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==History==
==The Residency==
Virginia Tech Carilion Emergency Medicine (VTCEM) is a PGY1-3 categorical EM residency with an emphasis on developing leaders in the field of emergency medicine. During training, our residents learn to use evidence-based medicine to develop clinically sound and culturally sensitive treatment plans. Our graduates practice in diverse geographic and clinical settings. In the past five years, 40% of VTCEM graduates have gone on to fellowships or into academic medicine. 


Carilion Clinic EM faculty provide emergency care across six Emergency Departments (EDs) in southwest Virginia (SWVA). The only Level 1 Trauma Center and Pediatric ED in the region, Carilion Roanoke Memorial Hospital (CRMH) is the tertiary/quaternary referral hospital for a catchment area of 6,000 square miles with a population of 1.5 million. CRMH sees over 95,000 annual ED visits and over 2,000 annual trauma activations. A longitudinal pediatrics curriculum, with pediatric ED shifts interspersed into ED rotations, ensures that residents are exposed to all seasonal variations of pediatric emergency care.
As the only Level 1 Trauma Center and Pediatric ED servicing a 6,000-square-mile catchment area, our residency program offers a unique and unparalleled training experience. Residents are immersed in a dynamic, high-acuity, high-volume emergency department, exposing them to a remarkably diverse patient population. A longitudinal EMS curriculum and community and critical access ED rotations ensure residents are exposed to all aspects of emergency care.


Additionally, our residents train at Carilion New River Valley Medical Center, a busy community ED that sees 40,000 patients annually. For a more rural experience, residents rotate through Carilion Franklin Memorial Hospital, a rural ED with 20,000 annual patient visits. With such diverse training opportunities ranging from urban to rural, our graduates are clinical experts in Emergency Medicine, ready to manage emergencies ranging from gunshot wounds to livestock injuries and everything between.  
 
At the Virginia Tech Carilion Emergency Medicine residency, we provide comprehensive training that prepares our resident physicians to confidently work in any ED setting. Set in the picturesque Roanoke Valley, our program offers an excellent place to live and work. Immediate access to outdoor activities, an affordable cost of living, and a high-acuity training site offer a work-life balance that cannot be replicated.
 
 
Our residents experience all aspects of emergency care. The majority of training occurs at Carilion Roanoke Memorial Hospital, (CRMH) our tertiary care, Level I Trauma Center, with 84,000 visits per year and a 30% admit rate. The patient volumes and complexities place CRMH in the top 5% of high-acuity academic emergency departments. Residents also rotate in our community and rural sites, a short commute from Roanoke. Carilion Franklin Memorial Hospital provides the opportunity to experience emergency medicine critical access setting. Residents learn to practice with minimal in-house support and how to utilize regional resources and the transfer system. Carilion New River Valley Medical Center (CNRV) is a busy community ED and Level III trauma center with 30,000 annual visits. CNRV has ample specialty coverage in surgery, orthopedics, OB/GYN, peds, cardiology, urology, and gastroenterology.
 
 
We are committed to your development as an emergency physician and future leader in Emergency Medicine. With our tailored curriculum and 70+ faculty members, we have the resources to guide and mentor you into the field of your choice, inspiring you to reach your full potential.


==Leadership==
==Leadership==
*'''Department Chair:''' John H. Burton, MD
*'''Department Chair:''' Rosemarie Fernandez, MD
*'''Program Director:''' Tim Fortuna
*'''Program Director:''' Andrew Moore, MD
*'''Associate Program Director:''' John C. Perkins, Jr.
*'''Assistant Program Directors:''' Paul Stromberg, MD, Inna Massaro, DO
*'''Research Director:'''  
*'''Research Director:''' Damon Kuehl, MD
 
==Training Locations==
==Training Locations==
===Primary Hospital===
===Primary Hospital===
Roanoke Memorial Hospital
Carilion Roanoke Memorial Hospital (CRMH)
===Secondary Hospital===
===Secondary Hospital===
Carilion Franklin Memorial (FMH)
Carilion Franklin Memorial (FMH)
Carilion New River Valley Medical Center (NRV)
Carilion New River Valley Medical Center (NRV)
==Curriculum==
==Curriculum==


