This month, I've been working at a smaller, community hospital affiliated with the large academic center where I mainly spend my time as a Urology resident.
It's really different here -- everyone knows everyone, the ancillary staff takes a ton of initiative to solve problems before running them up the chain, there is less paperwork, the nurses take verbal orders, the patients are less sick...it's a pretty sweet deal all around.
I discovered one of my favorite aspects of this smaller hospital late one night when I was on call. I had a medication question and I asked the switchboard to connect me with the pharmacy.
The phone greeting went like this: "You have reached the overnight Pharmacy line. Please listen to the following list of telephone options; however, if this is an emergency or you are a physician, please dial 1 now to speak with a pharmacist immediately."
I have never felt more important in my life.