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Lauren Evans
Program Director

Welcome to the University of Oklahoma Emergency Medicine Residency in Oklahoma City. Thank you for taking the time to learn more about our program!

As an Oklahoma native and graduate of the University of Oklahoma College of Medicine, I have long recognized the tremendous potential for emergency medicine training at OU. As Oklahoma's flagship academic medical center, the University provides the patients, clinical complexity, and educational environment necessary to train outstanding emergency physicians. With accreditation achieved in 2026, I am honored to help launch a residency program that reflects the excellence in clinical care, education, and innovation that has long been a hallmark of the University of Oklahoma.

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Program Structure

The University of Oklahoma Emergency Medicine Residency is a four-year program designed to develop exceptional emergency physicians while providing residents with opportunities to individualize their training and explore the breadth of our specialty. Our four-year structure is intentional. Residents progress from developing a broad clinical foundation to managing increasingly complex patients with greater responsibility and autonomy, while gaining greater opportunities to individualize their education and develop areas of interest and expertise. Our goal is for graduates to leave OU not only exceptionally prepared for independent practice, but also with the experiences, skills, and direction to begin making meaningful contributions to emergency medicine.

Clinical training combines extensive Emergency Department experience with critical care, pediatric emergency medicine, procedural training, and carefully selected specialty rotations. Residents train across academic, pediatric, community, and freestanding emergency care environments, providing exposure to diverse patient populations, levels of acuity, and practice settings.

Longitudinal experiences are incorporated throughout the curriculum to provide continued exposure and progressive development in key areas of emergency medicine, including pediatric emergency medicine, EMS, quality and patient safety, ultrasound, simulation, and procedural education.

As residents advance through the program, increasing elective time and individualized opportunities allow them to further shape their education around their goals. Residents will participate in scholarly activity with the flexibility to pursue work aligned with their interests, while also having opportunities to develop focused areas of expertise, pursue leadership roles, create individualized electives, and explore advanced educational opportunities, including combined degree programs.

Why Four Years?

Our four-year curriculum provides the time and flexibility for residents to go beyond the core requirements of emergency medicine training and begin shaping the careers they want to build. In addition to developing clinical expertise and progressive autonomy, residents have dedicated opportunities to explore areas of interest, pursue additional elective experiences, and develop a niche within emergency medicine.

The four-year structure also creates greater flexibility for residents interested in pursuing a combined degree or other advanced educational opportunities during residency. Whether a resident's interests are in education, research, EMS, ultrasound, administration, quality and safety, or another area entirely, our goal is to provide the time, mentorship, and resources to help them meaningfully pursue those interests before graduation.

The additional time also creates more space for well-being and professional fulfillment throughout training. Residents have greater opportunities to pursue interests that bring meaning to their careers, participate in service and activities outside of clinical training, and develop practical skills for navigating life and practice after residency. We believe this balance is important not only for well-being during residency, but also for building a sustainable and fulfilling career in emergency medicine.

Curriculum

Our four-year curriculum provides broad clinical exposure while allowing residents to take on increasing responsibility and autonomy throughout training. Residents train across academic, pediatric, community, and freestanding emergency care settings, with significant experience in critical care and longitudinal training in several core areas of emergency medicine.

Program Years

PGY-1

  • Orientation – 1 block
  • Emergency Medicine – 4 blocks
  • Emergency Medicine* – 1 block
  • Pediatric Emergency Medicine – 1 block
  • Pediatric Anesthesia/Sedation – 1 block
  • Medical Intensive Care Unit – 1 block
  • Obstetrics* – 1 block
  • Orthopedic Surgery – 1 block
  • Anesthesia/Ultrasound* – 1 block
  • Trauma/Emergency General Surgery – 1 block

PGY-2

  • Emergency Medicine – 6 blocks
  • Emergency Medicine* – 2 blocks
  • Pediatric Intensive Care Unit – 1 block
  • Medical Intensive Care Unit – 1 block
  • Trauma Intensive Care Unit – 1 block
  • Neurosurgery/Neurocritical Care – 1 block
  • Toxicology/Ultrasound* – 1 block

PGY-3

  • Emergency Medicine – 6 blocks
  • Emergency Medicine at OU Health Edmond Medical Center – 1 block
  • Emergency Medicine at OU Health ER & Urgent Care – 1 block
  • Neonatal Intensive Care Unit – 1 block
  • Surgical Intensive Care Unit – 1 block
  • Teaching* – 1 block
  • Administration/Observation Medicine* – 1 block
  • Elective* – 1 block

PGY-4

  • Emergency Medicine – 8 blocks
  • Emergency Medicine at Edmond Medical Center – 2 blocks
  • Teaching* – 1 block
  • Electives* – 2 blocks

The academic year consists of 13 four-week blocks. Residents receive three weeks of vacation each academic year, incorporated into designated blocks marked with an asterisk ().*

Longitudinal Experiences

Pediatric Emergency Medicine

Pediatric Emergency Medicine is intentionally integrated across the PGY-2 through PGY-4 years, providing residents with consistent pediatric emergency care experience throughout training. Residents complete 2–4 dedicated pediatric shifts during each Emergency Medicine block at Oklahoma Children’s Hospital, located on the same OU Health campus as our primary adult Emergency Department. This longitudinal structure allows residents to continually build and reinforce their pediatric knowledge and skills alongside their adult emergency medicine training.

