When my sister in law needed brain surgery she already was seeing the head of the neurosurgery department at the university she worked at. She wanted a second opinion and ended up with the top neurosurgeon in the city an hour away (again, University based teaching hospital.) In other words - she went for the top dogs at teaching universities.
When my brother was fighting his losing battle with cancer he was told that his case was too much for the local surgeons - but they referred him to the top specialist at the teaching hospital an hour south, in a bigger city. This gastro/gi/oncologist had a TERRIBLE bedside matter, but also had top residents studying under him who took excellent care of my brother. (Think "House" and his team.)
In both cases - the top doctors ended up being at teaching hospitals.
When my brother was fighting his losing battle with cancer he was told that his case was too much for the local surgeons - but they referred him to the top specialist at the teaching hospital an hour south, in a bigger city. This gastro/gi/oncologist had a TERRIBLE bedside matter, but also had top residents studying under him who took excellent care of my brother. (Think "House" and his team.)
In both cases - the top doctors ended up being at teaching hospitals.