Carilion Clinic-Virginia Tech Carilion School of Medicine Program

Specialty:Emergency medicine
ACGME Code:1105113209
NRMP Code:1748110C0
Status:Continued Accreditation

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.

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In 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.

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Curriculum 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.

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The 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.

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Research 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.

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Application 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.

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Furthermore, 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.

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Life 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.

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The 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.

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Visa 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.

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Web sources

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Program data

ACGME History [3]

Accreditation Last updated: Jul 16, 2026
Initial accreditation3
Full accreditation0
Continued14
Warning0
Probationary Accreditation0
Withdrawal0

Program

Program Size

13, 11, 12 (3 years) [1]

Accreditation Status

Continued Accreditation

(Effective: January 14, 2026)

Composition [2]

MD · 53%
DO · 47%

Training

Fellowship Rate:40% [2]

Faculty-to-Residents Ratio:2X [1]

Residents Career Path [2]

Full-time Practice · 54%
Academic · 6%
Fellowship · 40%

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 data available for USMLE STEP 2 CK Score

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

No data available for USMLE
STEP 2 CK Score

COMLEX Level 2 Score [2]

No data available for COMLEX Level 2 Score

No data available for COMLEX
Level 2 Score

Match History [4]

Track ID:  1748110C0
2020
12 of 12
2021
11 of 11
2022
12 of 12
2023
10 of 12
2024
11 of 11
2025
11 of 12
2026
12 of 12
Filled Position
Unfilled Position

Roster

Publications

50 Publications (5 yr)

Peer-reviewed output from faculty and residents, last 5 years

Cureus2026

Systems-Based Practice Core Competency: A Survey of Physicians' Perspectives.

Ami L DeWaters,1Britta L Thompson,2Lindsay Mazotti,3Erin Miller,4

Location

Roanoke, VA [5]

Population
100,011
Median income
$51,038Below
Education
29.9%Above
Employment
58.6%On par
Health
10.5%Above
Age
39On par
  • 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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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