Program Overview

The University of Texas School of Medicine at San Antonio's Emergency Medicine Residency is a 3 year (PGY-1 thru PGY-3) training program. Our Emergency Medicine Residency Program provides a comprehensive Emergency Medicine curriculum and clinical education experiences that will train our graduates to be outstanding clinicians, educators and leaders in the field of Emergency Medicine. Our didactic curriculum is structured around case-based discussions and interactive learning activities. Our clinical rotation curriculum is designed to emphasize and provide optimal training in the areas of critical care and resuscitation.

Clinical Operations: We have a vital mission here at the Department of Emergency Medicine. Our first duty always is to provide outstanding patient centered clinical care here at the new Emergency Department at University Hospital -- Our faculty of over 50 residency trained emergency physicians, physician assistants and nurse practitioners provide care within the largest ER in San Antonio, treating an average of 70,000 patients each year. The University Hospital Emergency Department is also home to the lead Level I Trauma Center and Level II (soon to be Level I) Pediatric Trauma Centers for a 22-county region of South/Central Texas and is a designated regional emergency center for both stroke center and heart attacks.

Because of our extraordinarily high patient acuity and our dedicated teaching staff, we are the ideal training site for our equally vital mission -- to teach the next generation of physicians and allied healthcare providers. We train hundreds of residents, medical students, PA trainees and EMT professionals annually and also operate the largest 3rd year medical student core clerkship in the nation. We are building a committed culture of research & academic excellence focusing especially on the areas of resuscitation, patient safety, and operational medicine. Community outreach is also a core mission and we support the University, UHS and other partners in efforts to improve community health both throughout the region and globally.

Research: Our research mission supports the evidence-basis by which we provide care for our Emergency Room patients. As the provider of emergency care services a region of 22 counties in South Texas, our interdisciplinary research interests include airway management, resuscitation, toxicology, cardiac care, neurological injury, violence prevention, and health services research. To date, our research has been funded by the University of Texas System, the U.S. Department of Defense, and private industry.

EMS: The Emergency Medical Services Fellowship and the San Antonio Fire Department is an ACGME approved one-year program designed to give participants the clinical and academic background in emergency medical services necessary to make a successful transition from residency or clinical practice to Medical Director of an EMS system. This program meets the requirements to qualify for the board certification exam in prehospital emergency care.

Ultrasound: Emergency Medicine Residency Program provides a required ultrasound core curriculum that satisfies the training requirements set forth in the ACEP Emergency Ultrasound Guidelines.

Global Health: Providing international experiences for residents, students, and faculty to learn how to make a sustainable change and advance emergency care in resource-limited environments. Our focus is on education/training and system development. In the past several years, members of our faculty have visited Ethiopia, Vietnam, Zambia, Peru, Fiji, South Africa, Nepal, Haiti and Guatemala.

Wilderness Medicine: Consists of lectures, hands-on scenarios and case-based learning. Students work as a team to care for patients in the backcountry. All scenarios conclude with a debriefing by the faculty. Students gain basic skills used to care for patients in a wilderness setting. These skills can be adapted for use in disaster relief, global health initiatives, humanitarian response, as well as adventure travel.


High-fidelity medical simulation integrates decision-making, intervention, and procedures in real time. Simulation cases emphasize resuscitation, rare pathology, complex toxicological cases and procedures.

The simulation lab is the first place that many junior residents take charge of a major resuscitation in a low stakes environment. Simulation also allows the resident to develop team communication and leadership skills that will carry over to the care of live patients. Emergency medicine faculty observe and conduct all simulation training allowing for immediate feedback.

Simulation is a developing field that offers scholarly and research opportunities to interested residents and students. High-fidelity medical simulation labs are available throughout the UTHSCSA campus and allow partnership with other departments in the Schools of Medicine and Nursing.


Emergency medicine residents will have an ongoing experience with EMS over the course of the residency and will learn about EMS from multiple avenues. Various formats, including EMS Grand Rounds, online training, and simulation, will be provided throughout residency. Beyond the didactic sessions, residents will ride with San Antonio Fire Department EMS and other local suburban and rural ground agencies. In addition, senior residents may ride with AirLIFE, if desired, to experience an active prehospital critical care air medical service. Residents will actively participate in prehospital education and training, regional and statewide disaster planning and implementation, and be exposed to various groups that coordinate EMS in the greater San Antonio area and Southwest Texas. Upon completion of residency, graduates will have a good understanding of prehospital care and how EMS integrates into the overall healthcare system as it relates to Emergency Medicine.

Asynchronous Education

As part of the overall Emergency Medicine Curriculum at UTHSCSA, residents will be allowed to participate in individualized learning activities to meet their didactic requirements. Each resident is required to participate in 5 hours/week of didactic emergency medicine learning. This requirement is primarily satisfied by weekly conference and Grand Rounds participation. However, part of your learning can be done individually. Residents will be given a list of different asynchronous online activities which can assist in meeting your didactic requirements.

Updated: 7/14/2017
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