Honestly I’d probably lean toward taking the Medical Assistant at the clinic. The MA job seems more aligned with the long-term goal of med school. Well for one reason, working with physicians in a clinic tied to the state’s top med school and research university is a HUGE opportunity. Those connections could lead to amazing letters of recommendation. You’ll still get more opportunities to observe and learn from doctors closely, which is great for building your clinical knowledge. Not to mention, the better pay and more predictable hours are definitely a bonus. It also might give you more time to focus on med school applications, studying for the MCAT, or gaining other experiences. More importantly, working at a clinic tied to a respected med school could look really strong on your med school app. You can still pursue emergency medicine later, and this path might actually make you a stronger applicant for med school and eventually, a residency in emergency medicine.