u/SinusFestivus

Idk I've been gaslit by so many people about it 🥲 I'm pretty competitive (AOA, GHHS, 270+ step 2, all honors, etc.) and residents/attendings in other specialties have said things like "do anesthesia instead", "think about career longevity", and even "you're too smart to do EM" (???).

I did an anesthesia rotation and liked it a lot, but I didn't love it like EM. I just love the pace, chaos/multitasking, breadth of pathology/acuity/patient populations, and diagnosing (and yes, I know its mostly a game of "ruling out" serious things as opposed to landing on the 100% correct diagnosis—still love this). I did EMS prior to med school and loved that too, even the nonsense stuff. Substance use, unhoused folks, "primary care" complaints, and smells/sights don't bother me, at least at this point in my career.

I like having days off during the week. I actually liked working nights as an EMT and would consider being a nocturnist, at least in the earlier part of my career.

Am I crazy? Am I missing something? I know its a hard job and you're on your feet and exhausted all shift, but I really do love it. I feel like the EM faculty at my med school do a good job of giving us an experience that is as representative of resident/attending life as possible, but I know the attending experience will be different.

Curious if anybody else has structured/longitudinal US curriculum. We start with monthly sessions during late M1 year and go through M3 year. It includes live SPs and sims. Basically did all organ systems including FAST exam. We have a practical exam at the end of M3 during which we have to obtain images and answer questions. Its taught by our EM faculty.

Several residents have mentioned they wish they had curriculum like this at their med school. I'm curious how common this kind of curriculum is. As someone considering EM, I thought it was super cool and helpful!

M4 here. Long story short, I had another career before med school and was fortunate enough to buy a house before the big real estate boom. Barring any kind of crazy crash, I'll have at least $120K in cash after closing costs when I go to sell.

Curious what this group would say to do with that equity. Obviously, there's a lot of unknown factors (like where I match at, etc.) but I'll graduate next year with about $350K in loans (all federal loans except a $15K private loan from undergrad that I refied at like 3% interest rate). Other than my mortgage, I have no other outstanding debts.

I'm on the fence about buying another house during residency, especially if it's a HCOL area (and I know WCI says not to do that anyway!). How should I use this opportunity to set myself up financially? Thanks!

Hoping for 260+. For context, finished M3 with IM and got an 88 on the shelf. My average for all the shelves this year is probably around that. Took NBME 11 maybe 1/3 of the way through IM and got a 249.

Step 2 is 4 weeks away. Already reset UWorld and planning to try to get through that. Going to try to do the 3-4 most recent practice NBME shelves for each. Planning to do practice Step NBME's and UWorld SA throughout my dedicated to track progress. Been using Anki all year so gonna continue that. As I go, just gonna review content I forgot and touch up as needed.

Any advice, suggestions, or changes I should make? Is 260+ a reasonable goal? Thanks!