Your Emergency Medicine education requires a variety of strategies and systems. Our residents learn through weekly conferences, monthly Journal Club, Asynchronous Learning options, online quiz programs and through patient care in the ED and throughout the hospital.


Didactic conferences occur each Thursday morning and run four or five hours in length. Didactics provide a multi-modal approach to learning and consist of lectures delivered by faculty and residents, problem-based group learning, team-based case learning, as well as recurring multidisciplinary sessions with Trauma Surgery and Internal Medicine. Once monthly, simulation at the Shelden Clinical Simulation Center replaces traditional conferences where a broad range of simulation methods including high fidelity mannequins, task trainers, and hybrid/virtual reality enhance all phases of health care education. Sprinkled throughout the year are mock oral board sessions to help residents prepare for the ABEM Oral Certification Exam.

Asynchronous Learning and Guest Lectures

Asynchronous learning resources supplement conference didactics and allow residents to earn additional conference credit while studying independently. Residents are all provided access to online learning videos and question banks, including Rosh Review, HippoED, and EMCoach.

Attendings from other departments give expert content lectures. We are also fortunate to host several guest speakers each year. In the last year, we hosted an expert panel on COVID, which featured content experts locally and nationally, including Rory Spiegel from “EMCrit” and “EMNerd.”

Journal Club

Journal Club occurs on the third Wednesday of each month. Venues range from faculty member’s homes to various locales in and around Columbia. The evening typically consists of dinner, presentation of articles by residents, and then group discussion.

Clinical Education

Boot Camp

PGY-1 residents begin their training with Intern Boot Camp to ease the transition from fourth-year medical students to competent Emergency Medicine residents. Intern Boot Camp comprises a multitude of learning opportunities, including intern only lectures, procedure labs, simulation training sessions, and also gives them time to get to know each other. Interns work ten shifts in the Emergency Department during this transition period to prepare them for their first full month in the Department. Boot Camp concludes with the annual Intern Float Trip. The trip is a fun and relaxing way to come to know each other, their co-residents, and faculty members before jumping into the team sport of Emergency Medicine.


PGY-1 residents focus on building the foundation of their Emergency Medicine clinical knowledge and then applying it to recognize and manage critically ill patients through rotations both in and out of the Emergency Department.

  • EM: 20 weeks
  • Pediatric EM: 6 weeks
  • Pediatric Inpatient: 2 weeks
  • OB/Gyn: 4 weeks
  • Ortho Trauma: 2 weeks
  • EMS: 2 weeks
  • Medical ICU: 4 weeks
  • Trauma Service: 4 weeks
  • US/Anesthesia: 4 weeks


PGY-2 residents focus on honing their skills in the management of critically ill patients. From day one as a PGY-2, residents assume responsibility for managing patients in our four Resuscitation Bays. These patients include Class I and II trauma patients, STEMI alerts, Stroke alerts, and Class I medical activations. All rotations during PGY-2 year are either in the Emergency Department or in an ICU.

  • EM: 36 weeks
  • Medical ICU: 4 weeks
  • Surgical ICU: 4 weeks
  • Pediatric ICU: 4 weeks
  • Neuro ICU: 4 weeks


PGY-3 residents focus on managing the flow of the Department and preparing for independent practice. While on shift, PGY-3 residents accept patient transfers to the ED, provide EMS medical control, and deliver teaching to junior residents and medical students. Additional rotations are to experience rural EM, pursue elective interests, and experience the operational aspects of Emergency Medicine.

  • EM: 36 weeks
  • EM Electives: 8 weeks
  • Rural EM: 4 weeks
  • Administration: 4 weeks