EM PD - Ask Me Anything

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Yep, am a resident. I just don't want you to apply with two EM rotations and have PDs decline the opportunity to interview you because you did something they perceive as selfish and unsportsperson-like. If you can't get something (anything) for July, the right thing to do is cancel your August rotation, keep the July EM rotation, and keep trying to find something else to do in August. Go through CaseFiles between now and then. Do Rosh Review. See if you can shadow an ED doctor in your town off the record! Just don't hose your application by acting like your circumstances make you more deserving, y'know?
So my school requires us to do an EM core rotation and shelf exam 4th year. But we are a DO program with no associated hospital/residencies so the EM rotation is just at a random hospital ER with no residents. But currently my july rotation is my home EM core (no residency) and my audition EM/SLOE rotation is in august. Will this look back on my app bc it will basically have EM core in july and my away EM audition in august. Will they be able to tell that the first one isn't a legit EM rotation?
 
So my school requires us to do an EM core rotation and shelf exam 4th year. But we are a DO program with no associated hospital/residencies so the EM rotation is just at a random hospital ER with no residents. But currently my july rotation is my home EM core (no residency) and my audition EM/SLOE rotation is in august. Will this look back on my app bc it will basically have EM core in july and my away EM audition in august. Will they be able to tell that the first one isn't a legit EM rotation?
The EMRA president specifically addressed this in the hang out session. Any non-residency EM rotation is fair game and will in no way be held against anyone. It is multiple EM rotations at residencies that they are discouraging because they are concerned this will take away an opportunity for someone to get a SLOE.
 
I'm at a DO school that has limited rotations. They had a surplus of EM rotations at community hospitals with no residency programs and now I have 3 EM rotations that counted for different CORE requirements throughout 3rd year. I was always going for FM, but after spending that much time in the ER and reflecting, found that I really liked it. The last EM rotation I had was 5 months ago, and all my letters are FM. My schedule for the rest of 4th year is fixed (graduate in December) and there is another EM rotation at a community hospital. The school contacted me and said they might try to change the schedule to give some other students who want to apply EM the rotation, and I'm wondering if it would hurt me to push to keep the rotation still to get a SLOE or apply with my FM letters?
 
Regarding extenuating circumstances, what if I took a year off between 3rd and 4th year? It was non-academic and non-health related. I‘m a DO student with 2 always right now, no home hospital so I’m an “orphan”, and I’m anticipating my first one being subpar because of how much time I was away from the hospital.

I doubt having taken a year off is going to be a reason for places to think you taking extra rotations is ok. Otherwise, then you'd have people saying "well my step score was low, I need to do two to look better". And pretty soon, then everyone is trying to do two.
 
I'm at a DO school that has limited rotations. They had a surplus of EM rotations at community hospitals with no residency programs and now I have 3 EM rotations that counted for different CORE requirements throughout 3rd year. I was always going for FM, but after spending that much time in the ER and reflecting, found that I really liked it. The last EM rotation I had was 5 months ago, and all my letters are FM. My schedule for the rest of 4th year is fixed (graduate in December) and there is another EM rotation at a community hospital. The school contacted me and said they might try to change the schedule to give some other students who want to apply EM the rotation, and I'm wondering if it would hurt me to push to keep the rotation still to get a SLOE or apply with my FM letters?

You should get a SLOE. Applying with only FM letters for and EM spot is not going to be a good scenario.
 
@gamerEMdoc few questions for ya if you dont mind.

My DO school doesn't have a home program but I was able to get 2 preceptor based (not associated with residency programs) EM rotations locally through my school for the fall. Is it correct that doing these non-residency/non-SLOE based EM rotations will not "look bad" since i'm not taking away anyones "spot" for a SLOE?. Will PDs be able to tell the difference on my transcript that these were non-residency rotations (my fear is that my transcript will just say i had like 3 EM rotations in the fall even though only 1 was a 'true' away/SLOE EM rotation). One of these rotations will be non-residency rotations will be designated as my EM CORE rotation (my school requires a 4th year EM rotation), and I'm concerned how my school codes that on my transcript may cause some confusion.

I think as long as EMRA had suggested this is fine, then this is fine. I didn't get to watch the last hangout yet, so I missed them saying this. Makes sense. The whole reason for the 1 rotation 1 SLOE thing was to put everyone on the same playing field and free up rotation spots so everyone could get a residency-based SLOE since so many places weren't hosting aways. So this definitely makes sense.
 
