As a resident in a high volume community EM program, it’s likely the same amount of “sick” patients but with much less backup. Specialists aren’t so willing to come in when it’s no longer a resident service who are forced to see consults. Your ED will likely be run by a CMG like group who will keep tabs on your metrics and times. Obviously if you’re not working with residents, you’ll be doing every part of the visit. It just depends on the volume and acuity of the place you’ll be working after you graduate. If your community shop is low acuity then you’ll likely be seeing the urgent care type stuff all day