One realization I’ve made from 20 years on the job: many docs who trained at prestigious centers had to fight for procedures, and came out with a shiny resume but weak skills.
Can’t speak for surgeons, but if you want an ED doc who can intubate a mosquito, can insert a central line eyes-closed in under 30 seconds, and can calmly run multiple codes simultaneously while strolling from doorway to doorway, they typically do not come from the places a layperson would think of.
In anesthesia you’re exposed to hundreds of surgeons throughout your training and career.
A hill I’ll die on is that the best surgeons came from workhorse community hospitals, not ivory tower institutions.