I think there are a lot of good things about med surg. I was a PCA for two years on a busy med surg floor and wow, did I learn a lot. I feel like my exposure gives me an edge starting as a new RN on my dream floor, OB/GYN/couplet. That said, I totally agree with the article in the sense that the year in med surg isn't necessary for every pathway. I think there are certain pathways where the experience is more helpful, but there are others where it isn't. I think if you are a new grad and you can get a position in the area you want with a strong residency or internship, you'd be crazy to turn that down or worse not try for it at all, just because you think its necessary to do med surg.I also think its misleading to say that nursing students only want certain units or that hospitals don't hire new grads. It might seem that way externally, but its just not true. I know so many people who aspire to work in oncology, dialysis, school nursing, womens health, geriatrics, psych, surgical, etc. ICU and L&D are popular units, but they are broad areas too. There are many specialties within those areas, especially if you live near a major hospital system.As for the job market for new grads, its limited but not closed. If you build your resume from the beginning of school by getting involved in school associations, keeping your gpa competitive, volunteering, and working in or near the setting you are trying to get into, you won't have a problem. If you don't do anything to stand out from everyone you are competing against, you might have to consider med surg to get started. its not a bad thing tho, its experience you can really sell when you interview for the dream spot!