We are relatively unopposed in the hospital meaning that our residents are not competing with other learners for opportunities. We have EM and FM residencies at AHN-Saint Vincent. Our residents do not compete with residents from other specialties (e.g., surgery, anesthesia, critical care, etc.). In addition, our culture of continuous improvement helps us to continue to strive to be the best program we can be, with residents who are passionate about growth while supporting each other's develop