LOR: Overseas EM or US IM?

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What's the best option for letter writers for EM?

  • US Internal Medicine

    Votes: 1 33.3%
  • UK Emergency Medicine

    Votes: 2 66.7%
  • Australian Emergency Medicine

    Votes: 0 0.0%
  • UK Internal Medicine

    Votes: 0 0.0%

  • Total voters
    3

ElZeekio

General Pediatrician
15+ Year Member
Joined
Jun 15, 2006
Messages
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Hi all,
I apologize if this question's been asked before, but I've done a few different keyword searches and haven't found a satisfactory answer. Here's the lowdown:
-I'm a US/UK citizen who will graduate from a London med school next year
-I'm applying for EM residency in the US after 1 year post-grad work in the UK
-I have 2 LORs arranged: 1 from US pediatrician and 1 from US Internal Med (neither of these are PDs, nor rockstar-famous textbook writers) but based on my clinical experiences with them
-I have the option to either get more IM experience in the US (and hopefully one more IM letter, again not a PD/rockstar) or to do EM in Australia (and hopefully get a LOR from the department head, a trauma surgeon)
-I have one LOR arranged from an A & E trauma consultant in the UK and can work on getting another from the department head

So, my main question is: should I go for the trauma experience in Australia or IM experience in the US? I keep going back and forth, both would be academically and personally interesting (obviously just in different ways). I think the main difference to me is the impact it will have on my application in the future.

Also, while I've got your attention, I also have a LOR offer from a textbook author here in the UK (IM/Gastro); is this more or less useful than the US IM letter-writer?
 
US EM. I'm not sure it's worth applying without one.
 
Agreed, US EM. A farrrrr second, US IM in a major center
 
Can you even get a SLOR from a rotation not in the US? You'll have to have that to apply.
 
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