- the best programs have a county hospital (complex path w/limited resources), academic hospital (speciality clinics), and VA (great gen derm + surg training). - Residencies that are primarily resident run clinics = workhorse program, lots of admin work. < Some programs value autonomy in residents, but actually are the opposite of workhorse - staffing sometimes is just extra work lol - Residencies that are only attending run clinics = poor autonomy. You want a mix of both resident and attending clinics. - Ask on your interview days how the residents feel about admin/scutwork responsibility, some programs are terrible at this and it can affect your QOL/training (Hopkins). -- current hopkins resident here, this is not an issue anymore. used to have to do PA's, now our clinical work is mainly in the form of notes and we now have AI scribes to automate that for the most part too. - Cosmetics training is cherry on top and some programs are really good at this. - The top programs are universally known but don't discredit other programs, and you can gauge residents and their schools to assess competitiveness of a residency program