I am considering taking a year to either get an MPH or do a research year after I take the boards next year. I have a few questions... Will I be at a dissadvantage in terms of knowledge if I take a year off? I know that facts are fleeting and a year off of all those clinical factoids may make them dissappear from my memory. Does anyone know of any programs (research or MPH) geared towards international medicine? How do EM programs view taking a research/MPH year?