I think as long as EMRA had suggested this is fine, then this is fine. I didn't get to watch the last hangout yet, so I missed them saying this. Makes sense. The whole reason for the 1 rotation 1 SLOE thing was to put everyone on the same playing field and free up rotation spots so everyone could get a residency-based SLOE since so many places weren't hosting aways. So this definitely makes sense.

Also just wanted to say thanks for supporting DO's on twitter about the NBOME and the PE, I really appreciate you taking the time to do that, along with answering the questions of so many EM applicants.
 
I doubt having taken a year off is going to be a reason for places to think you taking extra rotations is ok. Otherwise, then you'd have people saying "well my step score was low, I need to do two to look better". And pretty soon, then everyone is trying to do two.
Thanks!
 
Got a question from a student and wanted to poll the crowd:

When categorizing things on ERAS, do blog posts accepted to FOAMed websites such as ALiEM count as "peer reviewed online publications" or should they be "non-peer reviewed online publications?"

If the content was reviewed by the EM PD and the chair, with feedback given and changes made accordingly, and then ALiEM approved a final version for posting, does that count as being peer reviewed?

Does it make a difference if the post is submitted by a medical student versus a resident? Like a resident appling for fellowship or reapplying to change specialties?

Here's an example of the type of content we're talking about, though this looks like it was written by faculty: Top 10 Reasons NOT to Order a CT Pan Scan in a Stable Blunt Trauma Patient

My stance is that a website not owned or operated by any of the authors decided it was worth hosting, meaning they reviewed it, so it should count as peer reviewed - and EM is a pretty laid-back and pro-FOAMed field. At the same time, I recognize that this is a pretty weak form of medical literature when compared to, say, Annals.
 
Also just wanted to say thanks for supporting DO's on twitter about the NBOME and the PE, I really appreciate you taking the time to do that, along with answering the questions of so many EM applicants.

Thanks for following me on twitter! Just started tweeting a month ago after lurking there for like a decade. Just blew past 700 followers in my first month. I spend way too much time on that app now, but its great to reach out to other students that are not on SDN and just speak my mind in general.
 
Got a question from a student and wanted to poll the crowd:

When categorizing things on ERAS, do blog posts accepted to FOAMed websites such as ALiEM count as "peer reviewed online publications" or should they be "non-peer reviewed online publications?"

If the content was reviewed by the EM PD and the chair, with feedback given and changes made accordingly, and then ALiEM approved a final version for posting, does that count as being peer reviewed?

Does it make a difference if the post is submitted by a medical student versus a resident? Like a resident appling for fellowship or reapplying to change specialties?

Here's an example of the type of content we're talking about, though this looks like it was written by faculty: Top 10 Reasons NOT to Order a CT Pan Scan in a Stable Blunt Trauma Patient

My stance is that a website not owned or operated by any of the authors decided it was worth hosting, meaning they reviewed it, so it should count as peer reviewed - and EM is a pretty laid-back and pro-FOAMed field. At the same time, I recognize that this is a pretty weak form of medical literature when compared to, say, Annals.

I would assume a peer reviewed online publication would basically be like an electronic journal, often indexed in pubmed not for academic blog posts, which I assume would be considered a non-peer reviewed online publication. I could be wrong on this though.
 
I would assume a peer reviewed online publication would basically be like an electronic journal, often indexed in pubmed not for academic blog posts, which I assume would be considered a non-peer reviewed online publication. I could be wrong on this though.

There's a separate section for "Peer Reviewed Journal Articles/Abstracts" versus "Peer Reviewed Online Publications."

The "Journal" one has fields like Publication Name, PMID, Volume, Issue Number, etc.

The "Online publications" one just asks for a title, authors, URL, and publication date. Doesn't ask for publication name or PMID.
 
There's a separate section for "Peer Reviewed Journal Articles/Abstracts" versus "Peer Reviewed Online Publications."

The "Journal" one has fields like Publication Name, PMID, Volume, Issue Number, etc.

The "Online publications" one just asks for a title, authors, URL, and publication date. Doesn't ask for publication name or PMID.

I haven't started ERAS, but I will be in the same boat. I helped contribute to an EM podcast with some of their website work had to go review some articles and also helped with multiple cases on Human Diagnosis Project. I'd figure I'd put it in the Online publications part?
 
