High acuity, fast-paced emergency department with training at both urban and community emergency departments. Dedicated faculty at primary and secondary sites with much bedside teaching. Trainees have autonomy and perform many procedures. Sponsoring site is Level 1 Trauma for Adults and has busy life flight service and online med command. Fellowship opportunities available: Ultrasound, EMS, and Addiction Medicine. Secondary site is world famous and world leader in patient care and innovation.