Jul 1, 2025
Virginia Commonwealth University Health System Program
Overview
Program Overview and Philosophy
The Virginia Commonwealth University Health System Program offers a combined residency in Emergency Medicine and Internal Medicine located in Richmond, Virginia. This program is designed to equip residents with comprehensive skills and knowledge across both specialties, providing a seamless integration between emergency care and inpatient management. The program is committed to producing highly competent practitioners adept in both emergency situations and long-term patient care.6
The program philosophy emphasizes a dual focus on clinical excellence and a strong foundation in medical education and research. With leadership that includes experienced professionals with backgrounds in medical education, military medical service, and research, residents are provided with diverse training opportunities that prepare them for various career pathways.123
Curriculum and Rotations
Residents in the Emergency Medicine/Internal Medicine combined program undergo a rigorously structured curriculum designed to cover the broadest aspects of both specialties. The curriculum includes a primary care component specifically developed for emergency medicine residents, ensuring a well-rounded educational experience.1
A unique feature of the curriculum is the inclusion of annual training on breaking bad news, which is an essential skill in both emergency and internal medicine settings. Additionally, elective curriculum development is offered, allowing residents to tailor their educational experience to their specific career interests and goals.1
Rotations are organized to maximize exposure to various medical settings, with a balanced approach between emergency medicine and internal medicine, providing residents with comprehensive training throughout their residency.6
Training Sites and Facilities
The program's training is centered in Richmond, VA, utilizing the state-of-the-art facilities of Virginia Commonwealth University Health System. Training sites include high-acuity emergency departments and inpatient settings that offer diverse patient populations and a wide range of clinical challenges. The integration of these facilities provides residents with unmatched exposure to a variety of clinical presentations and the opportunity to work with advanced medical technology.6
Application Requirements and Competitiveness
Applicants to the program are evaluated on a holistic basis, with an emphasis on academic excellence, clinical acumen, and a demonstrated commitment to the specialties of emergency and internal medicine. The program is competitive, seeking individuals who exemplify strong leadership skills, the ability to work in high-pressure environments, and a passion for continuous learning and improvement.6
Research Opportunities
A cornerstone of the program is the robust research opportunities available to residents. With leadership experienced in evidence-based medicine and research skill instruction, residents are encouraged to engage actively in research initiatives. The program fosters an environment of inquiry, supporting residents in developing and conducting research projects that can contribute to advances in medical science and patient care.2
Under the guidance of experienced faculty, residents have the opportunity to engage in both clinical and translational research, benefiting from a supportive infrastructure that includes access to research databases, mentorship, and collaboration opportunities.2
Unique Program Features
One of the unique features of the program is the emphasis on curriculum development and educational advancement. Faculty members involved in this component actively contribute to the creation of new teaching methods and learning modules, aimed at enhancing resident education and patient care outcomes.1
Additionally, the presence of leadership with military backgrounds offers a distinctive perspective on teamwork, discipline, and leadership under pressure, enriching the training environment for all residents.2
Fellowship Opportunities
Upon completion of the residency, graduates are well-prepared for a range of fellowship opportunities. The dual training in emergency and internal medicine opens doors to specialized fellowships, such as critical care, toxicology, and sports medicine, in addition to more traditional pathways. This breadth of options allows graduates to further refine their skills and pursue niche interests within the expansive fields of medicine and emergency care.6
Resident Wellness and Support
The program is deeply committed to the wellness and support of its residents, recognizing the demanding nature of dual-discipline training. Initiatives focusing on mental health, work-life balance, and professional development are integral components of the residency experience. Residents have access to wellness resources and counseling services designed to support both their personal and professional growth throughout the residency.6
By fostering a nurturing and supportive environment, the program aims not only to develop excellent physicians but also to ensure the overall well-being of its residents.6
Web sources
SmartPick
Program data
ACGME History [3]
Program
Program Size
2, 2, 2, 2, 2 (5 years) [1]
Accreditation Status
Initial Accreditation
(Effective: July 1, 2025)
Composition [2]
Training
Fellowship Rate:33% [2]
Faculty-to-Residents Ratio:--
Residents Career Path [2]
Quality of Life
First Year Paid Sick Leave: 30 days [1]
First Year Paid Vacation: 21 days [1]
First Year Salary: $66,747 [1]
First Year Maximum Consecutive Hours on Duty: --
First Year Average Weekly Hours: 65 hours [1]
Admission
USMLE Step 2 Score: --
Visa Sponsorship:H1B, J1, F1 [2]
YOG Cutoff:4 [1]
Race / Ethnicity
Gender
Incoming Schools
20%
Virginia Commonwealth University School of Medicine
10%
Boston University Aram V. Chobanian & Edward Avedisian School of Medicine
10%
Ohio State University College of Medicine
10%
University of Oklahoma College of Medicine
* 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
13 Publications (5 yr)
Peer-reviewed output from faculty and residents, last 5 years
13 Publications (5 yr)
Milestone Attainment of Accelerated 3-Year MD Graduates Compared to Nonaccelerated Graduates in Family Medicine Residency.
Evaluating ACGME Milestone 2.0 Performance: A Comparison of Accelerated 3-Year MD and Traditional 4-Year Graduates in Internal Medicine Residency Programs.
Location
Richmond, 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 Richmond, VA
Crime Rate and Safety
Richmond has a mix of safe and more concerning neighborhoods. It's advisable to research the specific area you'll be living in to ensure safety.
Fun Activities
Richmond offers a thriving arts and culture scene, outdoor recreational opportunities, museums, historical sites, and a variety of dining options.
Climate
Richmond experiences a humid subtropical climate with hot summers and mild winters. Be prepared for some humidity during the summer months.
Races and Population
Richmond has a diverse population with a mix of different races and ethnicities enriching the city's character.
Education
Richmond is home to several colleges and universities, providing opportunities for continued learning and cultural activities.
Cost of Living
The cost of living in Richmond is relatively moderate compared to some other urban areas in the U.S.
Proximity to Larger Cities
Richmond is approximately 1.5 to 2 hours away from bigger cities like Washington D.C. and Virginia Beach. These cities offer additional cultural and recreational opportunities.
Pros
- Diverse cultural scene
- historical significance
- moderate cost of living.
Cons
- Varied neighborhood safety
- hot and humid summers.
FAQ
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Nearby programs
Emergency medicine/Internal medicine Programs Near Richmond, VA
Other specialties near Richmond, VA
References
1. Freida - https://freida.ama-assn.org/program/7055144021
2. Residency Explorer - https://www.residencyexplorer.org/Program/GetByIdWithMedicalSpecialty/622ee9d6-d577-ea0f-2991-a290afbf5240
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=050XX00US51760
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