Emergency Department

Block Rotations

Our curriculum is designed to provide a maximum amount of educational opportunity while allowing adequate personal time. Providing a stimulating and supportive work environment is a priority for our faculty. Our academic year consists of thirteen 28-day blocks. The following is a typical block schedule.


To provide an appropriate introduction to the department, Carilion Clinic, and the practice of emergency medicine, all first-year residents begin their training program with a month-long orientation. This includes formal didactic and practical laboratory sessions on clinical and administrative topics in addition to an abbreviated clinical schedule. ACLS, ATLS, and PALS certifications are completed during the orientation month.

Orientation/ED ED ED/PEM
Community ED (NRV)  EMS/Pediatric ED ED/PEM
OB/GYN (2 weeks)/ED Pediatric ED Intensive ED*/PEM
Critical Care Consult 1 Orthopaedics FMH or NRV ED
Trauma Critical Care Consult 2 NTICU/SICU 3
Pediatrics Toxicology/Selective Elective
Anesthesia CCU PICU
Radiology/ED Ultrasound NTICU/SICU 2 Administrative

*Includes 3 weeks of vacation


First-year residents focus on developing a strong background in emergency medicine and critical care. The year begins with a one-month orientation balanced between formal educational sessions and clinical experience. Inpatient rotations include one block each with Critical Care, Pediatrics, Trauma, and two weeks of OB/GYN. There is also a block dedicated to Anesthesia and a block split between Radiology and ED Ultrasound. First year residents will spend six months in the Emergency Department. Three weeks of vacation/reading time are integrated into the ED months.


Second-year emergency medicine residents spend the majority of their time in the Emergency Department, taking on progressive responsibility and autonomy for patient care. This is made up of five blocks in the ED, with an additional six weeks dedicated to the Pediatric Emergency Department and one block in a Community Hospital ED setting. Three weeks of vacation/reading time are integrated into the ED months. Second-year residents will also spend a four week block in Orthopedics, Critical Care, CCU, and SICU.

Rounding out the experience for second-year residents a 2 week EMS block, and a Toxicology block at the Blue Ridge Poison Center in Charlottesville, VA. Residents are encouraged to join or initiate a research project during their second year.


The knowledge and experience gained in the first two years culminates in an opportunity for third-year residents to teach junior residents and medical students and supervise trauma. Three weeks of vacation/reading time are integrated into the ED months. Third year residents also spend four weeks in a Community Hospital ED and eight blocks in the ED.

There are ample opportunities for educational enrichment through off-service rotations in Administration and Advocacy, and during an elective block. Third-year emergency medicine residents also spend a block in both the Pediatric ICU and the Neuro-Trauma ICU.