@gamerEMdoc

Thank you for all your help! Now that ERAS is open, I have two more questions (and then hopefully I can stop bothering you for a while).

1- I shared my concerns about having a “late” SLOE from my only EM audition that will end the week ERAS opens in October and they have been amazing and said that they will do everything in their power to have SLOEs written before we leave in our last week. If this ends up being still a few days after ERAS is open, is it best if I send an update email to programs asking them to “re-download” my application? Or will they be automatically notified?

2- Should I add non-medical work experience before school to my application?

Thank you!!


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@gamerEMdoc

Thank you for all your help! Now that ERAS is open, I have two more questions (and then hopefully I can stop bothering you for a while).

1- I shared my concerns about having a “late” SLOE from my only EM audition that will end the week ERAS opens in October and they have been amazing and said that they will do everything in their power to have SLOEs written before we leave in our last week. If this ends up being still a few days after ERAS is open, is it best if I send an update email to programs asking them to “re-download” my application? Or will they be automatically notified?

2- Should I add non-medical work experience before school to my application?

Thank you!!


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1. No need to email anyone. Programs view apps electronically, and when you open the website it gives you all the applicants most current stuff. They may download it as a pdf before the interview to read that way, but I can't imagine selecting people by downloading 1000 applications on the first day. You'd never have an up to date app.

2. Absolutely. Non-medical work experience is very commonly looked at. Anything with past customer service or multi-tasking skills (server, bartender, etc) is a big plus IMO. So much of our job is multi-tasking and customer satisfaction.
 
No. You should not get more than one SLOE from a rotation. It makes absolutely no sense to have a group consensus statement, then have some random faculty who worked with you twice write something based on a smalerl sample size that may contradict everyone else in the residency. It completely goes against the purpose of the SLOE. You definitely should not be getting more than one SLOE per rotation.

As for letters and timeframe for submission, you can upload letters all the way up to the match. There is no deadline of when a letter must be submitted for. However, IDEALLY, you would want your SLOE (2 sloes in a normal year) to be uploaded by the time programs have access to your app, which is usually mid-Sept but this year its the last week of October.

Going off this, would an EM advisor be an acceptable letter? I don’t really have any connections with non EM faculty so it would be tough for me to get a non EM SLOE.
 
Going off this, would an EM advisor be an acceptable letter? I don’t really have any connections with non EM faculty so it would be tough for me to get a non EM SLOE.

You are going to want to upload four Letters. One should be your sloe. The other 3 can be anything. Subspecialty sloe, non-em sloe (when that comes out), regular LORs, whatever you want.

You may not have non-EM faculty to write a LOR now, but what else are you doing your fourth year AIs in? If you are only doing one EM rotation, you should have plenty of other rotations to get lors from.
 
Quick question. How much stock is put into the MSPE? I've been fortunate enough to get some stellar evals from preceptors, but I'm not sure how much that's actually going to help if PDs just tend to scan though it.
 
Quick question. How much stock is put into the MSPE? I've been fortunate enough to get some stellar evals from preceptors, but I'm not sure how much that's actually going to help if PDs just tend to scan though it.
We have at least 1 person read the entire MSPE of everyone we interview and provide a summary of anything surprisingly good or bad. that’s hard to do if you have 1 person reading the entirety of every app, rather than split between a few people - I know of sites that do it both ways.
 
@gamerEMdoc opinion on getting a SLOE from Pain Medicine?
I know it's not a classical EM subspeciality. I'm hesitant because i don't want it to look like i'm applying to Anesthesia.

The EM Subspecialty SLOE is generally for Peds EM, tox, EMS, and US. Though there is a box for "other". An off-service SLOE may be more appropriate for that, though CORD hasn't published it yet. Hopefully, it will be out soon.
 
What is the opinion of online 4th year electives? Our school is back in clinics but I’m considering some 4th year electives in the back half of the year in case of a second round of Covid.
 
What is the opinion of online 4th year electives? Our school is back in clinics but I’m considering some 4th year electives in the back half of the year in case of a second round of Covid.

I mean, I think virtual rotations if they get you factetime with an EM residency may be nice. But I don't know the quality of the virtual rotation experience for all these different fields, so I'm not sure doing all virtual for the back half of 4th year will be a good idea. A few probably won't hurt. Hopefully we will have a vaccine by the winter, that would take record time production, but still crossing my fingers.
 
