Q&A

Questions & answers

Common questions from applicants and incoming residents about the program, our training sites, applying, and living in San Antonio.

The program

What kind of residency is this?

A categorical three-year Emergency Medicine residency based at Methodist Hospital in San Antonio, the home base of graduate medical education for Methodist Healthcare — an eleven-hospital acute care system co-owned by Methodist Healthcare Ministries of South Texas and HCA Healthcare.

How does the 4+1 schedule work?

Residents spend four consecutive weeks on a required or elective rotation, then one week in continuity clinic. Inpatient care stays uninterrupted, handoffs are minimized, off-time is predictable, and the clinic week is a respite between intensive clinical blocks.

What does the didactic schedule look like?

Daily morning report and faculty teaching rounds, a weekly protected half-day with attending and chief-resident led teaching plus simulation, and monthly journal club, board review, M&M, tumor board, grand rounds, research sessions, and well-being sessions.

Are there fellowships after residency?

In-house fellowships are being added: Cardiac Critical Care (2026), Cardiology (2027), and GI, PCCM, Interventional Pulmonology, Neurocritical Care, and Endocrinology (2028).

Rotation sites

Where will I rotate?

Primarily at Methodist Hospital, with rotations at Methodist Hospital Metropolitan downtown, Methodist Children's Hospital on the Floyd Curl campus, and St. David's South Austin Medical Center in South Austin.

How do I set my hospital on this site?

Open the Hospitals page and choose 'This is my hospital.' The site then shows only your campus. If your assignment changes, use 'Change my hospital' or 'Show all hospitals' at any time.

Is my hospital choice shared with the program?

No. It is saved locally in your browser only, purely to tailor what you see on this site.

Applying

How do I apply?

Applications are accepted through ERAS and positions are filled through the NRMP Match. Review current requirements and deadlines on the official program site at methodistsaim.com before submitting.

Do you sponsor visas?

Visa sponsorship questions are handled case by case by the GME office. Contact the program coordinator or a chief resident for current guidance.

Who can I contact with questions?

Reach out to any of the chief residents — their emails are listed on the Faculty & Staff page — or contact the program office through the official program site.

Life as a resident

What benefits are included?

A provided laptop and cellphone, flexible paid time off, free meals, competitive 401(k) match and insurance, 24/7 wellness resources, an employee assistance program, and free covered parking.

What research support is available?

More than 45 active resident-led projects, 20 research faculty, and a dedicated research director and coordinator supporting multicenter RCTs, retrospective studies, QI work, systematic reviews, meta-analyses, and case series.

What is San Antonio like?

The seventh-largest U.S. city, with a rich cultural landscape, Hill Country scenery nearby, and an affordable, family-friendly cost of living compared with other major Texas metros.

How is wellness handled?

Periodic wellness events, team-building, protected wellness days, confidential counseling, and generous PTO.

Resident chat

Is there a resident chat?

Yes — visit the Chat page for shared, live chat rooms. There is a main room for everyone, one room per PGY class, and one per hospital. It is open to anyone using the site, so residents can ask quick questions, post announcements, or coordinate shift swaps.

How do I join the chat?

Open the Chat page, pick a display name, and start posting. Your name is saved on your device only, and you can change it at any time. No password or login is required.

Can I react to or reply to a message?

Yes. Hover any message to add an emoji reaction (click again to remove yours) or hit Reply to quote it above your response, so side conversations stay readable.

Is the chat private or official?

The chat is informal and resident-run. It is not an official program communication channel and should not be used for patient care, protected health information, or emergencies.

What should I avoid posting in chat?

Never share patient information, photos, or identifying details. Keep posts professional and respectful. If you need official help, contact the program office or a chief resident directly.

Swap board & announcements

How do I post or claim a shift swap?

Open the Swaps page, fill in your name, the shift date, type, and site, and post it. To take someone else's shift, hit 'Claim this shift' on an open swap and confirm with your name. Always confirm swaps with the scheduler per program policy — the board is a coordination tool, not official approval.

Where do program announcements appear?

On the Announcements page, and the latest few also show at the top of the home page. New ones appear live without refreshing.

Who can post announcements?

Only the program office and chief residents, using the program passphrase. If you need something announced, send it to a chief or the coordinator.

Is there a checklist for incoming interns?

Yes — the Interns page has an onboarding checklist grouped into 'before day one,' 'first week,' and 'first month.' Your progress is saved on your device, and you can reset it anytime.

Still have a question?

Email a chief resident from the Faculty & Staff page, or visit the official program site for application details.

Official program site