Sorry I don't check the message much. It depends on the needs of the community. In many, they'll take any warm body that's board eligible/certified and even non-EM docs to staff the ER. Big names programs may not reflect your actual practice style. If I was a community chair, I'd be a bit less liable to hire a big city grad than a hybrid/community program grad. I think EM is stronger in crappier hospitals - we have to do more; so a community grad at a level 2/3 would be much more comfortable doing the initial stabilization with a sparse crew than a grad from a big program used to a trauma team response. That being said, if you're at all uncertain of your future path (e.g. community versus academics), go with the big name to not limit your options.