Well lots of ER docs get out as soon as their payback is over so slots do open up, no guarantees though. Apply for the residencies that best fit your needs and learn how to be a stud EM Physicisn cause that is the most important criteria for being part of SOST, JMAU, GHOST, FST, ETC... Selections are more formalized then they used to be and how you do is more important than who you know.