Program Innovations

New programs

Mt. Snow Slope Side Clinic

As part of our PGY-2 Orthopedic experience, spend weekends slope side at the clinic at Mt. Snow Ski Resort tending to myriad Orthopedic injuries. Ski for free!

Alice Peck Day Emergency Department

New addition of 2 weeks in our local community Emergency Department as a PGY-2. An incredible opportunity to essentially run your own Emergency Department.

PAR3 (pre-attending PGY-3)

Senior residents do all the things that attendings do – with attending support and backup. The PAR3 resident is paired 1:1 with an attending to supervise junior residents and medical students, manage patient flow, and oversee care of the sickest patients in the department.

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.


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 January. Planned by the residents with a goal to bond, provide feedback to program leadership, plan for the coming year, and enjoy winter outdoor fun.

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.

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

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-2s: The Difficult Airway Course
  • PGY-3s: Emergency Medicine Update at Stowe, Vermont
  • 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.