===PGY1===
 
*EM RMH 6 (4 week blocks)
 
*Pediatric EM RMH 1
 
*EM Ultrasound - .5
===PGY-I===
*OB/GYN - 1
*ED Orientation - 4 Weeks
*Trauma - 1
*​ED/Peds ED (RMH) - 20 Weeks
*Radiology - .5
*Community ED (NRV) - 4 Weeks
*Pediatrics- 1
*OBGYN - 4 Weeks
*Anesthesia - 1
*Trauma - 4 Weeks
*Critical Care Consult - 1
*Medical Critical Care - 4 Weeks
===PGY2===
*Pediatrics - 4 Weeks
*EM RMH - 4  
*Anesthesia - 4 Weeks
*Pediatric EM RMH - 1.5
*Ultrasound & Radiology - 4 Weeks
*EM FMH - 1
 
*Orthopedics - 1.5
===PGY-II===
*Toxicology/Selective - 1
*ED/Peds ED (RMH) - 20 Weeks 
*CCU - 1
*Rural ED (FMH) - 4 Weeks
*EMS - .5
*Peds ED (RMH) - 4 Weeks
*Critical Care Consult 2- 1.5
*Medical Critical Care - 4 Weeks
*SICU - 1
*Cardiac Critical Care - 4 Weeks
===PGY3===
*Surgical Critical Care - 4 Weeks
*EM and Peds EM RMH - 8  
*Orthopedics - 4 Weeks
*FMH EM-1
*Toxicology & Selective - 4 Weeks
*Elective - 1
*EM Psych & ED Obs -4 Weeks
*NTICU - 1
   
*Administration - 1
===PGY-III===
*PICU - 1
*ED/Peds ED (RMH) - 22 Weeks
*Community ED (NRV) - 8 Weeks   
*Pediatric Critical Care - 4 weeks
*Surgical Critical Care - 4 weeks
*Medical Critical Care - 4 Weeks
*ED Administration - 2 Weeks
*EMS - 2 Weeks
*Elective - 4 Weeks


==Electives==
==Electives==
ED Pharmacy
Ortho Hand
Electrophysiology Consult
Neurosurgery Consult
Infectious Disease Consult
Ophthalmology
Pediatric Anesthesia
Research
Toxicology
Transgender Medicine
Wilderness Medicine
EMS
Flight Medicine
Indian Health Service
Design your own


==Fellowships==
==Fellowships==
*[[Has::Wilderness medicine fellowship]]
*[[Has::EMS fellowship]]
*[[Has::Addiction medicine fellowship]]
*[[Has::Administration fellowship]]
*Medical and Surgical [[Has::Critical care fellowship]]


==Contact Information==
==Contact Information==
Leslie Amos
'''Leslie Amos'''
Residency Program Supervisor
 
Residency Program Manager
 
Virginia Tech Carilion Emergency Medicine Residency
Virginia Tech Carilion Emergency Medicine Residency
Carilion Roanoke Memorial Hospital
Carilion Roanoke Memorial Hospital
P.O. Box 13367
P.O. Box 13367
Roanoke, VA 24033-3367
Roanoke, VA 24033-3367
Email: lsamos@carilionclinic.org
Email: lsamos@carilionclinic.org
==External Links==
==External Links==
https://www.carilionclinic.org/gme/emergency-medicine-residency#about
https://www.carilionclinic.org/gme/emergency-medicine-residency#about

Latest revision as of 09:30, 3 August 2025

The Residency

As the only Level 1 Trauma Center and Pediatric ED servicing a 6,000-square-mile catchment area, our residency program offers a unique and unparalleled training experience. Residents are immersed in a dynamic, high-acuity, high-volume emergency department, exposing them to a remarkably diverse patient population. A longitudinal EMS curriculum and community and critical access ED rotations ensure residents are exposed to all aspects of emergency care.


