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Carilion Clinic-Virginia Tech Carilion School of Medicine Program
Overview
The Virginia Tech Carilion Emergency Medicine residency program is committed to delivering a high-quality, comprehensive training experience for resident physicians preparing for all facets of emergency medicine. The program operates at the Carilion Roanoke Memorial Hospital, which is recognized as a Level I Trauma Center, seeing an impressive 84,000 patient visits annually, with a 30% admission rate. This establishment provides a rich backdrop for residents to gain experience in a demanding and fast-paced environment, where they can hone their skills with a diverse patient demographic.
1In addition to the central training location, residents are provided with opportunities to work in several community and rural settings. For instance, Carilion Franklin Memorial Hospital, a 12-bed emergency department managing approximately 23,000 patients yearly, and Carilion New River Valley Hospital, a Level II trauma center treating around 35,000 patients annually, offer valuable insights into rural and community emergency medicine practices, respectively. At these locations, residents learn to function effectively with limited in-house support, emphasizing autonomy and resourcefulness in patient care.
1Curriculum and Rotations
At the heart of the residency program is a tailored curriculum designed to nurture future leaders in emergency medicine. The residency spans across different blocks and specialties, incorporating rich educational experiences such as simulation training, didactic sessions, and a journal club that fosters critical thinking and continuous learning. The program also encompasses elective rotations that allow residents to explore subspecialties, including Wilderness Medicine, EMS, and Ultrasound. These components are crucial for developing a well-rounded proficiency in the various practice settings encountered in emergency medicine.
1The commitment to resident development is evident through structured mentorship, designed to guide residents through their educational journey in emergency medicine, while preparing them for fellowships or desired career pathways upon completion of the program.
1Research Opportunities
The program places a significant emphasis on research, encouraging residents to engage in academic inquiry pertinent to emergency medicine. This focus enables residents to contribute to advancements in the field while also enhancing their critical analysis and data handling skills. Research activities are supported by faculty and provide residents with the opportunity to present findings at conferences or work towards publications, enriching their resumes and preparing them for future endeavors.
1Application Process
The application process for the Virginia Tech Carilion Emergency Medicine residency is competitive, with 12 PGY1 positions available each year. Applications must be submitted exclusively through the Electronic Residency Application Service (ERAS), ensuring streamlined and organized candidate review. Among the key factors considered during the application process are clinical experience, academic performance, and a demonstrated commitment to emergency medicine. International medical graduates are encouraged to apply, as the program is known to be friendly towards those holding DO or IMG status, although applicants must ensure they meet any specific prerequisites set by the program.
4Furthermore, while applications from candidates currently in medical school after graduation or those with a limited number of failed USMLE STEP attempts may be accepted, candidates must carefully review the specific eligibility criteria outlined by the residency.
4Life in Roanoke
Residents at the program also enjoy a fulfilling quality of life in the picturesque Roanoke Valley. With access to over 400 miles of paved and natural trails, Roanoke is ideal for outdoor enthusiasts who appreciate biking, running, and hiking. The city’s low cost of living and absence of congested traffic contribute to a conducive work-life balance, making it a favorable environment for residents and their families. Roanoke features a unique blend of cultural events, dining experiences, and accessibility to urban amenities without the chaos of larger cities, appealing to both professionals and families.
5The community vibe, coupled with the array of outdoor activities and family-friendly amenities, makes the resident experience enriched beyond the clinical training provided throughout the program.
5Visa Sponsorship
The Virginia Tech Carilion Emergency Medicine residency program is able to sponsor J-1 and H-1B visas for qualified international medical graduates. This support is critical for applicants who require visa assistance to participate in the residency training program.
4Web sources
SmartPick
Program data
ACGME History [3]
Program
Program Size
13, 11, 12 (3 years) [1]
Accreditation Status
Continued Accreditation
(Effective: January 14, 2026)
Composition [2]
Training
Fellowship Rate:40% [2]
Faculty-to-Residents Ratio:2X [1]
Residents Career Path [2]
Quality of Life
First Year Paid Sick Leave: No Limit [1]
First Year Paid Vacation: 20 days [1]
First Year Salary: $66,644 [1]
First Year Maximum Consecutive Hours on Duty: 24 hours [1]
First Year Average Weekly Hours: 52 hours [1]
Admission
USMLE Step 2 Score: --
Visa Sponsorship:J1 [2]
YOG Cutoff:5 [1]
Race / Ethnicity
Gender
Incoming Schools
* Multiple schools share the same admissions rate.
Rotation Duration by Site
Benchmarks
Match & stats
2026 Residency Applicant & Interview Insights
No 2026 Applicant & Interview Insights available for this program.
Note: The AIR (Applicant Interview Rate) is calculated as the percentage of applicants in each category who were offered interviews. A higher AIR suggests stronger alignment with program preferences, indicating a greater likelihood of the program favoring applicants in this category.
USMLE STEP 2 CK Score [2]
No data available for USMLE
STEP 2 CK Score
COMLEX Level 2 Score [2]
No data available for COMLEX
Level 2 Score
Match History [4]
Roster
Publications
50 Publications (5 yr)
Peer-reviewed output from faculty and residents, last 5 years
50 Publications (5 yr)
Launching the Annals of Emergency Medicine Peer Review Academy.
Systems-Based Practice Core Competency: A Survey of Physicians' Perspectives.
Location
Roanoke, VA [5]
- Above the national average
- Below the national average
- Similar to the national average
Housing — Rental prices [6]
Rental prices
Crime — All violent offences [7]
Rate per 100,000 residents
Living in Roanoke, VA
Safety
Roanoke has a moderate crime rate. It is always advisable to take standard safety precautions.
Fun Activities
Roanoke offers outdoor activities such as hiking, mountain biking, and water sports. The city also has cultural events, restaurants, and shopping options.
Climate
Roanoke has a humid subtropical climate with mild winters and warm summers.
Races and Population
The population includes a mix of different races and cultures.
Education
Roanoke has educational institutions, including colleges and universities.
Cost of Living
The cost of living in Roanoke is relatively lower compared to some major cities.
Proximity to Bigger Cities
Roanoke is approximately 4 hours away from Washington, D.C. and 3 hours away from Richmond, VA by car.
Pros
- Affordable cost of living
- variety of outdoor activities
- diverse population.
Cons
- Moderate crime rate
- limited public transportation options.
FAQ
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Nearby programs
Emergency medicine Programs Near Roanoke, VA
Other specialties near Roanoke, VA
References
1. Freida - https://freida.ama-assn.org/program/1105113209
2. Residency Explorer - https://www.residencyexplorer.org/Program/GetByIdWithMedicalSpecialty/8d414377-7795-27ba-910c-8c24267dcaed
3. ACGME - Accreditation Data System (ADS) - https://apps.acgme.org/ads/Public/Programs/Search
4. NRMP Results and Data: 2022-2026 Main Residency Match - https://www.nrmp.org/match-data/2026/03/program-results-2022-2026/
5. United States Census Bureau - https://data.census.gov/profile/City,_VS?g=160XX00US5168000
6. Zillow Research - Observed Rent Index (ZORI) - https://www.zillow.com/research/data/
7. FBI - Crime/Law Enforcement Stats (Uniform Crime Reporting Program) - https://www.fbi.gov/services/cjis/ucr