Emergency Medical Services

Emergency Medical Services experience is integrated longitudinally throughout residency, giving residents repeated exposure to prehospital medicine and the opportunity to understand emergency care from the field through arrival in the emergency department. Residents will work with multiple EMS agencies and systems, gaining experience with different operational models, patient populations, and approaches to prehospital care while developing skills in medical oversight, communication, and systems-based practice.

Residents are mentored by EMS fellowship-trained emergency medicine faculty who bring expertise in prehospital care, medical direction, disaster response, and EMS education. For residents seeking additional experience, optional opportunities are also available to participate in helicopter EMS, providing exposure to critical care transport, high-acuity field medicine, and the unique operational challenges of aeromedical care. Together, these experiences provide a broad and practical foundation in EMS while allowing residents with a particular interest in prehospital medicine to pursue more advanced opportunities.

Quality and Patient Safety

Quality and Patient Safety is integrated longitudinally throughout residency, giving residents continued exposure to the principles and practice of improving patient care, safety, and healthcare systems.

Ultrasound Education

Point-of-care ultrasound (POCUS) is an integral part of emergency medicine training at the University of Oklahoma. Our longitudinal ultrasound curriculum is designed to take residents from foundational image acquisition to confident integration of ultrasound into the care of critically ill and injured patients. Training combines focused didactics, hands-on scanning labs, simulation, and supervised bedside ultrasound throughout residency, as well as dedicated ultrasound rotations. Residents develop skills in the core emergency ultrasound applications while also learning advanced and cutting-edge skills led by faculty with advanced training through the Emergency Ultrasound Fellowship Directors Program (FDP) and fellowship-trained faculty.

A structured portfolio allows residents to follow their development over time while gaining experience with cardiac, lung, abdominal, vascular, ocular, obstetric, musculoskeletal, and procedural ultrasound. Our ultrasound infrastructure also provides opportunities to teach medical students and residents from other specialties, helping residents develop their skills as both sonographers and educators.

Our goal is not simply to help residents meet ultrasound requirements, but to graduate emergency physicians who can confidently incorporate POCUS into everyday clinical decision-making, procedures, and the highest-acuity resuscitations.

Elective Opportunities

Dedicated elective time allows residents to further individualize their training, explore areas of interest, and pursue experiences that support their future career goals. Residents may select from established elective opportunities or work with program leadership and faculty to develop an individualized elective tailored to their interests and goals.

  • Advanced Ultrasound
  • Acute Pain Service
  • Research
  • Cardiology
  • Medical Intensive Care Unit
  • Emergency Medical Services/ Event Medicine
  • Medical Toxicology
  • Sports Medicine
  • Medical Education
  • Street Medicine
  • Radiology
  • Hospice and Palliative Care
  • Pediatric Emergency Medicine
  • Pediatric Intensive Care Unit
  • Community Emergency Medicine
  • Freestanding/Urgent Care Emergency Medicine

Have another area of interest? Residents can work with program leadership and faculty to develop an individualized elective experience aligned with their goals.

A Longitudinal, Progressive Curriculum

Our core curriculum follows a structured two-year cycle based on the American Board of Emergency Medicine’s Model of the Clinical Practice of Emergency Medicine. Over four years, residents encounter each major content area twice, allowing foundational concepts to be revisited with increasing depth, complexity, and clinical application as they progress through training.

Content is organized using a systems-based approach and incorporates emergency medicine knowledge, clinical reasoning, procedural skills, and professional development. Small-group Foundations sessions complement the broader curriculum, providing opportunities for focused discussion, active learning, and application of core concepts.

Simulation

Simulation is an integral part of our curriculum. Residents participate in monthly simulation sessions designed around high-acuity and time-sensitive emergency conditions, with an emphasis on clinical decision-making, communication, team leadership, and crisis resource management.

Procedural education is integrated across training through simulation, task trainers, hands-on instruction, and clinical practice, allowing residents to develop increasing proficiency and independence as they progress through residency.

