I recently finished my required ED rotation (4 weeks, 16 shifts) at a level 1 trauma center in a medium sized urban area (this hospital is the main truama center for a population of 1+million) and absolutely loved the rotation. I left every shift feeling like I did something fun, got something done and even helped a person or two. Now I'm roughly 1 week and 1 call into my 2nd medicine rotation (currently in the CCU) and can't stop thinking about how much I'd rather be in the ED. I'm a 3rd year, so I still have time to switch directions....and honestly, after doing sitdown rounds for literally 4.5 hours this am following a call night that was nothing short of horrendous, i'm about 99.9% sure I'll be happier with a career in EM. It's funny b/c I always used to be so sure I was gonna be the IM type. I'm a relatively cereberal person and like to think through problems, but I had such a better time in the ED, trying to get to the bottom of people's problems quickly and even doing quite a few procedures (well, just lac's and I&D's for me, but still fun). Also, I already really miss the "what is wrong and what do we need to do to help them?" mentality. And just thinking about belaboring whether somebody has a 19 pack year vs 21 pack year smoking hx (yes i'm serious, happened this am) makes me want to vomit. This ever happen to anybody else? Anyways, just wanted to throw this out there and bounce it off the forum.