SDN Members don't see this ad. (About Ads) I'm interviewing next week for a 4th year externship at a fairly large ENT practice. It sounds like a good place. They see a variety of age ranges including a fair number of children. So far my placements have been at hospital clinics and audiology private practices. I am curious what to expect -- is it more like one or the other? Has anyone done their 4th year in this kind of setting? I realize everywhere is different, but what did you feel the pros and cons were? If one did a 4th year at such a place, would it affect one's chances to get a permanent position in a hospital clinic? Thanks in advance!