Stanford EM Residency Curriculum

First Year

The first year starts with a 4-week orientation to familiarize interns with the emergency department, refresh emergency medicine topics, provide hands-on skills labs, and foster connections with classmates. Rotations during the intern year cover the essential areas of emergency medicine, as well as Medical ICU and EMS. Interns also begin to explore ACCEL.

Blocks are 3-4 weeks.

  • Orientation: 1 block
  • Emergency Medicine: 5.25 blocks
  • EMS: 0.5 block
  • Trauma: 1.5 blocks
  • MICU:  1 block
  • Anes/QI: 0.75 block
  • Orthopedics: 0.5 block
  • Ob/Gyn: 0.5 block
  • Procedures: 0.5 block
  • ED Ultrasound: 0.5 block dedicated (also integrated into other areas)
  • Careers in Academic Medicine (CAM) Elective: 0.5 block
  • Vacation: 1 block

Second Year

Residents spend the majority of this year in the emergency department  and ICU's, honing critical care skills and efficiency. Residents are given  ACCEL time for further experience in their niche of focus or clinical elective.

  • Emergency Medicine: 8 blocks
  • MICU: 1 block
  • SICU: 1 block
  • PICU: 1 block
  • Elective: 1 block
  • Vacation: 1 block

Third Year

Residents refine clinical skills through increased graduated responsibility. This is developed by supervising junior residents and medical students, and continuing to learn how to manage multiple critical patients. Residents have ACCEL time to develop expertise in a sub-specialty.

  • Emergency Medicine: 9 blocks
  • CVICU: 0.5 block
  • Fast Track: 0.5 block
  • Elective: 2 blocks
  • Vacation: 1 block

Fourth Year

Our goal is for residents to be able to run an emergency department. As a fourth year working in the Stanford ED, you are responsible for departmental flow in our busiest zone while supervising all residents. While working at the Kaiser ED, you will have an opportunity to run a functional pod.

  • Emergency Medicine: 9.5 blocks
  • Elective: 2.5 blocks
  • Vacation: 1 block

Residency Training Sites

Stanford Health Care

Stanford Medicine offers world-class tertiary care exposure, as a Level I Trauma Center for adults and pediatrics. Because Stanford Hospital is the winner of multiple patient care awards, patients come from all over the world for specialized care, resulting in a patient population with complex pathology.

Our local patient population is extremely diverse and the majority of our patients receive federally-subsidized care.

Rotation highights include: emergency medicine, pediatric emergency medicine, critical care, and other quality off-service rotations that build a strong foundation. Multiple elective opportunities are also available through our ACCEL program.

The 824,000-square-foot Stanford Hospital opened in 2019. The Marc and Laura Andreessen Adult Emergency Department features state-of-art technology and an emergency department the size of a football field.

The Marc and Laura Andreessen Pediatric Emergency Department opened in 2022 and is a Level I Pediatric Trauma Center with world-ranked pediatric specialists.

Stanford is the main site of clinical training. We also have rotations at community and county sites to provide exposure to different practice settings, resulting in a well-rounded clinical education.

Kaiser Santa Clara

Kaiser Permanente Medical Center offers award-winning community-based care, and a precedent-setting efficiency model, as well as advanced care in pediatrics, neurocritical care, interventional cardiology, obstetrics, and several other fields. 

In addition to excellent patient care, Kaiser provides residents with a 1:1 faculty-to-resident teaching ratio. First- through Third-year residents run codes alongside attendings, while Fourth-year residents run their own independent pod in preparation for independent practice. 

Kaiser also offers daily “GI rounds” for residents on swing shifts; departmental leadership or senior residents provide teaching from 4-4:30 while residents grab something to eat. Teaching sessions often involve interesting cases and workflow updates, and provide residents an opportunity to connect in an otherwise busy environment. 

Valley Medical Center

Santa Clara Valley Medical Center provides a robust county experience in a busy county emergency department. This is a high-acuity environment serving an extremely diverse urban population with advanced medical pathology and a high number of trauma cases.