EM rotation in August, no away rotation. Would I be okay applying?

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Jimmer Fredette

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I have heard that an away rotation is very important in getting interviews for EM. I am in a dilemma where I am choosing between EM and another specialty. As it is right now, I won't be able to do an EM rotation until August which would mean that I wouldn't get an away rotation in time for my application to be sent out in September. I might even have a difficult time getting good LORs but I plan on doing some ER shifts on my own time before that if I choose EM for sure. My question for you experienced folks is how is my dilemma going to negatively affect my application and what could I do in those last few months to pull it up (barring being able to move my EM rotation up and go on an away)? I will give you my other stats so you know where I sit in that regard.

Step 1: 256
1-2nd year grades: mostly honors
3rd year: honors in 3/6 rotations.
Med school: middle of the road
Research: 1 pub in anesthesia (4th author), 1 textbook pub (2nd author)- it's not that impressive of a textbook.
Other: I am probably not that cool but I could play up some of my extracirriculars if needs be.

I appreciate your advice.
 
I have heard that an away rotation is very important in getting interviews for EM. I am in a dilemma where I am choosing between EM and another specialty. As it is right now, I won't be able to do an EM rotation until August which would mean that I wouldn't get an away rotation in time for my application to be sent out in September. I might even have a difficult time getting good LORs but I plan on doing some ER shifts on my own time before that if I choose EM for sure. My question for you experienced folks is how is my dilemma going to negatively affect my application and what could I do in those last few months to pull it up (barring being able to move my EM rotation up and go on an away)? I will give you my other stats so you know where I sit in that regard.

Step 1: 256
1-2nd year grades: mostly honors
3rd year: honors in 3/6 rotations.
Med school: middle of the road
Research: 1 pub in anesthesia (4th author), 1 textbook pub (2nd author)- it's not that impressive of a textbook.
Other: I am probably not that cool but I could play up some of my extracirriculars if needs be.

I appreciate your advice.

dude--you're fine
 
I appreciate the reassurance. My worry lies in sending in a weak application at the last minute and trying to bank on an above average step 1 score to bail me out of not looking dedicated to EM. Should I apply more broadly? Can I send in my grades from a later EM away rotation after the application deadline and would they be seen in time?
 
In EM, SLORs > scores. I would try to get an away in even if late like October.
 
From your stats you'll be fine. But doing a slightly late away is fine. You usually want letters in by late October (before Deans letter is out) so try to get the away right after your home rotation.
 
just make sure you know what SLORS are (unique to EM) and that you have the mandatory 2 that some programs require before Nov 1st or so. I would try and fit in an away. I would of not matched to where i did if I did not do my away rotations. good luck
 
My stats are very similar to yours.
I didn't do my home EM until August and I didn't get a chance to do an away. We do have some elective time 3rd year, so I did 2 weeks of adult and 2 weeks of peds EM then. (everything at my home institution, which is an urban hospital with a residency program) During my EM month I tried to schedule my shifts so I got to work with the attendings I wanted to get the letters from more than once. I got 2 EM letters (one from the program director) and 1 letter from an IM attending who used to do EM. Very happy with the match results 😀
So you should be fine 🙂 👍
All that being said - try to do an away if you can. Doesn't look like it hurt me, but I worried about it a lot...
 
You will be fine. I didn't do an away rotation and it worked out perfectly. Get great SLORs from your one EM rotation, apply broadly enough, and everything will work out. Be able to explain "why EM" intelligently. I was asked at several places why I didn't do an away; explain it logically and no problemo.
 
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I was in the same boat as you with slightly lower numbers. Did not do an away. No problem with getting interviews and matched at my #1.

I would say: Don't stress over the away. You likely do not need it. Work hard on your home rotation (honors and strong letters will make the process a breeze for you) and you should be in good shape. Congrats on a solid resume thus far...
 
Thanks to you all and I am glad to hear that it worked out well for so many of you. I appreciate the advice. If anyone else has any more input I am all ears.
 
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