I chose my surgeon based on word of mouth of who was good. I chose my wife's Ob based on Ob/Gyn's I interacted with, and made sure that it would be one of the ones who let me finish my thoughts when speaking with them on consults and had some sort of clinical reasoning behind their recommendations. It actually surprised me where they were from and where they did their training when I looked retrospectively. So no, I don't care where you did your residency or went to med school. I care if I 1. Can have an intelligent conversation with you. and 2. can explain to me why you're recommending a course of action. And for surgeons, 3. do other people like the surgical job you did for them.