How We Learn


Residency is about growth.  As a result, we designed our program to help you become the very best clinician, leader, and life-long learner you can be.  We firmly believe we are training you to be a world class emergency physician in order to practice EM in any environment.  Whether your goal is to practice in a world class ivory tower academic center or in a small single-coverage community department or in an under resourced international setting; we aim to prepare you for it all.  To do this we are mindful about finding ways to challenge you at each step of your residency through a graduated responsibility curriculum.


Rotation Distribution by Year

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R1 Year

Our first year kicks off with orientation to help prepare you for the rigors of clinical EM and remind you what it’s like to see patients again (yes…we keep tabs on #4thyearmedschool).  Much of the first year is focused on building approaches to the common chief complaints in the ED.  We create an extra hour of teaching time each week for our early interns in the form of “Intern Report” where we spend time building differential diagnosis (because if it’s not on your differential, you’ll never make the diagnosis), practicing procedures, and reading some of the literature at the foundation of our clinical practice.  Each first year off-service rotation is crafted to help build the foundation for skillsets that are essential to the practice of EM.


R2 Year

Second year is about going beyond the basic work-up and evaluation of patients and really understanding the diversity of patient presentations and underlying pathology of those presenting to the ED.  As a second year resident you spend much of your time in the ED learning to hone that “sick versus not sick” gestalt that is imperative for every emergency physician to have.  The off-service rotations in second year focus on fostering an understanding of what happens to the sickest patients once they get admitted from the ED, helping to provide deeper insights about how initial resuscitation decisions influence the downstream course for patients.  Our first (of two) elective blocks are also offered in the second year to help residents explore the myriad of career paths available after residency and begin to develop a niche if they are academic-bound.


R3 Year

The final year of our residency program is about moving toward autonomous practice as you lead the department in your oversight of the highest acuity pod in our ED.  As a third year you serve as leader of both medical and trauma resuscitations in the department and also are challenges to balance patient volume while providing the highest quality care to all your patients.  You will spend the majority of your time in the ED capping of your experience in our residency to prepare you for your future as a cutting edge emergency physician.  The goal of the off-service time in third year allows residents to mindfully explore and augment their existing practice patterns while providing a second month of elective that enables further professional development and career planning.


Clinical Sites

University Hospitals – Cleveland Medical Center

  • Academic, urban, tertiary care ED that serves as the residency’s primary clinical site

  • Annual ED Volume: 68,000+ visits

  • Level 1 Trauma Center

  • Dedicated 10 bed clinical decision unit overseen by the ED gives residents experience with observation medicine


University Hospitals - Rainbow Babies & Children’s Hospital

  • Academic, tertiary care, pediatric ED

  • Annual ED Volume: 32,000+ visits

  • Only Pediatric Level 1 Trauma Center in the region

  • Staffed 24/7 by Pediatric EM trained staff

  • Pediatric EM experience is integrated longitudinally into all EM blocks during residency


University Hospitals – Ahuja Medical Center

  • Community, suburban ED

  • Annual ED Volume: 44,000+ visits

  • Located less than 10 miles from UH-CMC

  • High performing operational model to emphasize throughput and patient experience




Our weekly resident conference aspires to be as cutting edge as possible to provide the maximal educational and engaging experience.  We aim to ensure that each session’s educational goals align with the most effective teaching modality by emphasizing hands on experiences, small group discussions, and debates when possible.  While the UH EM faculty provide their insights weekly, we regularly invite speakers from other renowned EM programs and other UH departments to gain insights from experts outside our own department.  Monthly mock oral boards and journal clubs round out our conference curriculum to ensure that our trainees graduate prepared for the boards and ready to be life-long learners.