@gamerEMdoc

1. Is it 100% completely fine to have 1 EM Audition SLOE + 1 EM Ultrasound SLOE? (These will be at different residency programs).

2. Hypothetically, can I go on 2 EM Auditions, but just not get a SLOE from the second site? (granted the second site says it's okay to come audition at their program after informing them it will be my second EM audition).

(I am in the LOW end bottom quartile with grades and boards, so I honestly think my only chance at EM is to show my worth in person. I'm amazing in person, on paper... not so much. I was banking on getting interviews from my auditions, and now this CORD statement release, it's putting us low ranking students will less of a chance to "show ourselves"). I was anticipating to match at one of the 3 auditions I had lined up, I wasn't really expecting any interviews outside of my auditions to be honest. So for me, I'm kinda stuck in limbo. If you can perhaps shed some light on how I can "get my foot in the door" without shooting myself in the foot would be appreciated. Thank you!
 
Yes. That's the recommendation that CORD is saying, do one. Get SLOEs/LORs from something that isn't EM. They don't say, "unless your board scores are low". They make no exceptions. Doing whatever you want risks programs viewing you as someone who doesn't follow the rules and isn't a team player. I have no idea how many program directors will or won't hold this against you. I know some will. How many, I just don't know.

You can still show your worth. You will have a SLOE. An EM subspecialty SLOE (US). You can get non-EM SLOEs from other rotations. That's really the best you can do.

I would not do a second rotation and not get a SLOE from it. That is basically
 
^Similar question. I'll only have ONE EM sloe by ERAS. I'm trying hard to fit in a EM Ultrasound elective in there but no luck yet.
How screwed am i compared to someone with a EM SLOE + EM U/S SLOE?

You aren't screwed. CORD has said you should only have one SLOE this year. The other 3 letters can be LORs, subspecialty SLOEs, and non-EM sloes from something like trauma, medicine, FP, etc.

What you are describing is what they are saying you should have. One SLOE.
 
@gamerEMdoc

My partner had a rotation at a site scheduled for months before it was cancelled due to COVID-19. After a long-time of uncertainty, calling around and trying to figure things out he managed to get an away rotation at another place so that he would have one SLOE for ERAS. Not a long time ago, the first program messaged him and offered an away spot for January. This has always been our #1 choice program due to location, academic focus, and other reasons. Would taking the second away be seen as selfish even though the start date is not until after the applications/most interviews are done? Since it's late it wouldn't be for the SLOE obviously, but more to show the PD interest in the program and get to experience it for a month.


US DO with no home program.
 
@gamerEMdoc

My partner had a rotation at a site scheduled for months before it was cancelled due to COVID-19. After a long-time of uncertainty, calling around and trying to figure things out he managed to get an away rotation at another place so that he would have one SLOE for ERAS. Not a long time ago, the first program messaged him and offered an away spot for January. This has always been our #1 choice program due to location, academic focus, and other reasons. Would taking the second away be seen as selfish even though the start date is not until after the applications/most interviews are done? Since it's late it wouldn't be for the SLOE obviously, but more to show the PD interest in the program and get to experience it for a month.


US DO with no home program.

I doubt anyone will ever know about it, since by then interviews will be over. So I don't think it would be selfish in that sense, interviews are over, sloes are over. Etc.
 
I doubt anyone will ever know about it, since by then interviews will be over. So I don't think it would be selfish in that sense, interviews are over, sloes are over. Etc.
I just want to confirm the last question. I have an 2nd audition scheduled in august in a place I am interested for residency. I was going to cancel the rotation as to not break the guidelines currently in place. Would It be Ok to reschedule the rotation for January/February, if I given the opportunity, so I can still show my interest in the program but not take a spot from another student looking for a SLOE as it will be to late to ask for a SLOE, or is it better to just cancel all together?
 
Depends on the institution. They may or may not want you rotating there if you've already done one, if they are trying to enforce the CORD recommendations. I think doing one after audition season should be ok, all students will have gotten their rotations, you'll only have 1 sloe, etc. So to me, it seems fine, but idk if everyone feels that way. So I'd just ask them.
 
