Career Pathways

Where UW
Can Take You

Forward Has No Finish Line

In our commitment to training the next generation of leaders in emergency medicine, we ensure our graduates hit the ground running as they take the next steps in their careers beyond residency. From community medical directors to residency program leaders, professional team physicians to institutional directors of disaster medicine, our graduates are advancing patient care, medical education, and healthcare policy across the globe.

While many of our graduates enter directly into clinical practice in a variety of practice environments across the country, a significant portion elect to stay in Madison for additional focused training and niche development. In addition to our renowned 3+1 training opportunities, we offer a number of accredited fellowships under the direction of nationally recognized faculty.

>> 3+1 & Fellowship Opportunities

The University of Wisconsin Emergency Medicine Program offers a unique “3+1” opportunity to further develop knowledge and skills within a niche area of emergency medicine. The 3+1 program is open to all UW EM residents and offers an optional one-year capstone experience following residency to pursue clinical, academic, and/or innovative interests within the field. Participants work an average of 8 shifts/month as attending physicians and earn a salary that is often more than twice that of standard PGY-4 or ACGME-accredited fellowship stipends.

In addition to continuing to develop their clinical skills, 3+1 program participants are afforded a significant amount of protected time to pursue scholarly opportunities under the guidance of dedicated faculty mentors within their niche field of interest.


Med Flight: About the opportunity

Operating since 1985, UW Med Flight is among the most well-known and respected critical care transport services in the country and provides world-class scene and inter-facility critical care transport services for Wisconsin, northern Illinois, and eastern Iowa.

Med Flight is one of the only helicopter EMS (HEMS) programs in the United States staffed by attending physicians on every flight. A team of 30 physicians operates three twin-engine aircraft with state-of-the-art aviation technology alongside an experienced pilot and nurse.

UW is one of the few programs in the U.S. to provide high-impact HEMS training to residents and fellows where they manage critically ill and injured adult, pediatric and neonatal patients. They also gain extensive procedural and administrative experience outside of the traditional ED setting. Learn more.


Ultrasound: About the opportunity

Our five ultrasound fellowship-trained faculty are national leaders in the point-of-care ultrasound community, and an additional 32 EM faculty have active ultrasound clinical privileges, raising the quality of the ultrasound experience for learners.

This opportunity includes an advanced machine dedicated just for fellows and structured curriculum exceeding national standards, including TEE. The ultrasound fellowship provides progressive responsibility in ultrasound teaching and deliberate practice in training future ultrasound leaders, with unparalleled investment and mentorship from our faculty.



Global Health: About the opportunity

The UW Department of Emergency Medicine has built relationships with partnering institutions throughout the world.

Our one-year program is designed to develop skills that will help advance the field of emergency medicine in resource-poor areas and prepares fellows for an impactful and rewarding career in global health. Individual program emphasis is tailored to a participant's area(s) of interest and may include teaching and research.

Our faculty and fellows have participated in projects in Uganda, Peru, Guatemala, Rwanda, Ethiopia, Nepal.



EMS: About the opportunity

Our one-year ACGME-accredited EMS fellowship combines ground, aeromedical and tactical EMS exposure with administrative, leadership, and research activities, including utilization of two dedicated physician response vehicles for on-scene field experience and the ability to train with our world-class helicopter EMS unit.

Our program trains physicians in medical direction for ground and air transport, disaster preparedness, event medicine, tactical EMS, QA/QI, prehospital research, and EMS education. The fellowship is flexible to allow time to explore individual interests and scholarship. Graduates are fully prepared to sit for their ABEM EMS board certification exam and to provide exceptional medical direction to prehospital emergency care agencies with advanced competencies in EMS operations, administration, and clinical care.



Med Ed: About the opportunity

Our one-year SAEM-approved Education Scholarship fellowship is designed around the principle of hands-on learning. Fellows take an active role in the management of our innovative education programs through their role as either Interim Assistant Program Director or Interim Assistant Clerkship Director.

Fellows teach all levels of learners, from second year medical students on their required EM rotation through continuing medical education for faculty in a variety of settings including small groups, simulation and lectures. Fellows work on our Medical Education Scholarship committee and are supported by our multiple nationally-recognized education faculty in producing cutting-edge scholarship. Weekly fellowship meetings cover all aspects of what it means to be a successful modern medical educator, and fellows receive robust support for formal outside educational experiences such as a master's degree.



Simulation: About the opportunity

Fellows gain skills in the creation and execution of simulation-based learning experiences, including underlying theory, research, as well as debriefing and technical skills. Curriculum development is also a key component of this one-year program.

In addition to training at the University of Wisconsin, fellows are supported to attend the Comprehensive Instructor Course hosted by the Center for Medical Simulation at Harvard University, which is the standard of excellence in Simulation Education.

