To make a long story short, I am a 2nd yr fp resident in a hospital whose only other residency program is er. I have been offered a rural er job that is going to be hard to turn down. 150-170/hr, big signing bonus, loan repayment and monthly stipend while still in residency. Probably 4 yr contract. My third year in residency would be heavy in er. My question is regarding job longevity. I'm a firm believer in "you can't do it all". I'm worried that if I do this for 6-8 years, most of my fp training will be outdated/forgotten. Obviously I will never be em boarded, and most city er's require boarded docs. Do unboarded docs have a shot if they have a lot of experience? I'm worried of doing this for like 10 yrs, then they don't renew my contract or something, now I'm stuck: I'm not qualified to do what I've been doing for the last decade, and I'm no longer any good at what I am qualified to do. Is this a valid concern? What do older non boarded er docs do when they get let go, and that's all they've known for the last 20 yrs? Any thoughts?