University of Puerto Rico Program

Specialty:Emergency medicine
ACGME Code:1104212046
NRMP Code:1116110C0
Status:Continued Accreditation

Overview

Program Overview

The University of Puerto Rico Emergency Medicine Residency Program represents a prominent institution for training in emergency medicine since its inception in 1993. It is the first such program established in Puerto Rico, continuously evolving to meet the rigorous demands of emergency care.

This 3-year program is hosted at the University of Puerto Rico Hospital, a facility with 250 beds located in Carolina, Puerto Rico. The Emergency Department at this institution manages approximately 50,000 visits annually, providing extensive exposure to a diverse patient population, including pediatric, adult, and trauma cases, which are crucial for resident training 1.

Curriculum Structure

The training is designed to encompass a comprehensive curriculum with rotations formalized into the residency:

  • First Year: Includes rotations in Emergency Medicine, Internal Medicine, Trauma Surgery, Obstetrics and Gynecology, Anesthesia, Orthopedics, and EMS, complementing with vacation time.
  • Second Year: Focuses more intensively on Emergency Medicine, with rotations in Pediatric Emergency Medicine, MICU, PICU, Trauma Surgery, and Neuro ICU.
  • Third Year: Concentrates on complex Emergency Medicine cases along with Trauma ICU, electives, and administrative responsibilities.

Each year builds upon the experiences gained through direct patient care, helping to establish a solid foundation for future independent practice 1.

Research Opportunities

The program places significant emphasis on research, requiring residents to complete a research project prior to graduation. This aspect is facilitated by dedicated faculty members who guide residents through the research process to ensure comprehensive academic exposure 1.

Training Sites

Training occurs primarily at the University of Puerto Rico Hospital, where a well-equipped Emergency Department experienced in handling high patient volume operates under various settings, including dual trauma resuscitation areas and specialized care units. The hospital serves a large population, catering to the unique needs of the northeastern coast of Puerto Rico 1.

Faculty and Mentorship

The faculty consists of 13 board-certified emergency physicians, each boasting subspecialty qualifications in areas such as pediatric emergency medicine, ultrasound, and public health. Their responsibilities extend beyond teaching to encompass mentoring, ensuring residents receive continuous guidance throughout their training. The faculty's commitment is reflected in their active roles both locally and within Central and South America, promoting the advancement of emergency medicine globally 1.

Resident Life and Wellbeing

Monitoring resident wellbeing is a departmental priority, fostering an environment that promotes mental health alongside rigorous academic and clinical training. The program encourages engagement in extracurricular activities and offers support systems tailored for residents 1.

Competitiveness and Application Requirements

The program is regarded as highly competitive, welcoming applications from both MDs and DOs, as well as international medical graduates (IMGs). While completed USMLE Step scores are imperative, specific requirements may include a maximum limit on failed attempts. Applicants should confirm detailed requirements reflective of the current selection cycle 1.

Visa Sponsorship

This program supports visa sponsorships, which typically includes J-1 and H-1B visas, accommodating both domestic and international applicants. Detailed assistance is provided to those who require visa support during the application process, promoting a more inclusive environment for all candidates 1.

Additional Opportunities

The University of Puerto Rico Emergency Medicine Residency Program fosters individual growth through additional benefits, including dues for EMRA and ACEP, funding for presenting research at conferences, and structured educational opportunities that support career advancement in emergency medicine 1.

