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Message: <blockquote data-quote="Arcan57" data-source="post: 15759665" data-attributes="member: 34227">** WARNING - UNIFORMED OPINION AHEAD **It seems to me that there are two types of fellowship tracks that EM practitioners go into:1) ED + fellowships: tox, EMS, U/S, +/- hyperbarics and crit care are all traditionally fellowships that are intended to augment existing EM knowledge and I would wager that most people that do these fellowships are working clinically in the ED2) Instead of ED fellowships : pain, sports medicine, palliative care - primarily clinic based practices that require a high time commitment that is incompatible with pulling fulltime in the ED.  Usually taken by people that are looking to transition out of working in the ED.Academics allows some mixing due to generally lighter fulltime clinical load but out in the community this seems to be the common breakdown.  Going down the "instead of ED" track is going to mean either not being able to start up your practice in your outpatient specialty or a swift decay of your ED skills if the fellowship is done right out of residency.  If you don't need an escape hatch right now, it's better to wait and just budget in some savings for the hit in income you'll take transitioning to a fellowship later.</blockquote>

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