I've had a good experience with a teaching hospital. To be totally fair my pdoc moved there from private practice so I have an attending and my dr doesn't change every year or two. But my experiences with the system there have been very positive and people know a lot because they are either in training and required to know vast amounts or they are teachers who have to impart lots of information. The bad thing is getting a resident unwilling to say "I don't know". And like I said I know if you have a resident your dr may change every year or two. (Although I know some community MH programs change that often too).

I know it can be very hard to find a pdoc. I'm still waiting for a call back from one pdoc's office that said they'd call when they had an opening. It was 18 years ago. I'm thinking they maybe aren't going to call . But because i didn't get in there then I wound up with my amazing pdoc I've had the last 18 years instead.