Rosen was at my school today and talked to the med students about EM as a career choice. Some interesting thoughts of his that he shared with us: - Internists used to be the diagnosticians. Now it is the EM physician, since >90% of admissions have their diagnosis already made by the EP. - For at least the next 20 years, EPs will continue to command high salaries, unless we go single-payer, nationalized healthcare. - Single-payer, nationalied healthcare sucks (ok, he didn't say sucks, but was definately against it and gave many reasons why) - EM's future: for one thing, we'll develop more specialty training. For example, since many parts of the country don't have interventional cardiologists within 100 miles of the hospital, there'll be cardiology subspecialty fellowships for EM doctors so they can fill that need. Critical care should become also specialty of EM - the only reason it isn't already was because of politics: when EM was trying to gain recognition as a separate specialty, IM brokered a deal so that it could have Critical care in return for support EM. He even suggested the possibility of EPs doing trauma surgery *fellowships* since the consensus among the surgical community is that the current model of trauma surgery is untenable and unsustainable. Just thought I'd share.