What sort of program are you in? That may determine a better option over another... I've been at DHMC for over a decade and IMO it's an outstanding hospital and I really like working there, pay and benefits are top tier IMO. I worked at a small hospital for almost a decade prior and although I had great coworkers and a decent experience, it doesn't compare. It'll really boil down to what you're looking for and how you want work to fit into your life. I basically did the same as you're planning 20 years ago.