I am a MS 2 thinking about career choices and looking for some discussion. After shadowing, talking to friends in different specialties, and browsing SDN, I've got a question regarding professional development in EM. I came into medicine looking for a career ( a little bit more than a "gig"), a profession in which I can improve over the course of my life. For EM physicians out there who are 20+ years out, do you feel as if you are a better physician now than you were 5 years out? My number one priority is my family. I don't need a pat on the shoulder for a job well done, but what I do need is meaningful professional development. Please forgive my ignorance and generalization, but EM seems a bit superficial and mercenary as a career. 20 years into practice, will I know more and have professionally grown compared to the fresh attendings? I also do realize practice setting influences the aforementioned concern: i.e. community vs academic. I tried searching for this topic, but can't seem to find too much information regarding it. If there are previous discussions, I would appreciate being pointed in the correct direction.