I do not believe that the ER is competitive ( at least not in the Philadelphia area). I obtained a job in a level one trauma center fresh out of school. I worked as an ER nurse for two years before leaving to go to be a nurse supervisor at an urgent care. I still get calls from recruiters to work at a few ERs in my area. Burnout is real in the ER. You run rampant for 12 hours, families are up your butt for results, psych patients hit you, you are like hotel hospitality on top of making sure all patients are being treated in a safe way. You must always be on your toes. While being an ER nurse is amazing and a great stepping stone for knowledge sometimes I believe you can cut your nursing career short working in that environment for to long.