At the Virginia Tech Carilion Emergency Medicine residency, we provide comprehensive training that prepares our resident physicians to confidently work in any ED setting. Set in the picturesque Roanoke Valley, our program offers an excellent place to live and work. Immediate access to outdoor activities, an affordable cost of living, and a high-acuity training site offer a work-life balance that cannot be replicated.


Our residents experience all aspects of emergency care. The majority of training occurs at Carilion Roanoke Memorial Hospital, (CRMH) our tertiary care, Level I Trauma Center, with 84,000 visits per year and a 30% admit rate. The patient volumes and complexities place CRMH in the top 5% of high-acuity academic emergency departments. Residents also rotate in our community and rural sites, a short commute from Roanoke. Carilion Franklin Memorial Hospital provides the opportunity to experience emergency medicine critical access setting. Residents learn to practice with minimal in-house support and how to utilize regional resources and the transfer system. Carilion New River Valley Medical Center (CNRV) is a busy community ED and Level III trauma center with 30,000 annual visits. CNRV has ample specialty coverage in surgery, orthopedics, OB/GYN, peds, cardiology, urology, and gastroenterology.


We are committed to your development as an emergency physician and future leader in Emergency Medicine. With our tailored curriculum and 70+ faculty members, we have the resources to guide and mentor you into the field of your choice, inspiring you to reach your full potential.

Leadership

  • Department Chair: Rosemarie Fernandez, MD
  • Program Director: Andrew Moore, MD
  • Assistant Program Directors: Paul Stromberg, MD, Inna Massaro, DO
  • Research Director: Damon Kuehl, MD

Training Locations

Primary Hospital

Carilion Roanoke Memorial Hospital (CRMH)

Secondary Hospital

Carilion Franklin Memorial (FMH)

Carilion New River Valley Medical Center (NRV)

Curriculum

PGY-I

  • ED Orientation - 4 Weeks
  • ​ED/Peds ED (RMH) - 20 Weeks
  • Community ED (NRV) - 4 Weeks
  • OBGYN - 4 Weeks
  • Trauma - 4 Weeks
  • Medical Critical Care - 4 Weeks
  • Pediatrics - 4 Weeks
  • Anesthesia - 4 Weeks
  • Ultrasound & Radiology - 4 Weeks

PGY-II

  • ED/Peds ED (RMH) - 20 Weeks
  • Rural ED (FMH) - 4 Weeks
  • Peds ED (RMH) - 4 Weeks
  • Medical Critical Care - 4 Weeks
  • Cardiac Critical Care - 4 Weeks
  • Surgical Critical Care - 4 Weeks
  • Orthopedics - 4 Weeks
  • Toxicology & Selective - 4 Weeks
  • EM Psych & ED Obs -4 Weeks

PGY-III

  • ED/Peds ED (RMH) - 22 Weeks
  • Community ED (NRV) - 8 Weeks
  • Pediatric Critical Care - 4 weeks
  • Surgical Critical Care - 4 weeks
  • Medical Critical Care - 4 Weeks
  • ED Administration - 2 Weeks
  • EMS - 2 Weeks
  • Elective - 4 Weeks

Electives

ED Pharmacy

Ortho Hand

Electrophysiology Consult

Neurosurgery Consult

Infectious Disease Consult

Ophthalmology

Pediatric Anesthesia

Research

Toxicology

Transgender Medicine

Wilderness Medicine

EMS

Flight Medicine

Indian Health Service

Design your own

Fellowships

Contact Information

Leslie Amos

Residency Program Manager

Virginia Tech Carilion Emergency Medicine Residency

Carilion Roanoke Memorial Hospital

P.O. Box 13367

Roanoke, VA 24033-3367

Email: lsamos@carilionclinic.org

External Links

https://www.carilionclinic.org/gme/emergency-medicine-residency#about

See Also

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