Second residency in Emergency Medicine (Part 2)

[Panscan]

It'll be interesting to see how the job market is for EM by the time im an attending in 7+ years. Right now, especially last year, everyone's hair was on fire about how difficult it was to get a job, the ACEP report about oversaturation, etc. But I know in 2013 at the nadir of the rads job market people were extremely negative on the specialty, and those who bought low made out like bandits in 2019+ when the job market was red hot (still is). Maybe it'll happen with EM?

Would be a shame not to do EM because of concerns over a job market that may not be as bad when one is finally practicing. But would also be terrible to actively go into a specialty whose job market was bad and getting worse. Grateful im not interested in EM at all...

People who were matching in those years that wouldn’t have matched, maybe. I think the year or two before me were pretty non competitive with substantial unfilled spots at decent institutions. Haven’t kept up with the competitiveness now tbh, would assume middle of road.

People getting jobs back then likely had to do additional fellowships or sign long partnership tracks which were reduced in duration in current more in demand model. So maybe it’s ok to buy low as a student but I wouldn’t want to be a current EM resident in this climate.

[Max Power]

Do a fellowship in Cards or GI if you can get it... Rheum or Endo if you can't. ED is not the way... high probability of 4yrs gone, debt grows, and you're unhappy there. You're welcome.

[HikingDO]

I could think of very few things in life that sound more hellish than doing a residency a second time. OP, why not just do outpatient IM? The hours are steady, patient load is usually pretty manageable, and jobs are abundant with decent pay.

[IMMD]

I could think of very few things in life that sound more hellish than doing a residency a second time. OP, why not just do outpatient IM? The hours are steady, patient load is usually pretty manageable, and jobs are abundant with decent pay.

I like EM more than inpatient or outpatient IM or any of the IM sub-specialties 😀. I applied broadly to EM residencies last month. Will see what happens.

[krusebear]

I think your plan is foolish. You will likely not be happy or satisfied with ER either.

[Ekanive23]

It'll be interesting to see how the job market is for EM by the time im an attending in 7+ years. Right now, especially last year, everyone's hair was on fire about how difficult it was to get a job, the ACEP report about oversaturation, etc. But I know in 2013 at the nadir of the rads job market people were extremely negative on the specialty, and those who bought low made out like bandits in 2019+ when the job market was red hot (still is). Maybe it'll happen with EM?

Would be a shame not to do EM because of concerns over a job market that may not be as bad when one is finally practicing. But would also be terrible to actively go into a specialty whose job market was bad and getting worse. Grateful im not interested in EM at all...

EM where I am make 7 figures once partner in 2-3 years…

[Turf Doc]

EM where I am make 7 figures once partner in 2-3 years…

Are you in a desirable area and/or are they hiring new physicians on a partner-track?

if you own the "means of production" as they say, aka partner in a SDG like WCI or the folks you mention, nothing to worry about. I guess the contract might be swiped but not sure how often that happens. I think online skews younger so you're hearing a lot of the perspectives from heavily indebted graduates who are not seeing the job market they were "promised." I dont know what i would do if i was interested in EM, but as a med student it doesn't look like a hot field IMO

[Ekanive23]

Are you in a desirable area and/or are they hiring new physicians on a partner-track?

if you own the "means of production" as they say, aka partner in a SDG like WCI or the folks you mention, nothing to worry about. I guess the contract might be swiped but not sure how often that happens. I think online skews younger so you're hearing a lot of the perspectives from heavily indebted graduates who are not seeing the job market they were "promised." I dont know what i would do if i was interested in EM, but as a med student it doesn't look like a hot field IMO

It’s B1G college town but not super desirable. Plus, it’s the only group the hospital doesn’t own, I bet it changes.

[IMMD]

Thank you all for the replies! I applied broadly to EM but did not match. Now I'm applying to GI fellowship 😀

[Lithium]

Thank you all for the replies! I applied broadly to EM but did not match. Now I'm applying to GI fellowship 😀

It’s always good to have follow up on these threads.

I thought you weren’t a fan of the IM subspecialties or clinic. Did anything change?

Good luck with whatever you do.

[G]

Thank you all for the replies! I applied broadly to EM but did not match. Now I'm applying to GI fellowship 😀

Thank you for the follow up--sorry it didn't roll your way.

I would humbly point out that subspecialty medicine (even a procedural field) is to EM like a granny smith apple is to an orange crayon.

[IMMD]

It’s always good to have follow up on these threads.

I thought you weren’t a fan of the IM subspecialties or clinic. Did anything change?

Good luck with whatever you do.

Thank you! Out of all the IM sub-specialties I like GI the best. I could be a GI hospitalist and avoid clinic. However, GI clinic is very different from IM clinic and I may actually enjoy it.

[IMMD]

Thank you for the follow up--sorry it didn't roll your way.

I would humbly point out that subspecialty medicine (even a procedural field) is to EM like a granny smith apple is to an orange crayon.

I think one could be happy in more than one field. I'm sure there are many EM docs who could have been good and happy GI, cards, etc docs and vice versa.

[afan]

I don't know, and I could be wrong but I would have thought that GI fellowships would be tougher to get into than EM residency.

Possible the problem with getting into EM residency was the funding and GI fellowships expect the people they admit to have already completed a residency.

I suggest you try to figure out why you did not match or SOAP.

As for doing an EM residency, I think you dodged a bullet.

[vtpaca]

Yes, I suspect GI fellowship is more competitive than EM residency.