In my current increasingly futile and pessimistic adventure at navigating how to reapply/switch residencies from IM->EM, we just got our yearly schedules today (Yes, that's right, 3 days before we start lol). To my displeasure, I don't have an EM rotation scheduled before October (they wanna delay it to 2nd year due to the COVID-19 safety scare). To my shock, my program apparently does rotations 2 weeks at a time, and no resident can stay in the same service for 2 concurrent rotations. I have 7 rotations in total before early october: 2x Outpatients, 1 MICU, 2x Inpatient teams, and 2x teams that only take care of private patients (meaning the attendings leave after noon, meaning unlikely to strike up a meaningful rapport with them). Is 2 weeks enough for a resident to ask for a LOR? I'm talking about that non-EM SLOE letter that were waiting for.

I truly appreciate everyone whose helped me in the last month with my journey, and yes, I understand its an almost insurmountable hill to climb, but I'm really passionate about the field, and I don't wanna quit.

Edit: Fudge, just remembered that I'm planning on telling my PD in mid-August, so as to not seem ungrateful (compared to if I were to ask on the first day of my job), that means I'll only have upto 4 rotations to realistically ask for an LOR.
 
2 weeks should be fine for an O-SLOE, though realize that all of these sloes are meant to compare 4th year students. Many of the questions are ranking you vs other 4th year students that have rotated in the past. The sloe references, over and over, that the person is a student. There is no SLOE for comparing residents to one another.

Doesn't mean you can't have them write one, it just might be confusing for someone who has never authored one of these to write one for a resident.
 
2 weeks should be fine for an O-SLOE, though realize that all of these sloes are meant to compare 4th year students. Many of the questions are ranking you vs other 4th year students that have rotated in the past. The sloe references, over and over, that the person is a student. There is no SLOE for comparing residents to one another.

Doesn't mean you can't have them write one, it just might be confusing for someone who has never authored one of these to write one for a resident.
God, its soooooo inapplicable to residents (pass or fail, core or elective) lol. I feel like a potential letter writer will have a tough time navigating the document. Is there an option to not use the O-SLOE and instead use the regular LOR for someone like me? Again I appreciate your help.
 
God, its soooooo inapplicable to residents (pass or fail, core or elective) lol. I feel like a potential letter writer will have a tough time navigating the document. Is there an option to not use the O-SLOE and instead use the regular LOR for someone like me? Again I appreciate your help.

Yeah SLOEs are meant for students, not residents. Residents generally are going to be getting regular LORs for the most part.
 
hi @gamerEMdoc

I'm interested in pursuing a second residency in Emergency Medicine (my passion, did not match in 2014). I completed an Internal Medicine residency in 2017 and I have been working as a hospitalist since then. I'm ABIM board certified. I thought I just ride it along but I am not happy and I still want to be EM physician.
All, my SLOE were old. I read in CORD EM FAQ page for I could not get any type SLOE. Would my application be considered if I don't have SLOE from EM physicians? I did research fellowship in EM CC and will get LoR from academic EM attending. Also, My old IM PD has resigned, it will be okay to get it from APD that worked closely with me during residency?
I had 3 months of EM rotations in residency but that was in 2014-2015. I can get SLOE while I was a resident but it will be old, do it count?

I would appreciate some advice. Thank you!
 
hi @gamerEMdoc

I'm interested in pursuing a second residency in Emergency Medicine (my passion, did not match in 2014). I completed an Internal Medicine residency in 2017 and I have been working as a hospitalist since then. I'm ABIM board certified. I thought I just ride it along but I am not happy and I still want to be EM physician.
All, my SLOE were old. I read in CORD EM FAQ page for I could not get any type SLOE. Would my application be considered if I don't have SLOE from EM physicians? I did research fellowship in EM CC and will get LoR from academic EM attending. Also, My old IM PD has resigned, it will be okay to get it from APD that worked closely with me during residency?
I had 3 months of EM rotations in residency but that was in 2014-2015. I can get SLOE while I was a resident but it will be old, do it count?

I would appreciate some advice. Thank you!

No, SLOEs won't pertain to you. They are meant to compare 4th year students to one another. That has nothing to do with your situation. A letter from your PD (or in this case, your APD since your PD is gone) and more recent LORs (dept chair, CMO, colleagues, etc) would make the most sense.

