Rotation	Length
Intern orientation	4 weeks
Mayo Clinic Emergency Medicine	22 weeks
Phoenix Children’s Hospital Pediatric Emergency Medicine	6 weeks
Valleywise Health Emergency Medicine	4 weeks
Mayo Clinic Critical Care Medicine	4 weeks
Mayo Clinic Anesthesiology	2 weeks
Orthopedic Consults	3 weeks
Ultrasound	2 weeks
Emergency Medicine Service	1 week
Vacation	4 weeks

 

Second-year training rotations (PGY-2)

Rotation	Length
Mayo Clinic Emergency Medicine	19 weeks
St. Joseph’s Medical Center Trauma-Surgical Intensive Care Unit	6 weeks
Valleywise Health Emergency Medicine	4 weeks
Phoenix Children’s Hospital Pediatric Emergency Medicine	4 weeks
Banner - University Medical Center Phoenix Obstetrics	4 weeks
Banner - University Medical Center Phoenix Toxicology	3 weeks
Career Development Track Elective	4 weeks
Mayo Clinic Stroke Neurology	2 weeks
Ultrasound	1 week
Emergency Medicine Service	1 week
Vacation	4 weeks

Rotation	Length
Mayo Clinic Emergency Medicine	18 weeks
Valleywise Health Emergency Medicine	4 weeks
Phoenix Children’s Hospital Pediatric Emergency Medicine	4 weeks
Phoenix Children’s Hospital Pediatric Intensive Care Unit	4 weeks
Mayo Clinic Critical Care Medicine	4 weeks
Emergency Medicine Selective	4 weeks
Career Development Track Elective	4 weeks
Hu Hu Kam Memorial Hospital Emergency Medicine	4 weeks
Elective	2 weeks

Rotation	Length
Mayo Clinic Emergency Medicine	21 weeks
Phoenix Children’s Hospital Pediatric Emergency Medicine	6 weeks
Mayo Clinic Critical Care Medicine	4 weeks
Emergency Medicine/Trauma Selective	4 weeks
Career Development Track Elective	4 weeks
Elective	4 weeks
Mayo Clinic Sports Medicine	2 weeks
Administration/Quality Improvement	2 weeks
Ultrasound	1 week
Vacation	4 weeks +

Phoenix Children’s Hospital Arrowhead Campus

Residents rotate at the PCH Arrowhead Campus pediatric emergency department for a total of 12 weeks across their PGY-1 and PGY-4 years. PGY-1 residents spend one 4-week block and one 2-week block gaining foundational experience in pediatric emergency medicine. PGY-4 residents spend two 3-week blocks refining and solidifying proficiency in the acute and emergent care of pediatric patients. Residents will work under the supervision of board-certified emergency medicine and pediatric emergency medicine physicians in a busy 30-bed pediatric emergency department that is a sister hospital to a large, tertiary-care academic pediatric hospital. PCH Arrowhead Campus has access to multiple pediatric sub-specialists and is home to nationally recognized faculty and educators. Senior residents will develop advanced clinical skills in pediatric emergency care, leading multidisciplinary teams, performing emergent procedures, and preparing for independent practice in pediatric emergency medicine settings.

Phoenix Children’s Hospital Thomas Campus

Residents rotate at the PCH Thomas Campus pediatric emergency department for a total of eight weeks, divided into one 4-week block during PGY-2 year and two 2-week blocks during PGY-3 year. Residents will work under the supervision of board-certified emergency medicine and pediatric emergency medicine physicians in a busy, academic pediatric emergency department. PCH’s main campus has a 68-bed emergency department and cares for over 100,000 pediatric patients annually. PCH is a Level 1 pediatric trauma center and tertiary care referral center with extensive sub-specialty resources. PCH is a renowned pediatric healthcare system, providing comprehensive care to children in Arizona and is home to nationally recognized faculty and educators. Residents build foundational skills in pediatric emergency care, including pediatric-specific history-taking, procedural skills, sedation, and communication with pediatric patients and families in a tertiary care setting.

Phoenix Children’s Hospital pediatric intensive care unit

This is a four-week rotation that offers hands-on experience in the pediatric intensive care unit at Phoenix Children’s Hospital, guided by faculty trained in pediatrics and critical care medicine. PCH is a renowned pediatric healthcare system, providing comprehensive care to children in Arizona. It is a tertiary care referral center with multiple sub-specialty resources. During this rotation, residents will assume primary responsibility for their patients under the supervision of the PICU fellow/attending. This will also include the opportunity to participate in and perform, with supervision, indicated procedures necessary for the care of their patients in the PICU. Residents develop proficiency in the evaluation and management of critically ill and injured pediatric patients.

Intern orientation

Entering PGY-1, emergency medicine residents participate in the Intern Orientation rotation, which takes place during the first four weeks of PGY-1 academic year. This four-week rotation is designed to welcome, acclimate, and prepare PGY-1 residents for the clinical, professional, and personal demands of residency training. The rotation emphasizes foundational skill and knowledge-building, familiarity with the emergency department, and fostering early professional relationships within the residency and institution.

