Like many of you guys have said, this also hits home for me. I am almost done with nursing school and it is a time when everyone is applying to jobs, mostly at a hospital. I have been offered a job at a community-mental health clinic (for addictions and mental health disorders) that focuses on minority populations and am having a difficult time deciding whether to take it or to start out at a hospital. It was kind of a miracle actually...i saw the job opening a few months ago and didn't think i should apply since i was still several months from graduation. Then i saw the opening again that was not yet filled. And then I checked the site again and the position still was not filled. So here i was checking several times, reading and re-reading the job description, wishing i could apply. I decided to call the clinic and ask if there was any possibility that i could apply before taking nclex and if they could wait until I took the test and became an official RN. Surprisingly, they said yes and that they could work with me on that. WHAATT. That they were in much need of a fully bilingual nurse and someone who is passionate about that kind of population. That i could even start working, sort of paid training, to learn the ropes of the clinic. And when i became an official RN, i would take on the full job scope with "obviously a higher salary since i would be registered by then". "Speaking of salary, what kind of salary would you like?" They even asked me what kind of salary i would like. WHAT THE HECK. i was completely surprised. from thinking i couldnt apply to getting a full job offer. So, now im so excited about that offer. Yet, the nurses at the unit i am doing senior practicum in tell me i should start out with med surg first to have that medical skill set. even my community health professor basically told me the same thing. that a couple years in acute care setting ie. hospital, would be very beneficial for me in the future. that even though she would never go back to work in a hospital, she is very thankful for the time she was in trauma and acute care. and i can see where each of them is coming from. I love mental health. i enjoy it. i know that i am passionate about it. i knew i wanted to go into it since i had my psych clinical rotation. especially in a community clinic setting that targets minorities. i have known it even more so since finding out a couple people close to me being affected by disruptions in mental health and no one doing anything to address this. a job where i can help to break the stigma that exists for minorities and access to mental health. i believe that at the end of the day, physical health is mental health. everything comes down to behavior, emotions, thinking. BASICALLY THE BOTTOM LINE IS...i'm kinda stuck between pursuing what i love first or putting that on hold for a couple years and doing what would benefit me more in the future (getting some med-surg/hospital experience under my belt first, which could also benefit me when i go into community mental health later, no?) And what if i get to this clinic and find that it is actually not for me? Would i still be able/ or be good enough to apply for a hospital job? Would I still be able to apply for nurse residencies at a hospital and be trained in a med surg or icu setting? Wish this decision could be easy. Any insight would be appreciated!