Rotations in EMS & ultrasound are integrated within the curriculum. PGY2 residents travel to Denver for a 4-week toxicology rotation. Our program provides the academic & operational training necessary to flourish in the complex environment of today's EDs, combined with a stimulating hands-on clinical experience in a high-acuity county facility that serves as a community safety-net. We encourage and respond to resident feedback, take the time for self-reflection, and strive to continually evolve.