I started in teaching hospitals,,and found one thing is for certain...as other hospitals,,there are no cushions,,lots of experience...sometimes stretched to the limit..but also gives opportunity to really stress importance of being good and ethical in your work...challenging..and if want a change..give a try..just watch for the pitfalls,,as anything else,,politics in everything...even teaching hospitals..but good experiences with so many types of illness:smiley_ab es..good luck...