Web sources

SmartPick

Program data

ACGME History [3]

Accreditation Last updated: Jul 16, 2026
Initial accreditation0
Full accreditation2
Continued23
Warning2
Probationary Accreditation0
Withdrawal0

Program

Program Size

10, 10, 10 (3 years) [1]

Accreditation Status

Continued Accreditation

(Effective: January 14, 2026)

Composition [2]

MD · 53%
U.S. IMG · 40%
Non-U.S. IMG · 7%

Training

Fellowship Rate:15% [2]

Faculty-to-Residents Ratio:0.4X [1]

Residents Career Path [2]

Full-time Practice · 15%
Academic · 4%
Fellowship · 15%
Other · 67%

Quality of Life

First Year Paid Sick Leave: 18 days [1]

First Year Paid Vacation: 30 days [1]

First Year Salary: $43,333 [1]

First Year Maximum Consecutive Hours on Duty: 12 hours [1]

First Year Average Weekly Hours: 60 hours [1]

Admission

USMLE Step 2 Score: --

Visa Sponsorship:H1B, J1 [2]

YOG Cutoff:--

Race / Ethnicity

Gender

Incoming Schools

30%

University of Puerto Rico School of Medicine

23%

University of Medicine and Health Sciences

10%

Ponce Health Sciences University School of Medicine

10%

Universidad Central del Caribe School 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:  1116110C0
2020
10 of 10
2021
10 of 10
2022
10 of 10
2023
10 of 10
2024
10 of 10
2025
10 of 10
2026
10 of 10
Filled Position
Unfilled Position

Roster

Publications

6 Publications (5 yr)

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

JNCI cancer spectrum2026

Hospice care for Medicaid cancer patients in Puerto Rico: implications on healthcare costs and utilization.

Karen J Ortiz-Ortiz,1Marjorie Vázquez-Roldán,1Axel Gierbolini-Bermúdez,1María Ramos-Fernández,2
Medical care2025

High-Intensity End-of-Life Care Among Young and Middle-Aged Hispanic Adults With Cancer in Puerto Rico.

Jessica Velazquez,1Maira A Castañeda-Avila,2Axel Gierbolini-Bermúdez,3María R Ramos-Fernández,4

Location

San Juan, Puerto Rico [5]

Population
3,285,874
Median income
$25,621Below
Education
30.8%Above
Employment
42.7%Above
Health
5.3%Above
Age
44Above
  • 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 San Juan, Puerto Rico

San Juan, Puerto Rico, offers a unique living experience with a mix of culture, history, and beautiful beaches. Below are some aspects to consider:

Crime Rate and Safety

Like any urban area, San Juan has its share of crime, but overall it is considered safe, especially in tourist areas.

Fun Activities

Residents can enjoy water sports, salsa dancing, exploring historical sites like Old San Juan, and enjoying the local cuisine.

Climate

San Juan has a tropical climate with warm temperatures year-round and occasional rain showers. Hurricane season is a concern from June to November.

Races and Population

San Juan is a diverse city with a mix of races and cultures, making it a vibrant and welcoming community.

Education

Puerto Rico has various educational opportunities, including universities and schools, providing options for families with children.

Cost of Living

The cost of living in San Juan can vary, with housing costs being one of the main expenses. It is advisable to research neighborhoods for affordability.

Proximity to Major Cities

San Juan is the capital of Puerto Rico and while it's a major city itself, it is relatively close to other cities like Ponce and Mayaguez, approximately 1.5 to 2.5 hours by car.

Pros

  • Rich culture
  • beautiful beaches
  • diverse community
  • tropical weather. Cons: Potential language barrier for non-Spanish speakers
  • hurricane risks during the season.

Cons

  • Rich culture
  • beautiful beaches
  • diverse community
  • tropical weather. Cons: Potential language barrier for non-Spanish speakers
  • hurricane risks during the season.

FAQ

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References

1. Freida - https://freida.ama-assn.org/program/1104212046

2. Residency Explorer - https://www.residencyexplorer.org/Program/GetByIdWithMedicalSpecialty/6bad5cc1-f561-f848-be90-a18bdd6fc882

3. ACGME - Accreditation Data System (ADS) - https://apps.acgme.org/ads/Public/Programs/Search

4. NRMP Results and Data: 2021-2025 Main Residency Match - https://www.nrmp.org/match-data/2025/03/program-results-2021-2025/

5. United States Census Bureau - https://data.census.gov/profile/City,_VS?g=040XX00US72

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