So I am currently a PGY2 in FM right now and I really enjoy EM. I always have and was debating FM and EM come 4th year. [I really wish they had that combined FM/EM residency 2 years earlier] Well now I am really thinking about pursuing an EM residency after I finish. I could just work as and "pseudo-EM" physician in rural-town; however, I would rather be "properly" trained and I dont want to limit where I can work/live. I friend of mine was tellin me doing a second residency is next to impossible as programs dont get any funding for physicans doing second residencies. Is this true? If so are my chances shot? If it is possible, what can I do, in preparation, to improve my chances of gettin into EM residency. I never was a really good test taker so didnt do to hot on the steps. I am going to doing 2 additional months of EM as elective in 3rs year and another month of peds EM. I am pretty sure I can get excellent LORs from EM and other faculity. Anything else I can do at this point? thanks for the input.