Carilion Clinic Emergency Medicine NP & PA Fellowship

The Carilion Clinic Emergency Department offers a post-graduate Advanced Practice Fellowship Program for Physician Assistants (PAs) and Nurse Practitioners (NPs) in Emergency Medicine (EM) for those seeking advanced training and experience in the field of EM. This unique, intensive program will build upon the strength of our highly successful PA and NP EM practice already in place, combined with the largest and most effective emergency medicine physician practice in southwest Virginia. The fellowship will be a complement to the Carilion Clinic – Virginia Tech Carilion Emergency Medicine Residency program, as NP and PA fellows will benefit from didactic and clinical experiences that mirror EM physician residency training.

Graduates of this one-year fellowship program will possess substantial skills, knowledge, and competencies required in the field of emergency medicine as the PA and NP professions continue to be ranked among the fastest growing career opportunities.

Fellows accepted into the program will be full-time employees of Carilion Clinic and eligible for full medical, dental, and disability benefits. They will also retain GME benefits of other fellows such as ACLS/ATLS/PALS certifications, subsidized healthcare, lab coats, moving expenses, Blackberries, etc.

Length of Program: 12 months
Class size: 4


Applications Due: Sept 1st
Interviews: October & November
Start date: End of Jan

Program Director Contact Information:

Randy Howell

Mailing Address:
P.O. box 13367
Roanoke, VA 24033

Website: https://www.carilionclinic.org/emergency-department/fellowship/np-pa\

Application Components:

  • Transcripts from the undergraduate institution and PA/NP program
  • Three letters of recommendation
  • CV- including recreational and community service activities
  • Personal Statement: Discuss anticipated strengths that you bring to the fellowship as well as professional knowledge, skill and or behavior that you wish to enhance.

Curriculum and Didactic:

This dynamic program includes didactic instruction and clinical training components that two fellows will complete over 12 months. Orientation will be approximately six weeks long (EPIC, credentialing, etc).

Clinical Rotations

  • Emergency Medicine
  • Pediatric Emergency Medicine
  • Internal Medicine/ICU
  • Orthopedics
  • Trauma/Surgery
  • Anesthesia

Clinical time will be spent in various departments of Carilion Clinic, under the supervision and direction of Carilion faculty. They will be working alongside other residents, NPs, PAs, and attending physicians in all sections of the emergency department, including the Rapid Care Unit, Main Side, Trauma/Overflow, and Pediatric ED. They will also take call on off service rotations such as orthopedics, trauma, etc.

Didactics include, but are not limited to:

  • Weekly emergency department education conference
  • Morbidity and mortality conference
  • Journal club
  • Case-based simulation
  • Procedure simulation
  • Certification courses: Fellows will become certified in ACLS, PALS and ATLS.
  • Ultrasound: Every fellow will complete an emergency ultrasound course which combines traditional didactics with hands-on ultrasound experience.

The didactic portion begins with a month of orientation and skills workshops designed to provide introductory emergency medicine foundation for advanced education. Fellows will attend lectures that cover the core curriculum for emergency medicine (cardiovascular, critical care, trauma, infectious disease, pulmonary, gastrointestinal, hematologic, endocrine, HEENT, OB/GYN, renal/GU, pediatrics, neurology, dermatology, toxicology), and also conduct a research project or publishable case study.

Complete applications should be submitted to the program directors listed under the contact information