I was told by APD at University program that you did NOT need new SLOES the following year and that they could use your prior SLEOs because they understand how hard it is to do an away during a PGY-1 year. GamERdoc brings a up a great point. The year of clinical experience and actually working in the hospital and having the autonomy to see your own patients and put in orders seems like a plus. But, if you're someone who got great EM feedback and has decent board scores on step 1 and 2, and want to do EM, and you're sitting on categorical IM interview, then what is the best option? Perhaps additional away rotations to show that you have what it takes clinically to be successful in EM would outweight the prospect of participating in a 3 year residency that you know, in the end of the day, you won't be using because you will reapply to EM, even after 3 years.