As I get closer to the end of my interview trail, I'm noticing that there are some broad diffrerences between programs that I'm not sure how to consider. 1. Specialty inpt units/outpt clinics vs general wards/clinics Seems like the specialty route will have you working with expert attendings and help structure your reading time so that you can really learn about each disorder thoroughly. Then again, maybe the general route forces you to hone your diagnostic skills and multitask like you'll have to do in the real world. 2. close inpatient supervision versus autonomy At Duke it sounds like you are on your own at the State Hospital in PGY2. The residents say its a great experience, but are they missing out on onsite teaching? On the other hand, elsewhere I've seen way too much hand holding. 3. Direct versus indirect psychotherapy supervision. Will use Duke again as an extreme example . They use one-way mirrors and videotape more than any other place I've seen. Most other places have more informal supervision where the resident simply discusses the session with the supervisor. Would love to hear anyone's input on the above as well as more themes.