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The teaching hospitals I have been to in the US and Japan have been very solid in their medicine. I think part of the reason is that the doctors are teaching real medicine, nuts and bolts diagnostics and treatments. They are conservative with the tests, not running extraneous tests to force up the bill. They are conservative with the medicines, because they aren't (as far as I can tell) beholden to the drug companies to prescribe the most expensive/ most profitable/ highest kickback drugs to pad the bill and line their pockets. I have no problem helping residents become better doctors by learning something from my conditions. In fact, I am happy to contribute in this environment because, so far anyway, there has been a "real" doctor to supervise and double check anything they do.
I'm sure there are horror stories out there about the mistakes residents have made, but by and large, I don't think they are more common or more serious than the mistakes "real" doctors make. That's just my experience.
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The difference between theory and reality is that in theory there is no difference.
"God made man, but he used the monkey to do it." DEVO
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