University of Missouri-Columbia Program

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Specialty:Emergency medicine
ACGME Code:1102800202
NRMP Code:1994110C0
Status:Continued Accreditation

Overview

The University of Missouri-Columbia’s Emergency Medicine Residency Program offers comprehensive training in emergency medicine, emphasizing quality education and diverse clinical experiences. Residents engage mainly at University Hospital, a Level 1 Trauma Center, known for its high-acuity cases with approximately 100,000 patients treated annually. This provides ample exposure to complex and critical cases, which is crucial for developing competent emergency physicians.

With a faculty dedicated to clinical excellence and education, the program creates an environment conducive to learning. Faculty members bring diverse backgrounds in various subspecialties including pediatric emergency medicine, medical education, sports medicine, and emergency management. This diversity enriches the educational experience for residents, fostering an interactive and supportive community.1

Curriculum Overview

The educational structure of the residency is multifaceted, combining didactics, clinical experience, and interactive learning. Weekly conferences are held, along with monthly Journal Clubs and simulation training, where residents can apply theoretical knowledge in practical scenarios. The Shelden Clinical Simulation Center features high-fidelity mannequins and virtual reality simulations, enhancing clinical skills and teamwork. PGY-1 residents begin with an Intern Boot Camp to facilitate their transition into emergency medicine, covering essential topics and procedural skills.2

Rotations Breakdown

During the three years of residency, the rotation schedule is carefully designed to enhance clinical competence:

  • PGY-1: 25 weeks in Emergency Medicine, supplemented by rotations in Pediatric Emergency Medicine, OB/Gyn, Medical ICU, and more.
  • PGY-2: Includes 29 weeks in Emergency Medicine, with significant exposure to critical care through ICU rotations.
  • PGY-3: Residents focus on management roles, refining skills in operational aspects of Emergency Medicine while preparing for independent practice.
3

Residency Benefits

Residents benefit from competitive salaries starting at $63,302 for PGY-1s, with incrementally increased salaries in subsequent years. Resident benefits also include medical, dental, vision, and life insurance options, vacation allowances of three weeks for PGY-1 and four weeks for PGY-2 and PGY-3, as well as access to educational resources and conferences.4

Diversity and Community Engagement

The program places a strong emphasis on diversity and inclusion, with active efforts to engage underrepresented groups and create a welcoming environment for all residents. Regular events foster community interaction and resident wellness, enhancing work-life balance and overall resident satisfaction. For individuals interested in rural medicine, additional opportunities at sites like Capital Region Medical Center are available, providing unique learning experiences outside of the main campus.5

Application Process and Competitiveness

The application for the Emergency Medicine Residency Program is exclusively through the Electronic Residency Application Service (ERAS). Notably, the program sponsors both J1 and H1B visas for international applicants. Applicants are advised to submit their applications early, as interviews are conducted on a rolling basis.6 The program is competitive, welcoming international medical graduates and those from diverse medical backgrounds. A Standard Letter of Evaluation (SLOE) from an EM residency is strongly preferred, although alternative recommendations are accepted.7

Residency Experience in Columbia

Columbia, Missouri, known for its vibrant community and outdoor activities, offers a rich cultural experience alongside residency training. The city boasts ample recreational parks and annual festivals, providing residents with opportunities to unwind and enjoy their surroundings. This balance of professional and personal life is encouraged through the program's focus on wellness initiatives and peer support.8

Web sources

From the Program

Program Information

PGY-1 salary:$68,580

Positions per year:10

Accepting background:IMGs, DOs

Visa sponsorship:J-1 only

Years since graduation cutoff:No cutoff

Failed exam attempts:Considered case by case

US clinical experience (USCE):Required

Letters of recommendation:3 · SLOE and 3 Letters of Recommendation

Away / audition rotation:Recommended

Interview format:In-person

Interview offer dates:Mid October - late January

Program signaling:Participates

Program website:https://medicine.missouri.edu/departments/emergency-medicine

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Program data

ACGME History

Accreditation Last updated: Jul 16, 2026
Initial accreditation2
Full accreditation0
Continued12
Warning0
Probationary Accreditation0
Withdrawal0

Program

Program Size

-- (3 years)

Accreditation Status

Continued Accreditation

(Effective: January 14, 2026)

Composition

MD · 65%
DO · 13%
U.S. IMG · 9%
Non-U.S. IMG · 13%

Training

Faculty-to-Residents Ratio:0.9X

Quality of Life

First Year Paid Sick Leave: --

First Year Paid Vacation: 28 days

First Year Salary: $68,580

Program source

Admission

Visa Sponsorship:J1

YOG Cutoff:--

Gender

Rotation Duration by Site

Benchmarks

Scores

Roster

Publications

26 Publications (5 yr)

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

The American journal of emergency medicine2026

Casino schedules reduce inflammatory biomarkers and improve sleep in emergency medicine physicians during shift work.

Elizabeth Kendrick,1Emily D Morales,1Peter Nathan,1Julie Stilley,1
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine2026

Lock and Protect, Reducing Access to Adolescent Means of Suicide: A Pilot Feasibility Study.

Ashley M Blanchard,1Joandalys Tejada,1Shekinah Pettway,1Emma Cornell,1

Location

Columbia, MO

Population
126,254
Median income
$77,719On par
Education
36.2%Above
Employment
60.6%Below
Health
7.9%Above
Age
28Below
  • Above the national average
  • Below the national average
  • Similar to the national average

Housing — Rental prices

Rental prices

Crime — All violent offences

Rate per 100,000 residents

Living in Columbia, MO

Crime Rate and Safety

Columbia has a slightly higher crime rate than the national average, with property crime being more common than violent crime. However, overall, it is considered a relatively safe city.

Fun Activities

Columbia offers a variety of recreational activities including hiking, biking, and water sports at nearby lakes. The city also has a vibrant arts scene, music festivals, and diverse dining options.

Climate

Columbia experiences all four seasons, with hot summers and cold winters. Spring and fall are mild and pleasant.

Races and Population

The population of Columbia is diverse, with a mix of races and ethnicities. The city has a university town vibe due to the presence of the University of Missouri.

Education

Columbia is known for its strong public school system and higher education institutions like the University of Missouri, providing educational opportunities for residents of all ages.

Cost of Living

The cost of living in Columbia is reasonable compared to national averages, with affordable housing options and lower transportation costs.

Proximity to Bigger Cities

Columbia is centrally located in Missouri and is within a 2-hour drive from major cities like St. Louis and Kansas City. Both cities offer a wide range of cultural, entertainment, and dining options.

Pros

  • Vibrant arts and cultural scene
  • diverse dining options
  • reasonable cost of living
  • and proximity to larger cities.

Cons

  • Slightly higher crime rate than the national average
  • hot summers
  • and cold winters.

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External Links

1. Program website - salary and benefits - https://medicine.missouri.edu/departments/emergency-medicine/residency/faqs

2. United States Census Bureau - https://data.census.gov/profile/City,_VS?g=010XX00US

3. Zillow Research - Observed Rent Index (ZORI) - https://www.zillow.com/research/data/

4. FBI - Crime/Law Enforcement Stats (Uniform Crime Reporting Program) - https://www.fbi.gov/services/cjis/ucr

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