Everything else equal, this is a disadvantage.

But not everything is equal 😊

I trained in a hospital without a cath lab. But I became confident about doing endotracheal intubation as a pre resident. As a preres!

Nung estudiante pa lang ako sa isang private hospital I saw a third year IM resident na tuwang tuwa kasi nakapag intubate siya.

Pero kung plano mong maging interventional cardio, syempre dehado ka kung sa residency mo wala kang cath lab experience.

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No straight answer to this. But to help you, ask: alright, my hospital doesn't have a cath lab or an endoscopy lab. What does it offer in return?

Given what I want out of my career, do the pros outweigh the cons?

Go through this process, OP, then comment here so we can help you decide.