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It may depend on the patient population. You might see some different "ailments" working in the rural/burb areas vs. an urban city hospital. I wouldn't be surprised at their being a much higher concentration of serious pathology in the latter, where you can practice in that highly rewarding fashion you've described.
Often times in the burbs at least it can simply just be dealing with 1st world problems all day. I could think of very few people that would tolerate such a patient population day in and day out. However, if you would still find this enjoyable, more power to you. You are definitely needed.
Working inpatient will give you severe pathology no matter where you go!