ECU Health Medical Center/East Carolina University Program

Specialty:Emergency medicine/Internal medicine
ACGME Code:7053644019
NRMP Code:3057705C0
Status:Initial Accreditation

Overview

Program Overview and Philosophy

The ECU Health Medical Center/East Carolina University Program in Emergency Medicine/Internal Medicine offers a dual-focused residency designed to cultivate specialists adept in both fields. This program is situated in Greenville, NC, at a reputable academic medical center that prides itself on a nearly 30-year history of training competent emergency physicians1. The program's philosophy centers on providing high-quality, compassionate care, particularly to the underserved populations of eastern North Carolina3. The residency emphasizes a commitment to excellence in clinical care, education, and research, supported by a comprehensive training environment.

Curriculum and Rotations

The curriculum is carefully structured to provide robust training in both emergency medicine and internal medicine. Rotations are split between emergency department (ED), internal medicine wards, and various specialty areas, ensuring comprehensive exposure and experience3. The curriculum includes rotations in critical care, cardiology, neurology, and infectious disease, among others. Emergency medicine rotations are enhanced by exposure to the 16-bed Pediatric Emergency Department and the hospital's status as a Level I trauma center, providing residents with critical, hands-on training in diverse patient care situations1.

Training Sites and Facilities

The program's primary training site is the ECU Health Medical Center, a premier 974-bed teaching hospital and a major referral center for 29 counties3. The medical center manages over 130,000 emergency visits and 45,000 admissions annually. It houses the only Level I trauma center in the catchment area and is equipped with a 58-bed main emergency department and a comprehensive stroke and PCI center, ensuring extensive exposure to a wide array of emergency scenarios1. Ambulatory training is further conducted at Moye Medical Center, located adjacent to the hospital, providing residents with varied outpatient experience5.

Application Requirements and Competitiveness

The program accepts applications exclusively through ResidencyCAS, requiring a comprehensive application package. Applicants must provide a Medical School Dean’s Letter, medical school transcript, three reference letters (including one Standardized Letter of Evaluation from an EM residency program), and a personal statement2. Successful candidates will have completed USMLE Step 1 or COMLEX Level 1, with USMLE Step 2 CK or COMLEX Level 2 required prior to starting the internship. The application process is competitive, underscoring the program's status as a sought-after training opportunity in a nationally ranked environment.

Visa Support

Information regarding visa support for this residency program is not explicitly provided in the extracted data, but it is crucial to highlight the program’s inclusive nature and commitment to catering to diverse populations and backgrounds, which may imply a consideration for visa support where applicable.

Research Opportunities

Research is a cornerstone of the residency experience at ECU Health Medical Center. Emergency Medicine faculty members have diverse research interests ranging from EMS, Air Medical Transport, and Toxicology to Disaster Medicine4. The faculty’s dedication to research excellence is demonstrated by a recent ranking of ninth nationally for EM research productivity. Residents participate in varied research activities, gaining ample opportunities to contribute to and spearhead projects, with access to state-of-the-art simulation labs, ultrasound training, and procedural labs that enrich their educational experience.

Unique Program Features

The residency program boasts a 10-year accreditation status and stands out as one of only a few combined EM/IM offerings in the country. With a fully integrated electronic health record (EHR) system and comprehensive support services, residents benefit from a seamless patient care and learning environment5. Additionally, residents are entrusted with running all hospital codes and performing procedures autonomously, greatly enhancing hands-on practice and autonomy.

Fellowship Opportunities

Detailed information on specific fellowship opportunities following the residency is not explicitly described, but the extensive training and research experience provided by the program lay a strong foundation for pursuing fellowships in specialized areas of either emergency or internal medicine.

Resident Wellness and Support

Resident wellness is a key focus of the program, with robust support systems and initiatives in place to promote physician wellbeing. The program prioritizes teamwork and resilience-building strategies. Residents play an instrumental role in program enhancements and decision-making processes, directly impacting their training environment. The internal medicine component of the residency specifically aims to cultivate emotionally resilient physicians, which supports the delivery of compassionate and high-quality care to the community5.

Through its comprehensive training structure, rigorous curriculum, and commitment to serving underserved communities, the ECU Health Medical Center/East Carolina University Program in Emergency Medicine/Internal Medicine remains a distinguished residency choice for aspiring physicians dedicated to achieving excellence in both specialties.

Web sources

SmartPick

Program data

ACGME History [3]

Accreditation Last updated: Jul 16, 2026
Initial accreditation2
Full accreditation0
Continued0
Warning0
Probationary Accreditation0
Withdrawal0

Program

Program Size

2, 2, 2, 2, 2 (5 years) [1]

Accreditation Status

Initial Accreditation

(Effective: July 1, 2025)

Composition [2]

MD · 60%
DO · 40%

Training

Fellowship Rate:83% [2]

Faculty-to-Residents Ratio:11.3X [1]

Residents Career Path [2]

Full-time Practice · 17%
Fellowship · 83%

Quality of Life

First Year Paid Sick Leave: 12 days [1]

First Year Paid Vacation: 28 days [1]

First Year Salary: $63,657 [1]

First Year Maximum Consecutive Hours on Duty: 16 hours [1]

First Year Average Weekly Hours: 65 hours [1]

Admission

USMLE Step 2 Score: --

Visa Sponsorship:J1 [2]

YOG Cutoff:--

Race / Ethnicity

Gender

Incoming Schools

30%

Brody School of Medicine at East Carolina University

20%

Pacific Northwest University of Health Sciences College of Osteopathic Medicine

10%

Indiana University School of Medicine

10%

Medical University of South Carolina College of Medicine

* 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:  3057705C0
2020
2 of 2
2021
2 of 2
2022
2 of 2
2023
2 of 2
2024
2 of 2
2025
2 of 2
2026
2 of 2
Filled Position
Unfilled Position

Roster

Location

Greenville, NC [5]

Population
87,521
Median income
$51,628Below
Education
40.4%Above
Employment
57.8%Above
Health
7.1%Above
Age
28Below
  • 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 Greenville, NC

Greenville, NC is a vibrant city that offers a mix of urban amenities and a small-town feel. Here are some aspects to consider when it comes to living in Greenville:

Crime Rate and Safety

Greenville has a moderate crime rate compared to the national average. Like any city, it's essential to take standard safety precautions.

Fun Activities

The city is home to various entertainment options, including parks, museums, shopping centers, and a lively dining scene. The nearby Tar River provides opportunities for outdoor activities like kayaking and hiking.

Climate

Greenville has a humid subtropical climate with hot summers and mild winters. Be prepared for high humidity levels during the summer months.

Races and Population

The population of Greenville is diverse, with a mix of different races and ethnicities contributing to the city's cultural richness.

Education

Greenville is known for being a college town, with East Carolina University located in the city. This brings a youthful energy to the area and various educational opportunities.

Cost of Living

The cost of living in Greenville is relatively lower compared to bigger cities, which can be a great advantage for residents, especially those just starting their careers.

Proximity to Bigger Cities

Greenville is approximately 1.5 to 2 hours away from Raleigh, the capital of North Carolina, and about 2.5 to 3 hours from Charlotte. Both cities offer more extensive cultural offerings, entertainment options, and diverse job opportunities.

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Nearby programs

Emergency medicine/Internal medicine Programs Near Greenville, NC

References

1. Freida - https://freida.ama-assn.org/program/7053644019

2. Residency Explorer - https://www.residencyexplorer.org/Program/GetByIdWithMedicalSpecialty/882af183-3bf0-9440-d12e-176b1d6f60c1

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=160XX00US3728080

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