Extensive teaching opportunities with medical students, physician assistant students, and EM residents allow fellows to hone their skills and develop their own teaching styles. Simulation fellowship-trained faculty conduct "debrief the debriefer" sessions after observing teaching to provide real-time constructive feedback. Fellows not only participate as faculty leaders in cases but also help shape the RESUS conference days for EM residents and gain insight into the operations and business aspects of running a state-of-the-art simulation facility.



Admin/Quality: About the opportunity

“It is not enough to do your best; you must know what to do, and then do your best” - W. Edwards Deming.

An operational leader needs to manage a team, interpret and make data-driven decisions, enhance efficiency while maintaining patient safety, and embody continual improvement. Whether your goal is to pursue leadership within a critical access emergency department or an academic center, as a fellow in Administration and Quality Improvement, you will gain the skills needed to jumpstart your career.

Our one-year fellowship program combines didactics with project management and department committee involvement. It is structured to provide a breadth of education in leadership, quality improvement, and change management with the flexibility to adapt to each fellow’s focus.



Pediatrics: About the opportunity

We provide a comprehensive, longitudinal pediatric experience so our residents are positioned to match competitively into Pediatric Emergency Medicine fellowships. Our pediatric emergency department is affiliated with one of Wisconsin's top children’s hospitals located just next door, which provides many opportunities to build competence in taking care of pediatric patients.

Learn more about our Division of Pediatric Emergency Medicine.



Research: About the opportunity

We offer a two-year, SAEM-certified research fellowship trains physicians to become independent investigators and nationally recognized leaders in emergency medicine research, capable of conducting externally-funded clinical or health services research. At the end of the program, fellows will have completed a Master of Science in Clinical Investigation (MSCI) degree and will be well-prepared to obtain a federal career development award.

The UW Department of Emergency Medicine is a recognized leader in our specialty, ranking among the top academic departments of emergency medicine for NIH research funding. Fellows are able to leverage the tremendous resources across the UW–Madison campus as well as its collaborative, interdisciplinary spirit, which promotes connectedness across an extensive network of research programs.

Our department conducts a wide range of ongoing research programs, including in emerging infectious diseases, medical education, emergency radiology, prehospital medicine, informatics, and geriatric emergency medicine.



Critical Care: About the opportunity

A multidisciplinary ICU experience combined with a robust resuscitation curriculum makes UW EM residents extremely competitive candidates for critical care fellowship training.

Our EM faculty includes multiple dually trained EM/CC staff with broad representation across five different UW system ICUs. Scheduled and elective time is sufficient to ensure all prerequisites are satisfied, and experience with ECMO and extracorporeal CPR (ECPR) make sure our graduates are savvy with the most cutting-edge, life-saving technology.

Learn more about our Division of Critical Care Medicine.



Wellness: About the opportunity

Wellness is increasingly appreciated as a critical aspect of the practice of medicine and has been demonstrated to affect both clinical outcomes and provider retention. We are excited to offer a curriculum built on the foundation of our strong commitment to wellness for our providers, learners, and staff and designed to offer Fellows the opportunity to be innovators in this important and growing field.

This 3+1 opportunity is centered around developing novel approaches to promote wellness among providers with an eye towards long-term wellbeing and work/life integration. Areas of focus can be tailored based on professional interest but may include resilience, team building, mindfulness, Second Victim Syndrome, and policy change or development.

3+1 Program FAQs

+ Who is eligible for the 3+1 program?
Currently, this program is offered to University of Wisconsin Emergency Medicine residents only.

+ Who should consider a 3+1 program?
Any resident who would like an additional year of training to pursue clinical, academic, and/or personal career interests should consider this program. New 3+1 opportunities can be developed under a traditional fellowship heading, and innovative approaches are welcomed. 

+ How much will I be paid?
Compensation for the 3+1 year is extremely competitive, often more than twice that of national standards for a PGY-4 year and accredited fellowships.

+ How many shifts will I work?
Fellows work approximately eight clinical shifts per month. Moonlighting opportunities exist at the University of Wisconsin Hospital and Clinics Emergency Department, Med Flight, and Beloit Memorial Hospital. Additional compensation is provided for moonlighting.

+ Where will I work?
Work opportunities for fellows exist at the University of Wisconsin Hospital and Clinics (UWHC), UW Health at The American Center, Med Flight, and Beloit Hospital. Clinical shifts will depend on interest and availability.

+ How do I apply?
Residents have the opportunity to discuss 3+1 opportunities with the Program Director throughout their residency at UW. Specific application requirements vary by program and will be discussed during the PG-3 year of residency.