Carilion Clinic- Virginia Tech Carilion School of Medicine Program

Program Identity & Fit

VTCEM is a university-affiliated, academic PGY1-3 categorical program built around Carilion Roanoke Memorial Hospital, the only Level I Trauma Center in Western Virginia, giving residents high-acuity tertiary/quaternary exposure combined with deliberate rotations through community (Carilion New River Valley) and rural (Franklin Memorial) sites to cover the full continuum of EM practice in Southwest Virginia. The program explicitly frames its mission as training physicians "to excel in any setting," reflected in a roughly even split of graduates into fellowship/academic careers (~40%, including in-house EMS, Wilderness Medicine, Ultrasound, and Administrative fellowships) versus community practice across a wide national geography. A 70+ physician faculty base, dedicated ED Observation and ED Psychiatry exposure, a simulation lab, and clinical research/innovation opportunities support both tracks without positioning research as central to identity. The program emphasizes mentoring relationships, resident wellness infrastructure, and community/regional service orientation tied explicitly to Carilion's "communities we serve" motto.