases. In the small hospital I am in now it's nice that you know your co-workers kids, mama's, dogs etc. But the small time politics and back stabbing is disgusting. Especially of the mnedical staff. I hjave never seen a bigger bunch of spoiled rotten doc's in my life ;and unfortunatley , your stuck with them. There are one or 2 that I wouldn't let touch my dead cat, so if i need medical attention in an emergency I gotta go 30 min. up the road. Over all I'd say a big hospital is best, yes they have poiltics and spoiled doc's but at least you have a little buffer.