To all: Before you (over)react, please understand where I'm coming from. I will be an M1 this fall, and have only inklings as to what I want out of my career. As such, I like to weigh and compare career options, regardless of specialty, whenever possible (ie, which specialty has the potential to offer substantial family life; which specialty will protect me from professional boredom, etc, etc, etc...). There is an emergency medicine fellowship, for those who are BC in FM (several, actually), which lasts for 1-2 years, leading to a specialty certificate (not BC/BE status) in Emergency Medicine. My gut tells me that while this may be an acceptable way to supplement the FM education and become MORE prepared to work in the ER at a smaller/rural ED, there is/will be a movement to keep those physicians who aren't BC/BE in EM OUT of EM jobs. I've had an inkling that EM may provide for me the variety and pace that I would enjoy in my career as a physician; however, I also feel that I may enjoy the simpler side of things (ie, outpatient practice, continuity of care, etc.)...hence my curiosity. Recently, I read that there now exists a FM/EM combinded residency program, which lasts 5 years. Is this the only legitimate way to accomplish the goal of providing a professional life that encompasses both EM and FM, or are there any students who are pursuing the FM residency with EM fellowship? Thanks to all who wish to weigh in on this topic!