Hey all. I was recently speaking to a physician who worked in an occupational health clinic. He said he was an EM doc for 15 years before giving it up and moving into his private practice/occupational clinic lifestyle. My question is, how does one do this? Do you need to do a dual residency in EM/IM or EM/FP? Can you simply "retire" from the EM end of things and go open a practice without being board certified in anything else? From my experience in EM, 90% of it is things you will see in a private practice setting anyway and are not really hospital/EM cases. EM is an interest of mine, but I also like the private practice setting or even clinic setting outside the hospital. If I wanted to, say, become an EM doc as well as have my own practice, would this be feasible? What route would I need to take as far as residency (single, dual)? What type of lifestyle could/would this lead to as far as schedule? Anyone out there doing something like this now or contemplating it? Also, how competitive are the dual residency spots? I know there aren't many of them. How competitive are EM residencies on average? (particularly in the Philadelphia/South Jersey/Delaware area) Thanks!