Virginia Commonwealth University Health System Program

Specialty:Emergency medicine/Internal medicine
ACGME Code:7055144021
NRMP Code:1743705C0, 1743705C1
Status:Initial Accreditation

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]

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 · 80%
DO · 10%
U.S. IMG · 10%

Training

Fellowship Rate:33% [2]

Faculty-to-Residents Ratio:--

Residents Career Path [2]

Full-time Practice · 17%
Academic · 50%
Fellowship · 33%

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 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:  1743705C0
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
1 of 1
Track ID:  1743705C1
2026
1 of 1
Filled Position
Unfilled Position

Roster

Publications

13 Publications (5 yr)

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

Family medicine2026

Milestone Attainment of Accelerated 3-Year MD Graduates Compared to Nonaccelerated Graduates in Family Medicine Residency.

Allison Macerollo,1Sally A Santen,2Yoon Soo Park,3Sandra Yingling,3
Journal of general internal medicine2026

Evaluating ACGME Milestone 2.0 Performance: A Comparison of Accelerated 3-Year MD and Traditional 4-Year Graduates in Internal Medicine Residency Programs.

Judith Brenner,1Yoon Soo Park,2Christina M Vitto,3Alicia Gonzalez-Flores,4

Location

Richmond, VA [5]

Population
226,610
Median income
$65,650On par
Education
46.7%Above
Employment
65.1%Below
Health
8.5%Above
Age
34On 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 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

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