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Really? Is EM really in that bad of a place right now?
It's in a very bad place. This is different than the ebbs and flows of previous market changes like radiology and anesthesia etc, because they did not drastically increase their spots. As a matter of fact, EM just increased their spots over the last 5 years by >900, which is the amount of entire radiology spots alone. We now have 2850 matching every year and new programs are slated to open next year as well. EM is awesome, but I can't recommend it.The job market is bad but I don’t think it would be evident in terms of residency competitiveness just yet, maybe next year or the year after but the 4th years who were applying didn’t really know the job market was that bad or going to be that bad when they applied last year, I doubt that many people would completely change their specialty that they applied into/got letters for etc at the very last second. EM is still relatively competitive, it might change next year and the years after as people realize this problem.
Wrong you forget that realistically, the only place EM docs can work is the ED/FSEDs and there's a very limited amount compared to FM/IM opening up clinics wherever they want. Urgent cares are an option, but are usually flooded with low-level providers already killing patients so there's no spots because they're cheaper too. Fellowships are a dead end except CCM, but that's getting hit hard by everyone leaving EM and places hiring NPs to float nights and kill patients. Palliative/pain are options, but extremely competitive and not very EM friendly.No, because they have emergency departments just about everywhere. You might have to take a job in a place you don’t like, but that’s better than no job at all (maybe not to some idiots)
Right now, most of the only jobs available right now are rural places that have essentially no acuity or volume. There's a few "larger" towns with some volume, but that's what most people are taking right now and myself. Don't expect these to be around even two years from now. Taking a job at a rural shop that sees 1pph or less is a career killer. You'll have severe skill atrophy and be unhirable if anything opens up at a larger center.
Also, you have no idea what you're talking about. Did you apply to EM jobs this year or the last couple years med student?