The Dept of EM at Beaumont Royal Oak has a long-standing tradition of training excellent physician leaders. Residents receive a broad-based education in a high volume, high acuity environment caring for a diverse population. We prioritize patient-centered care and evidence-based education in a supportive environment with special emphasis on critical care and pediatric EM. Integrated curricula in leadership, EMS, patient safety, QI, and healthcare disparities provides a wealth of opportunities.