Emergency medicine

Residents rotate within the Mayo Clinic emergency department, which is located at the program’s primary clinical site in Phoenix, Arizona, during all four years of the Emergency Medicine Residency. The emergency department has 62 dedicated patient care rooms, including three major medical resuscitation bays. The emergency department sees more than 62,000 annual patient visits and has rapidly increased in patient volume, physical footprint, and acuity/complexity of patient care over the past 5-10 years, seeing volume growth of approximately 5-7% annually. Mayo Clinic’s emergency department is a tertiary care center that is home to complex patient care including advances in oncologic, hematologic, and transplant care. It is a nationally recognized Comprehensive Stroke Center and offers comprehensive cardiac care including being a STEMI receiving center, performing cardiac catheterizations, and managing left ventricular assist devices and organ transplantation. It is a renowned teaching hospital, educating students from the Mayo Alix School of Medicine in Arizona and has multiple ACGME-accredited residency and fellowship programs.

Critical care medicine

The Mayo Clinic intensive care unit is located at the program’s primary clinical site in Phoenix, Arizona. Residents rotate during PGY-1, PGY-3, and PGY-4 years of the program. The intensive care unit has 48 beds and incorporates a multidisciplinary co-managed approach to critical care medicine. Residents will collaborate with an interdisciplinary critical care team and will be supervised by board-certified critical care faculty from various residency training backgrounds including emergency medicine, anesthesiology, internal medicine, and surgery. PGY-1 residents develop foundational skills in critical care, including ICU procedures (central line placement, arterial lines, intubation), ventilator and hemodynamic monitoring interpretation, and participation in multidisciplinary rounds and rapid responses. Seniors refine critical care management, triage consults, perform ICU procedures with proficiency, educate junior learners, and lead multidisciplinary family meetings and complex care discussions.

Ultrasound

The ultrasound rotation occurs at the residency’s primary clinical site, which has state-of-the-art ultrasonography equipment and the ability to transmit POCUS scans into the electronic health record for diagnostic and billing purposes. This rotation emphasizes foundational skills regarding indications, limitations, procedural performance, and interpretation of POCUS in the emergency department setting. The ultrasound rotation is led by fellowship-trained, board-certified emergency medicine ultrasound faculty and has dedicated time that spans across the first two years and culminates with a senior advanced ultrasound rotation during PGY-4 year. There is also optional elective time for advanced ultrasound education during senior years. Longitudinal ultrasound didactic and hands-on clinical POCUS learning opportunities occur throughout all residency years.

Emergency medical services

Our residency program offers robust and dynamic EMS and pre-hospital medicine experience. Our training includes both longitudinal exposure and dedicated block experiences, ensuring a deep and progressive understanding of pre-hospital care.

Residents will have one week of dedicated time during both PGY-1 and PGY-2 years to participate in core EMS experiences including ride-alongs with EMS crews, field shifts with medical directors or EMS supervisors, regional EMS dispatch center visit, and protocol review. Residents will also participate in large event or race medicine events (e.g., PGA Tour Phoenix Open, Phoenix Raceway).

In addition to the above educational experiences, residents will also participate in longitudinal EMS training including an annual EMS day during core didactics, mass-casualty incident preparation, and supervised, real-time, and online medical direction.

Residents with a particular passion for pre-hospital care may complete the EMS career development track, receiving one-on-one mentorship with EMS faculty and advanced training opportunities.

Anesthesiology

During this two-week rotation, PGY-1 residents will rotate with the Mayo Clinic Department of Anesthesiology, supervised by anesthesiology faculty. Residents will gain core skills in airway management, vascular access, and hemodynamic monitoring. They will learn common pharmacologic agents used in procedural sedation and anesthesia and be able to identify patient risk factors for complications.

Orthopedic consults

During this three-week rotation, PGY-1 residents rotate on the in-hospital orthopedic consult team. Residents will gain hands-on experience performing emergency department and inpatient consults, assisting with fracture and dislocation reductions, joint aspirations, and coordinating care of patients with orthopedic injuries or emergencies requiring admission, surgical intervention or arrangement of outpatient follow-up. Residents will work alongside orthopedic surgery attendings, fellows, and senior residents.

Sports medicine

During this two-week rotation, PGY-4 residents rotate with the primary care sports medicine clinic in Tempe, Arizona. Residents will join dual-trained emergency medicine/sports medicine faculty that have appointments and expertise in both the departments of sports medicine and emergency medicine.

Residents gain hands-on experience with acute and subacute musculoskeletal injury management and interdisciplinary coordination. Clinical experiences include follow-up for emergency department-treated injuries, advanced musculoskeletal ultrasound training, interpretation of other musculoskeletal imaging modalities, nerve block techniques, as well as joint injection and aspiration techniques.

For those interested in a career in sports medicine, a Sports Medicine Career Development Track is offered. Residents in this track receive dedicated one-on-one mentorship and additional opportunities, including providing sideline coverage for local high school and collegiate athletic teams. Mayo Clinic sports medicine faculty are the official team physicians providing coverage for Arizona State University athletics, offering residents exceptional exposure to high-level sports medicine practice.

