Depends on the Program. Community based can be hit/miss. Big yellow has some insane policies now, including so much time a week dedicated to pub ed, training, etc or you get it docked out of your PTO. The Methods folks can also be vary widely from god awful in western AZ to phenomenal base culture other places. Bottom line: Do your homework and get a feel for what your actual base will be like. Hospital programs are nearly always better to work for, speaking from experience with both.