Hospital-based programs generally have more patients than they know what to do with. The severity of cases is greater and the diversity of cases is wider than most university based programs. Considering the severity of presenting malocclusions tends to be greater, considerably more orthognathic cases are treated. The advantage of a hospital based program is the breadth of clinical experience. Another huge advantage is the stipend/no tuition out of pocket. The disadvantage for some is less emphasis on classroom didactics and more emphasis on "problem based learning" and conferencing...although this may be a huge advantage for some...it was for me. A resident who completes a hospital based residency program will be more than qualified to treat the mild-moderate malocclusions seen in private practice. And, if so inclined, a hospital ortho grad would have the experience to treat the "handicapping" malocclusions as well i.e. syndromic patients/CL & P. If you have any other questions, feel free to ask.