Emergency Medicine Residency

Landscape with Sunrise

Director's welcome

E. Paul DeKoning, MD

Thank you for your interest in the Dartmouth Hitchcock Medical Center Emergency Medicine (EM) Residency Program. Our program vision is to provide individualized training to enable residents to flourish in their chosen setting, enriching minds through a nimble, rigorous, and modern curriculum, and nourishing souls through a respectful, compassionate, and diverse community. This is truly an amazing place to live, train, and practice Emergency Medicine.

As an EM Resident, you will benefit from an outstanding balance of clinical rotations, didactics, simulation, and scholarly activity. As New Hampshire’s only Level 1 Trauma Center, Dartmouth Hitchcock Medical Center has a breadth of expertise and an extensive referral base. In addition, as a highly-acclaimed tertiary care facility in a rural setting, we provide a unique spectrum of emergency care ranging from rural medicine to highly specialized tertiary services. Our patient acuity rivals that of any inner city: our Case Mix is the second-highest in New England and in the top 5% nationally. Our admission rate and critical care rate is more than twice the national average. And, you’ll get to live in beautiful Northern New England! The Upper Connecticut River Valley of Central Vermont and New Hampshire includes the towns of Lebanon and Hanover which frequently top the list of best small towns in America.

Our unique spectrum of clinical experiences includes tertiary care at Dartmouth Hitchcock Medical Center’s flagship Mary Hitchcock Memorial Hospital, inner-city trauma at the University of Maryland R. Adams Cowley Shock Trauma Center, urban pediatric emergency medicine at The Elliot Hospital in Manchester, rural emergency medicine at Cheshire Medical Center in Keene, and exposure to rural emergency medicine at critical access hospitals via DHART aeromedicine. An intense Point-Of-Care-Ultrasound (POCUS) curriculum and Wilderness and Austere Medicine training rounds unparalleled clinical training that spans the full breadth of Emergency Medicine.

We pride ourselves on our commitment to innovation and the incorporation of resident feedback into every facet of training. The best enhancements in this program are the direct result of resident feedback. Our residents are our greatest asset and have gone on to practice in academic and community settings, as well as fellowship training in critical care, EMS, ultrasound, and wilderness medicine. Our faculty is highly devoted to bedside teaching with unique interests and expertise in resuscitation, sepsis, critical care, geriatrics, EMS/HEMS/critical care transport, rural emergency medicine, telemedicine, international emergency medicine, wilderness and austere medicine, ultrasound, informatics, quality improvement and health care delivery science. Fully half of our faculty has additional graduate degrees or fellowship training.

We are changing the face of emergency care in our region. The full breadth of Emergency Medicine is here, tucked away in beautiful New England. Explore our website for more information or better yet, come for a rotation.

If you have any questions, feel free to contact our program coordinator, Judy Collins, at judith.m.collins@hitchcock.org or 603-650-7317.

E. Paul DeKoning, MD, MS, FACEP, FAAEM
Program Director, Emergency Medicine