Our residents are exposed to all types of tertiary and quaternary-level cases, including cardiac and liver transplants, major trauma, burns, high-risk obstetrics, advanced endoscopic and endovascular procedures. There is a free-standing children's hospital with all pediatric subspecialties and an adult ambulatory surgical/interventional wing. Simulation, including PoCUS, and interactive didactics prepare for ABA exams. ACGME-accredited RAAPM, Pain Management and ACTA fellowships enhance learning