Emergency medicine vs trauma

Currently a PA 7 mos out of school and into a spine surgery job. Trying to get out because I’ve figured out I hate spine, huge workers comp population doesnt help. It doesn’t feel like I’m practicing medicine at all. Been looking into trauma and EM jobs, as those were the two rotations I enjoyed the most. Looking for input from PAs that have done either or both on things to consider, pros/cons, work life balance, overall job enjoyment, what you enjoyed etc. Current spine job hours are tough, 50+ a week. I’m the only full time PA so just exhausted and over worked. Still pending hearing back from a trauma job, was denied an ER position but going to keep trying. For those in trauma and/or ER, do you feel like you’ve really learned/are practicing real medicine?