New programs
Emergency medicine (EM) houses
New 2025! Introduction of resident houses where all residents are part of one house with faculty “parents” for the purpose of connection, social events, community service, didactic discussions, and special projects. Each house has equal representation of each PGY level. Residents stay with the same house for the duration of their training.
Diploma in Mountain Medicine (DiMM)
Available to EM residents to complete during training. The nation’s first east coast site for the Diploma in Mountain Medicine! Encompassing over 200 hours of didactic and hands-on instruction in mountain rescue, the course delves deep into wilderness pathologies and sharpens skills through simulated patient care scenarios in extreme terrains. Graduates emerge equipped to adapt medical practices to mountain settings and assume leadership roles within rescue teams worldwide.
Alice Peck Day Emergency Department
Two weeks in our local Critical Access Emergency Department as a PGY-1 and then again as a PGY-2. One-on-one with EM faculty. An incredible opportunity to run your own Emergency Department.
Graduated responsibility
PAR3 (pre-attending PGY-3)
Senior residents do all the things that attendings do – with attending support and backup. You even get to sit in their chair! The PAR3 resident is paired 1:1 with an attending to supervise junior residents and medical students, manage patient flow, and oversee the Emergency Department (ED).
RESUS shifts
Senior shifts seeing the sickest of the sick, guiding resuscitations, supervising CODES, receiving EMS patients and teaching learners. No primary patients!
Bhutan global health elective
Up to 4 residents per year can travel to the country of Bhutan for an incredible month of austere emergency medicine in the Eastern Himalayas, supervised by our own emergency medicine faculty.
Dartmouth emergency medicine residency essentials
Orientation month
A full 4 weeks of orientation experiences to get you settled into life as an emergency medicine resident in the Upper Valley. A mixture of classroom didactics, simulation sessions, hands-on workshops, social events, and a wilderness/austere medicine overnight campout.
Wilderness and Austere Medicine (WAM) day
“Didactics in the field” held each fall at Boston Lot, a wooded paradise filled with hiking/biking trails and a reservoir immediately adjacent to the Dartmouth Hitchcock Medical Center in Lebanon, New Hampshire. Followed by a bonfire and cookout!
Critical Care Medicine (CCM) boot camps
Three annual critical care medicine boot camps delivered by our outstanding dual-boarded emergency medicine/critical care medicine faculty. Hands-on sessions include difficult airway and vent management, sepsis, and other ED-specific critical care resuscitation topics.
Ultrasound
Intensive ultrasound education by our dedicated ultrasound faculty, including ultrasound bootcamp, ultrasound rotations, and weekly scanning shifts for interns. For all residents, Sonogames, advanced cardiac ultrasound, and monthly Pass the Pointer sessions during didactics.
Journal club
Monthly dinners at faculty homes during which residents critically review landmark and current emergency medicine literature.
Annual resident retreat
Residents are relieved of all clinical responsibilities to attend an overnight retreat every fall. Planned by the residents with a goal to bond, provide feedback to program leadership, plan for the coming year, and enjoy the wonders of New England in the fall.
Subspecialty tracks
If desired, choose 1 of 5 existing subspecialty tracks - or create your own. Tracks are designed to help you find your niche within the emergency medicine community to do what you already need to do as part of an Accreditation Council for Graduate Medical Education (ACGME) Residency. It is no extra work but rather helps facilitate scholarly and quality improvement projects, elective time, and organic mentorship, all at the same time! Current tracks include emergency medicine/critical care medicine, HEMS/critical care transport, wilderness/austere medicine, emergency ultrasound and medical education. Or, create your own track, e.g. Pediatric EM, Global Health, Admin, etc.
5.5 months dedicated critical care time
In addition to our outstanding dual-boarded emergency medicine/critical care medicine faculty, you will complete a minimum of 5.5 dedicated intensive care unit blocks, starting during your PGY-1 year:
- PGY-1: Medical Intensive Care Unit (4 weeks), Surgical Intensive Care Unit (4 weeks), Neurology Intensive Care Unit (2 weeks)
- PGY-2: Medical Intensive Care Unit (4 weeks), Surgical Intensive Care Unit (4 weeks)
- PGY-3: Pediatric Intensive Care Unit/Intensive Care Nursery (2 weeks each)
No other learner community rotations
All 1:1 with emergency medicine-boarded physicians.
- Cheshire Medical Center Emergency Department: total 8 weeks
- Elliot Hospital Pediatric Emergency Department: total 10 weeks
- Alice Peck Day Hospital Emergency Department: total 4 weeks
- Southern Vermont Medical Center Anesthesia rotation: total; 2 weeks
Conferences (as scheduling and resources permit)
- Annual Dartmouth conferences (all residents):
- Managing Medical Emergencies conference
- CREST (Center for Rural Emergency Services and Trauma) Symposium
- PGY-1s: Emergency Medicine Update at Stowe, Vermont
- PGY-2s: The Difficult Airway Course (Boston)
- PGY-3s: SAEM Annual Meeting (location varies)
- Resident presentations at regional/national conferences supported
Leadership Preventive Medicine Residency (LPMR)
Similar to a 3+1 model focusing on quality improvement, leadership, and population health for residents and fellows already training at Dartmouth Hitchcock Medical Center. The program begins after completion of your emergency medicine residency and allows you to obtain a Masters and Public Health (MPH) from The Dartmouth Institute, leading a practicum focused on improving care, and eligibility for board certification in Preventive Medicine. Clinical Shifts in the Emergency Department as a PGY-4 resident as part of your LPMR practicum.