Will your app be considered? Depends. Some places may not because of funding issues. Others may not because of training issues (some may consider someone who already is a practicing attending to have the potential to be hard to train). On the other hand, you will come with a wealth of knowledge and experience, and could be an asset to whatever program you join. So I'm certain some programs will take a chance on your app.
 
reading through the instructions/information they say that " The pool of candidates applying to emergency medicine is very competitive. As such, ratings of applicants “at the level of peers (middle 1/3)” are viewed by program directors as a positive evaluation, and even those “below the level of peers (lower 1/3)” are interpreted as a candidate who will likely match in emergency medicine. "


Not that I'm saying they're lying buuuuuut, this seems manifestly untrue. It was my understanding that a bottom 1/3 SLOE effectively kills your application, no?
 
reading through the instructions/information they say that " The pool of candidates applying to emergency medicine is very competitive. As such, ratings of applicants “at the level of peers (middle 1/3)” are viewed by program directors as a positive evaluation, and even those “below the level of peers (lower 1/3)” are interpreted as a candidate who will likely match in emergency medicine. "


Not that I'm saying they're lying buuuuuut, this seems manifestly untrue. It was my understanding that a bottom 1/3 SLOE effectively kills your application, no?

Maybe they assume that only one of the SLOEs are below the level of peers lol. But I agree, that seems like a contradictory statement.
 
reading through the instructions/information they say that " The pool of candidates applying to emergency medicine is very competitive. As such, ratings of applicants “at the level of peers (middle 1/3)” are viewed by program directors as a positive evaluation, and even those “below the level of peers (lower 1/3)” are interpreted as a candidate who will likely match in emergency medicine. "


Not that I'm saying they're lying buuuuuut, this seems manifestly untrue. It was my understanding that a bottom 1/3 SLOE effectively kills your application, no?

One low 1/3 SLOE does not, assuming the other SLOEs are good and show improvement. Multiple low 1/3 SLOEs, especially those with damning statements on them, is an app killer.
 
@gamerEMdoc I know there is so much unknown and you probably cannot give a great answer on this, but if you had to guess. With the ERAS delay to Oct 21st and moving to online format. What percentage of interviews will be held in which months.
Like 20% Nov, 50% in December, 20% in Jan?

I have two options for an EM sub-specialty ultrasound rotation for either (11/23 - 12/18) or (1/4 - 1/29). Trying to figure out which month would be more interview heavy.
 
@gamerEMdoc I know there is so much unknown and you probably cannot give a great answer on this, but if you had to guess. With the ERAS delay to Oct 21st and moving to online format. What percentage of interviews will be held in which months.
Like 20% Nov, 50% in December, 20% in Jan?

I have two options for an EM sub-specialty ultrasound rotation for either (11/23 - 12/18) or (1/4 - 1/29). Trying to figure out which month would be more interview heavy.

I wouldn't worry either way. I hardly doubt a subspecialty US rotation is going to be so intense you can't fit several interviews in that month.
 
@gamerEMdoc

Hi gamer, got a quick question. Haven't done a rotation in ~1 year bc I took a year off to get a masters degree between 3rd and 4th yr. Looking at O-SLOE stuff, would it still be appropriate to get an OSLOE from a 3rd year rotation that I did over a year ago? I've been in contact with the preceptor who I was on outpatient medicine with for ~6 months during my third year and my first 8 weeks of fourth yr will be EM/EMS
 
Got my Step 2 CK score back today with only a 2 point increase from my Step 1 score last year. Step 2 CK is in the upper 230s. Any idea on how I can go about salvaging my application for this upcoming year? Only ever have wanted to match into EM, and currently feel like I just torpedoed my chances with this mediocre score with hardly any increase from last year.

Edit: Also, I'm a DO student.
 
@gamerEMdoc
Hi, thanks for your advice. Just wanted to ask 1 question. Is it frowned upon doing an EM sub specialty rotation at the same place as my audition rotation and getting a SLOE and sub-spec SLOE. I am having a difficult time finding a sub specialty rotation within my area and was thinking of asking the PEDs EM department were I am currently doing my audition for a rotation. Is this alright to do?
 
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@gamerEMdoc

Hi gamer, got a quick question. Haven't done a rotation in ~1 year bc I took a year off to get a masters degree between 3rd and 4th yr. Looking at O-SLOE stuff, would it still be appropriate to get an OSLOE from a 3rd year rotation that I did over a year ago? I've been in contact with the preceptor who I was on outpatient medicine with for ~6 months during my third year and my first 8 weeks of fourth yr will be EM/EMS

I think that would be fine.
 
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