I would caution you to figure out what kind of enviroment you will see yourself in the future. At an academic institution (which are more likely inner city) there tend to be more indigent patients with attitudes like "I don't know my medical history, I go to the ER for primary care, I am officially making my problems your problem." In fact I have only seen 3 patients to this point with insurance, and those tend to be traumas. At community ED's pt's are more realistic for those interested in community ED in the future, with more responsible pts who take responsiblity for themselves and their health. My $0.02
Best Wishes
The mish