Journal Club

Journal Club is held monthly and provides dedicated time for residents to develop the skills needed to critically evaluate medical literature and incorporate emerging evidence into clinical practice. Residents learn to assess study design, methodology, statistical interpretation, and potential sources of bias while discussing clinically relevant literature with faculty and peers. As residents progress through training, they take increasing responsibility for leading discussions, evaluating the strengths and limitations of the evidence, and considering how new findings should influence patient care.

Journal Club is intentionally held outside of the hospital, typically in the home of a faculty member. The informal setting creates an opportunity to continue learning beyond the traditional classroom while encouraging thoughtful discussion, mentorship, and connection. These gatherings combine structured education with time to build relationships as a residency community, creating an environment where residents can exchange perspectives and learn from one another.

Independent Learning and Board Preparation

Educational resources, independent learning, and question-based review complement weekly didactics and help residents identify areas for continued growth and prepare for standardized examinations.

Residents have access to longitudinal educational resources, including Rosh Review and EKG Weekly, to support ongoing knowledge assessment, strengthen ECG interpretation skills, and prepare for the ABEM In-Training Examination and board certification.

Scholarly Activity

We believe that engagement in scholarly activity is an important part of residency education and the development of thoughtful, curious, and engaged emergency physicians. Our goal is to help each resident identify opportunities for scholarship that align with their interests, career goals, and individual strengths.

Residents will work with faculty mentors to develop a personalized approach to scholarly activity. Opportunities may include clinical research, medical education, quality improvement and patient safety, case reports, curriculum development, presentations and publications, as well as leadership and committee involvement within regional and national emergency medicine organizations.

Rather than taking a one-size-fits-all approach, residents will have the flexibility to pursue work in the areas that interest them most. Whether developing an educational innovation, participating in a research project, presenting at a professional meeting, leading a quality improvement initiative, or contributing through professional organizations, residents will have mentorship and institutional resources to help develop their interests into scholarly contributions.

Our department brings together physician faculty actively engaged in scholarly projects with dedicated PhD researchers, creating a rich academic environment for resident scholarship. This combination provides residents with access to methodological expertise and additional resources to develop and advance their academic work.

Why OU?

The University of Oklahoma offers the opportunity to train in emergency medicine at the state’s flagship academic medical center while helping shape the future of a new residency program. At OU Health, residents care for patients with a broad range of illness and injury, from common emergency conditions to complex, high-acuity presentations referred from across Oklahoma and the surrounding region.

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Frequently Asked Questions

How many residents will be in each class?

We will welcome six residents per year to our four-year program. Our intentionally small class size allows us to know each resident as an individual and provide mentorship, educational opportunities, and career development tailored to their interests and goals.

Will residents rotate at other hospitals or need to travel between clinical sites?

Our primary clinical site is OU Health University of Oklahoma Medical Center, with pediatric training at Oklahoma Children’s Hospital on the same OU Health campus. Residents will also train at OU Health Edmond Medical Center, approximately 15 miles from the main campus, and our OU Health freestanding Emergency Department/Urgent Care, approximately 12 miles away. All clinical sites are within the Oklahoma City metro area.

What does it mean to join a new residency program?

Joining a new residency means having a unique level of opportunity, individualized attention, and influence from the very beginning. Residents will have opportunities to develop as leaders early in training and play an important role in establishing the culture and traditions of our program, while program leadership provides the structure and support needed for them to focus on responsibilities appropriate to their stage of training.

How will resident feedback be incorporated into the program?

Resident feedback will be essential to our continued growth and intentionally built into the residency experience. Residents will have dedicated opportunities during protected educational time, regular meetings with program leadership, and formal program evaluation processes to share feedback and identify opportunities for improvement. Our goal is to create a culture where resident input is a routine part of how we evaluate, refine, and strengthen the program.

How many patients are seen in the Emergency Department each year?

Residents will train across several busy OU Health emergency care settings. Our primary Emergency Department at OU Health University of Oklahoma Medical Center sees more than 65,000 visits annually, while Oklahoma Children’s Hospital sees approximately 45,000 emergency visits, OU Health Edmond Medical Center approximately 12,000, and OU Health ER & Urgent Care approximately 29,000 each year.

What is the acuity and patient population like at OU Health?

Residents will care for a broad and diverse patient population, from common emergency presentations to complex medical illness, critical disease, and major trauma. OU Health University of Oklahoma Medical Center is the only Level I Trauma Center within 100 miles, caring for approximately 8,000 trauma patients annually, including more than 1,000 Level I trauma activations. Approximately 25% of Emergency Department patients are admitted to the hospital, with 22% of admitted patients requiring ICU-level care, providing substantial exposure to high-acuity and critically ill patients.

How are residents given increasing autonomy in the Emergency Department?

