In a teaching hospital, you work with residents and the residents manage the cases for you and you teach them at the scope. At teaching hospitals/major academic centers, the specimens are more complex and you get tougher cases (due to patients that are referred to specialty clinicians). In rural community hospitals, you do all the work. Cases are probably not as complex and diagnoses may not be as challenging. Before you get all uppity and snippy, this judgment is a relative comparison and I'm not saying that rural pathologists spend all day signing out gall bladders, appendices, and hernia sacs.
As an illustration, let's take neuro specimens. I think the majority of brain tumor cases will go to the academic centers because those cases aren't emergent cases. Those patients can go to places where neurosurgeons dedicated to doing those kind of cases can treat them. The rural places still have to deal with emergent cases so you'll get blood clots from subdural hematoma decompression cases...in which case you're not making diagnoses such as pilocytic astrocytoma, oligodendroglioma, or GBM but instead are signing out "blood clots".