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Dr. Amal Mattu's lecture "Finding your niche in EM" is powerful. He discusses the importance of finding your unique area in emergency medicine. His tips are to:
1) Be the Expert.
2) Go into new areas that are not too saturated (like emergency EKGs)
3) Publish like crazy on a focused topic.
4) Be broad, and not too narrow.
5) Read everything on that topic.
Whether one is going into academics or community practice, it's important to have a niche. Now, go forth and specialize.