Where UW Can Take You
Fellowships, 3+1 Training, and Job Placement
Forward Has No Finish Line
Wisconsin's state motto symbolically reflects the state's continuous drive to be a national leader. The University of Wisconsin Emergency Medicine Residency Program is no different. 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.
Graduates of our residency and fellowship programs go on to practice in academic medical centers, community hospitals, and group and private practice throughout the world. The impact that our graduates have is inspiring, and our mission is shared globally through their work. From community medical directors to residency program leaders, professional team physicians to institutional directors of disaster medicine, graduates of our training programs are advancing patient care, medical education, and healthcare policy across the globe.
>> After Graduation
Despite the concerns about the future of the job market for emergency medicine physicians, our graduates do remarkably well in securing post-training employment. Directly after completing their three-year residency at the University of Wisconsin, our residents often seek advanced training through fellowships, pursue teaching and research opportunities in academic settings, or focus on providing remarkable clinical care to patients in community settings.
As our residency program has grown over the last decade from six residents per class to 13, our Badger family now spans across the country and globe holding a variety of positions both in and outside of the emergency department. At the core of our program is a strategic framework that aims to develop strong clinical, leadership, and communication skills among residents so that when they graduate, they are highly prepared to succeed in whatever their career trajectory may be. Here’s where recent residents entered practice after graduation:
Class of 2021
- Shannon Burke, MD - Residency Education Fellow, University of Wisconsin Hospitals and Clinics - Madison, WI
- David De La Cruz, MD – Community Emergency Physician, Appleton Emergency Services - Appleton, WI
- Jessica Edgecomb, MD – Attending Physician, PeaceHealth Southwest Medical Center - Vancouver, WA
- Zachary Forcade, MD – Med Flight Fellow, University of Wisconsin Hospitals and Clinics - Madison, WI
- Ashwath Gunasekar, MD – Global Health Fellow, University of Wisconsin Hospitals and Clinics - Madison, WI
- Ross Laurent, MD – Emergency Physician, BayCare Clinic - Green Bay, WI
- Kevin McConkey, MD – Ultrasound Fellow, University of Wisconsin Hospitals and Clinics - Madison, WI
- Alex Paulsen, MD – Senior Associate Consultant, Mayo Clinic Health System - Eau Claire, WI
- Justin Purnell, MD, MMS – Ultrasound Fellow, University of Wisconsin Hospitals and Clinics - Madison, WI
- Christopher Ryba, MD – EMS Fellow, University of Utah - Salt Lake City, UT
- Madison Tustian, MD – Med Flight Fellow, University of Wisconsin Hospitals and Clinics - Madison, WI
- Jacob Zadra, MD – Attending Physician, Marshfield Medical Center - Beaver Dam, WI
The field of emergency medicine is growing more competitive as it increases in popularity and diversity, and the benefit of establishing a niche is increasingly apparent. While many of our graduates enter directly into clinical practice in a variety of environments across the country, a significant portion elect to stay in Madison for additional focused training and niche development.
The UW Department of Emergency Medicine offers renowned "3+1" training opportunities for current residents of our program in addition to sponsoring a number of accredited fellowships under the direction of experienced, nationally recognized faculty. In 2021, we welcomed nine fellows, six of whom matriculated directly from their PGY-3 year of our emergency medicine residency program.
We take pride in preparing fellows for successful and fulfilling careers, and we invite you to explore these opportunities to learn more about what UW can offer you.
The University of Wisconsin offers fellowships that are accredited by governing bodies, meaning graduating fellows in good standing are eligible to pursue subspecialty board certification or focused practice designation (FPD) by the American Board of Emergency Physicians (ABEM) in their area of advanced training. Current programs at UW that meet accreditation criteria as an advanced training pathway are Emergency Medical Services (EMS) and Advanced Clinical Ultrasound. Both programs also participate in the NRMP Match and are led by fellowship directors who have successfully completed ABEM practice certification.
Fellowships & "3+1" Opportunities
The UW 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 per 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.
>> Emergency Medical Services (EMS)
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 American Board of Emergency Medicine 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. Learn more about this program.
>> Advanced Ultrasound
Our ultrasound fellowship provides progressive responsibility in ultrasound teaching and deliberate practice in training future ultrasound leaders, with unparalleled investment and mentorship from our faculty. An advanced ultrasound machine dedicated just for fellows and structured curriculum exceeding national standards, including TEE. 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.
Our fellowship program is accredited by the Emergency Ultrasound Fellowship Accreditation Council (EUFAC), meaning it is recognized as one of the top ultrasound training programs for EM physicians in the United States. Only graduates from EUFAC accredited fellowship programs can sit for Focused Practice Designation (FPD) certification through the American Board of Emergency Medicine. Learn more about this program.
Fellowships & 3+1 Opportunities
>> Admininistration & Quality
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. Learn more about this program.
>> Critical Care
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.
>> Flight Medicine
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 about this program.
>> Global Health
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 it 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. Learn more about this program.
Our faculty and fellows have participated in projects in Uganda, Peru, Guatemala, Rwanda, Ethiopia, and Nepal.
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.
>> Medical Education
Our one-year SAEM-certified Medical Education fellowship in which fellows take an active role in the management of our innovative medical education programs while engaging in novel scholarship. It is designed around the principle of hands-on learning as fellows take on the role of either Interim Assistant Residency Program Director or Interim Assistant Clerkship Director.
Fellows teach all levels of learners, from M2 students on their required EM rotation through continuing medical education for faculty in a variety of settings including small groups, simulations and lectures. Fellows work on our Medical Education Scholarship committee. 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. Learn more about this program.
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.
Our residents have gone on to complete pediatric emergency medicine fellowships and serve as chiefs of pediatric emergency medicine. Learn more about our Division of Pediatric Emergency Medicine.
Our 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 nationally 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. Learn more about this program.
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 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. Learn more about this program.
3+1 Program FAQs
Currently, this program is offered to University of Wisconsin Emergency Medicine residents only, but graduates from external residency programs may apply and interview for fellowship positions within several programs.
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 with faculty sponsorship, and innovative approaches are welcomed.
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.
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.
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.
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.