Progressive autonomy is a core part of our competency-based approach to training. Residents are evaluated not only on what they know, but on the level of responsibility faculty can confidently entrust to them in clinical practice. As residents demonstrate increasing competence, clinical judgment, and readiness for greater responsibility, supervision and autonomy evolve accordingly. This allows residents to take on progressively greater roles in clinical decision-making, procedures, resuscitations, and Emergency Department leadership as they prepare for independent practice.

What resources are available to support resident wellness?

Our approach to resident well-being is built around six interconnected pillars: emotional, occupational, physical, social, intellectual, and spiritual well-being. Throughout residency, these areas are supported through mentorship and coaching, fatigue mitigation and schedule protections, retreats and social activities, opportunities for service and reflection, dedicated well-being education, and access to confidential counseling and other support resources. Our goal is to support well-being during training while helping residents develop the skills, connections, and sense of purpose that contribute to a sustainable and fulfilling career in emergency medicine.

What opportunities are available for residents interested in fellowship?

Residents interested in fellowship will have the opportunity to build toward that goal throughout their training. Through mentorship, targeted electives, scholarly activity, national involvement, and access to subspecialty expertise across OU, residents can develop meaningful experience in their chosen area. The flexibility of our four-year curriculum allows us to individualize that preparation based on each resident’s interests and future goals.

Are residents supported in attending regional and national conferences?

Yes! We believe involvement in emergency medicine beyond our institution is an important part of professional development. During residency, each resident will be supported to attend the SAEM Annual Meeting, CORD Academic Assembly, and ACEP Scientific Assembly, providing opportunities for education, networking, scholarship, and involvement in the broader emergency medicine community. As an additional opportunity for our inaugural class, residents will attend the SAEM Annual Meeting and Chief Resident Forum during their intern year, supporting early professional development and leadership as they help establish our new program.

What opportunities are available for involvement in professional emergency medicine organizations?

We encourage residents to become actively involved in the broader emergency medicine community through committee work, leadership, education, advocacy, and other opportunities aligned with their interests. Residents will receive program-sponsored memberships in SAEM and ACEP/EMRA, along with support for involvement in national emergency medicine organizations. Faculty with experience and leadership in these organizations will help residents identify opportunities, make connections, and find meaningful ways to become involved throughout training.

Are there opportunities for residents to teach medical students?

Yes! Residents will have opportunities to teach medical students and other learners throughout their clinical rotations, as well as through dedicated teaching rotations. These experiences are designed not only to develop effective clinical teachers, but also to build broader skills in medical education, including curriculum development, feedback, assessment, and educational leadership.

What opportunities are available for residents interested in academic emergency medicine?

Residents interested in academic emergency medicine will have opportunities to intentionally build the skills needed for a career as an educator, scholar, and leader. Through dedicated teaching experiences, mentorship, scholarly activity, curriculum development, research, national committee involvement, and leadership opportunities, residents can begin developing an academic niche during residency. Our four-year curriculum provides the time and flexibility to individualize these experiences, while faculty with backgrounds in medical education and academic leadership can provide mentorship as residents begin building their own careers in academic emergency medicine.

How does mentorship work within the residency?

Each resident will have a dedicated faculty mentor who provides longitudinal coaching, career advising, and support throughout residency. Mentorship will evolve with the resident, from navigating the transition to residency early in training to identifying areas of interest, pursuing individualized opportunities, and preparing for the next stage of their career.

Do you allow moonlighting?

Yes. Eligible upper-level residents will have opportunities to moonlight, subject to program approval and applicable institutional and ACGME requirements.

Where do residents typically live in Oklahoma City?

Oklahoma City offers a wide range of neighborhoods and communities to fit different lifestyles. Residents can choose to live closer to the OU Health campus in areas such as Downtown, Midtown, the Paseo Arts District, or the Plaza District, or farther out in communities such as Edmond, Moore, and Norman. Whether you prefer walkable neighborhoods with restaurants and entertainment nearby or more space in a suburban setting, there are many affordable options within the Oklahoma City metro area.

Is parking provided?

Yes. Parking is provided to residents at no cost at affiliated training sites.

Is there a meal allowance?

Yes. Residents receive an annual meal allowance loaded directly onto their ID card for use at OU dining facilities. Food is also available 24/7 at affiliated clinical sites, ensuring residents have access to meals while working clinical shifts.

What benefits are provided to residents?

Residents receive a comprehensive benefits package through the University of Oklahoma, including medical and dental insurance, life and disability coverage, professional liability insurance, and retirement savings options. 

Residents also receive paid vacation and medical, parental, and caregiver leave, as well as educational leave for approved professional activities. 

For current salary and detailed benefit information, please visit the OU College of Medicine Graduate Medical Education Benefits page.