Are you able to get to a large teaching hospital? The one I go to has probably 50 pdocs (including residents) and the care is excellent. My pdoc is on staff so I don't change. If you have a resident you will change occasionally but not like you are describing and I think you'll have a relationship with a supervising pdoc on an ongoing basis even when the residents move on. My experience with the residents has been very good when I've been IP or in the ER when I had lithium toxicity and was hallucinating.

I drive 2.5 hours each way to where I go. That's not an option for everyone and honestly if I hadn't followed my pdoc there I probably wouldn't have made that my first choice but it is what works for me and I don't plan to change, even when my pdoc retires.

I know how hard it is; before this pdoc I had some really bad experiences and I am constantly thankful that I have the pdoc I do and have had for 16 years.