Agree. Several new attendings don't know how valuable they are because their last frame of reference was being the equivalent of an indentured servant (if they were in a hard program).
I've seen situations where bad residents attained a bad rep in the local area, so when they graduated they could not obtain a more competitive job. Getting a job was never a problem, but getting a choice one? No. While I was at U. of Cincinnati they would never hire a bad psychiatrist in their main hospital though I've seen a few (just maybe 1-2) bad ones in their satellite hospitals outside of downtown. Several of the residents that were not considered good looked for work there but were turned down.
If the resident was good, however, the department was eager to take them, but then the resident-turned-new-attending didn't have a knowledge foundation on what they should expect as a good and competitive salary for their talents.
The state hospital pretty much took anyone, and it was hard to get fired, so that just goes to show you if the doc was fired from the state hospital they truly were pathetic. I'm talking sex with patients, doing something that killed a patient (or close to it), double-dipping level of pathetic. There are some good doctors in the state hospital but they were a significant minority.
VA was a broad range of terrible to excellent doctors.
Private practice-broad range of terrible to excellent, but the bad ones are able to get away with it because they were usually their own bosses.
Community hospitals: broad range. The community hospital either didn't care because the guy was making money (but might've been an idiot-e.g. was making money because he was inappropriately doing excessive ECTs), or they needed a psychiatrist and were willing to settle for anyone that could fill in the gap.
A big frustration of mine was I felt I figured out the job situation, opened several doors, and was solid with where I should head my professional career before my move to St. Louis. Now I'm starting over in many respects.