Stroke neurology

This is a two-week rotation on the stroke neurology service at Mayo Clinic’s comprehensive stroke center. PGY-2 residents join the interdisciplinary stroke team, working closely with neurology attendings, fellows, and residents. They actively respond to Code Stroke activations and stroke neurology consultations. They participate in rapid bedside assessments, NIHSS scoring, and acute decision-making regarding thrombolytics and mechanical thrombectomy. In addition, residents assist in the care of patients throughout their hospitalization, gaining exposure to post-thrombolysis monitoring, secondary prevention strategies, and complications such as hemorrhagic transformation or cerebral edema. This rotation emphasizes systems-based care and provides valuable insight into how emergency stroke care transitions into inpatient management.

Administration/Quality improvement

This two-week rotation provides PGY-4 residents with dedicated time to engage deeply with hospital administrative leadership, participate in quality assurance projects, and contribute to patient safety and operational efficiency initiatives. Experiences include:

• Attendance at departmental leadership, operational, and quality committee meetings
• Active participation in at least one quality improvement initiative, including data collection, analysis, intervention design, and evaluation
• Lead a quality session at a combined monthly faculty and resident departmental meeting
• Observe emergency department leadership roles, including nursing supervisors and hospital administration

Valleywise Health emergency medicine

Residents complete a four-week rotation within the Valleywise Health Medical Center emergency department each academic year during their PGY-1, PGY-2, and PGY-3 years. Valleywise Health Medical Center is a county hospital for Maricopa County and a safety-net healthcare system that is dedicated to caring for the underserved population of Phoenix. It has a strong emphasis on care of a vulnerable patient population with unique impacts of social determinants of health, resource-limited care, and management of penetrating trauma and burn injuries. It is a Level 1 trauma center and Arizona’s only nationally recognized burn center. Valleywise Health is also a public teaching hospital with an ACGME-accredited emergency medicine residency. During their Valleywise rotation, residents participate fully in all aspects of emergency care, working alongside Valleywise residents and faculty. This collaborative exchange enriches the training of residents at both institutions, allowing them to develop adaptability, broaden their clinical skills, and deepen their understanding of healthcare delivery across different systems.

St. Joseph's Hospital and Medical Center trauma-surgical intensive care unit

This is a six-week rotation with the trauma/acute care surgery and surgical intensive care unit team at St. Joseph’s Hospital and Medical Center, a busy Level 1 trauma center in central Phoenix. On this rotation, residents will cover trauma activations, assist with acute care surgery consultations, SICU admissions, as well as daily management and transfers. Residents will also have the opportunity to work with anesthesiology in the airway management of trauma activations as well as patients undergoing acute care surgical intervention. This rotation will provide an experience in the management of trauma and surgical patients across all acuity levels. Trauma activations, acute care surgery consults, and the SICU are supervised by the faculty of the Department of Surgical Critical Care and Trauma Surgery.

Banner - University Medical Center Phoenix obstetrics

This is a four-week rotation with the labor and delivery team at Banner - University Medical Center Phoenix, a large tertiary care teaching hospital in central Phoenix. On this rotation, residents will work with BUMCP obstetrics and gynecology faculty physicians, participating in the urgent evaluation and management of obstetrics patients. This will include patients presenting to OB triage for evaluation of pregnancy-related complications, patients presenting for induction of labor, and patients presenting in active labor. Residents will also participate in the care of actively laboring patients, vaginal delivery and related procedural interventions, and postpartum care. Emergency medicine residents will perform all indicated procedures under supervision and manage patients admitted during their clinical shifts.

Banner - University Medical Center Phoenix toxicology

During this three-week rotation, residents will work directly with the medical toxicology service at Banner - University Medical Center Phoenix. Medical toxicology has its own admitting service caring for patients from the observation unit to the intensive care unit. Residents will evaluate toxicology-related consults in the emergency department and inpatient units and respond to referrals from the Arizona Poison and Drug Information Center. The rotation provides high-yield exposure to both common and rare toxicologic emergencies, including drug overdoses, envenomation, withdrawal syndromes, and toxic exposures. Residents will participate in bedside evaluations, clinical discussions, and daily toxicology rounds to deepen their understanding of toxicokinetics and antidotes. Residents will also participate in toxicology rounds, public health reporting, and collaboration with the poison control center.

Hu Hu Kam Memorial Hospital rural emergency medicine

PGY-3 residents rotate at Hu Hu Kam Memorial Hospital emergency department for a four-week rural emergency medicine rotation. Hu Hu Kam Memorial Hospital is part of a larger tribal-run healthcare network, Gila River Health Care, committed to delivering comprehensive primary, specialty, emergency, and culturally respectful care to members of the Gila River Indian Community and surrounding areas. The emergency department sees approximately 30,000 patients annually with limited diagnostic and consultant resources. In addition to emergency department shifts, residents also participate in cultural sensitivity training and a minimum of one EMS ride-along with the Gila River Emergency Medical Services. Residents provide care to a diverse patient population in the greater Arizona community, while also gaining valuable learning experience in the practice of medicine in a resource-limited setting. Residents are exposed to a wide variety of medical conditions, while having cultural awareness and learning about social determinants of health.