5+ Year Member
- Jan 22, 2012
- Medical Student
DO intern at ACGME FM program out west. Only took COMLEX: 540 step I, 600 Step II, great extra curriculars and LORs but no SLOEs or EM audition rotations. I matched at my top choice FM program. The people are great and the program has some amazing qualities. But I'm pretty certain I would switch to EM if I could.
I enjoy higher acuity, procedural and more rapid-paced medicine. I know EM isn't perfect but to be honest, I'm working 15 hour days but still I'm begging my program for MORE. More ultrasound, procedures like lines, intubations, tubes, taps etc. Every time I'm basically told "not gonna really happen here in any meaningful sense unless you're real lucky". I'm no gunner but I feel like I wont be happy unless I know I've pushed myself to my limits. The OB training is great here but I'll probably never use them regularly in the real world.
To the crux of this novel!:
- I need to know if I can switch residencies. It doesn't seem like I'm totally alone but If I can switch, how? Timing and logistics seem like they'd be a nightmare. But if it's worth it it's worth it. Will I have to wait till next year to audition rotate? Are auditions necessary?
- Should I finish my three years and do another res? Would applying this year without any SLOEs or ability to do anyway months be a waste? Should I wait until next year?
- As a DO with good COMLEX scores (at least step II), a Fulbright Fellowship, extensive international extracurriculars ( I'm 34, non-trad applicant) but no USMLE, research or, truth be told, all that much in the way of heavy ED time during med school, do I have a chance at a decent program? Have family in California and North Carolina. But quality training is the first priority.
Any advice would be much appreciated. Be blunt, please.
We have a graduate of our program who finished his 3 years as FM and went to do an EM residency in Iowa, now works at our hospital-- very happy and successful. Trying to get in touch with him as well.
Thank you folk.