I'm currently starting St. Matthews SOM in Grand Cayman. I'm in the program in which I do some time in Maine and attain a masters of health science as well. I've worked in the ER as a tech for a total of 4 years in the past and I want nothing more than to be an ER doc. From what I understand however, it's next to impossible to land an ER residency spot.. especially for an IMG. Does anyone have any advice for me? I know some smaller ER's allow other non ER certified docs to work but I'd really like to do a residency in ER. Any info on my delima would be appreciated. Emergency is really the only field I'm interested in at this time. How hard is it to do a fellowship in ER say if I end up having to do an IM residency? Could that be an option if I don't land an ER residency right away? I've heard that you shouldn't just pick one residency on your match attempt. Thanks in advance everyone!