Heya everyone. I dont post much here but I've been lurking for a long while since I became interested in medicine (specifically EM) a few years ago. I am 22 years old, graduated from Boston University in '04, and have been working as an EMT (soon to be paramedic) for the past 3 years. Currently I am taking my pre-med requirements (was a philosophy/psych major for my BA) so I can hopefully apply to medical school within about 2 years (it takes a while when your loans are due and you have to work full time...). Anyways, as I am going through all of this work I have been constantly troubled by these questions that I think MUST be fairly common amongst you all who have been here before. I realise this is not a pre-med specific section, but I was hoping you guys might have some particurally helpful insight to my concerns given that my primary interest is in EM. So if a few of you dont mind, I would REALLY appreciate it: How much of this science work is truly relevant to a career in EM? I hate chemistry, physics isnt bad although my math skills arent exactly the best, and while bio is sometimes interesting, I cant see myself doing this for any real length of time. Working with patients in the back of ambulances gives me a completely different (medical?) experience: working with patients, solving problems, learning procedures, thinking on my feet, etc. This science coursework is, by comparison, starkly academic... I guess what I am asking is - is this work a hoop that I have to jump through in order to take the next step with patients, or is it practice for what amounts to an academic career clothed in an exciting reputation? Based on my experience and knowledge of myself, I feel like I would make a pretty god emergency physician, but that assessment is based on a concept of the profession that I'm not sure is entirely correct. It is amazing to me though, because I have thousands of patient contacts and tons of experiences working directly with hospital personel. I see most every day what it is that emergency physicians do, and yet I am not confident that I could accurately describe what skills it takes to do well preparing for, and working in, the job. Can any of you guys talk a little about what it takes to succeed in EM? I apologise for the lengthy post, but I hope some of you can understand (and help me out with!) some of these questions that I cant seem to answer on my own.