Learn more about being a resident at PRISMA Health:


Promotional Video (3 minutes)

South Carolina & Columbia (3.5 minutes)

Personnel (2 minutes)

Curriculum (10 minutes)

Facilities (2.5 minutes)

Compensation & Benefits (2 minutes)

Hours Bank (2.5 minutes)






The emergency medicine program at Prisma Health Midlands is an ACGME fully accredited, three-year training program.  The program began in 1974 and has been at Prisma Health Midlands since 1978.  The curriculum for the training program is as follows:


All rotations are at the Prisma Health Richland Campus 

  • 4 weeks - Cardiology
  • 38 weeks - Emergency Medicine
  • 2 weeks - EMS (air and ground)
  • 4 weeks - Medical Critical Care
  • 2 weeks - Obstetrics
  • 2 weeks - Ultrasound


All rotations are at Prisma Health Richland.

  • 4 weeks - Elective
  • 4 weeks - Medical Critical Care
  • 30 weeks - Emergency Medicine
  • 2 weeks - Orthopedics
  • 4 weeks- Pediatric Critical Care
  • 8 weeks - Surgical & Trauma Critical Care


  • 6 weeks - Electives
  • 46 weeks - Emergency Medicine


  • Wilderness Medicine
  • Research
  • Advanced Emergency Ultrasound
  • Global Health 
  • Aeromedical EMS
  • Research
  • HBO
  • Dentistry, Ophthalmology, and many others


  • PRISMA HEALTH RICHLAND - The hospital of Prisma Health Richland is a meticulously landscaped and maintained facility that lies on a large hospital campus near downtown Columbia. The main tower holds 650 beds including the critical care units. Ten buildings on campus contain the offices of private physicians, the Prisma Health Midlands Residency Programs, the Simulation Medicine Center, and Graduate Medical Education. In addition, the campus is home to Richland Springs, a behavioral health facility, Columbia Area Mental Health Clinic, HealthSouth Rehabilitation Hospital, and a Ronald McDonald House.
  • PRISMA HEALTH HEART HOSPITAL - In 2006, Prisma Health Heart Hospital opened the first freestanding heart hospital in South Carolina.
  • PRISMA HEALTH CHILDREN'S HOSPITAL - Opened in 2008 and adjacent to the main tower is the Prisma Health Children's Hospital.  This new 135,000 square foot, six-floor facility provides advanced care to children from areas around the state and beyond.
  • PRISMA HEALTH BAPTIST - One of our sites for the community emergency medicine rotation, Prisma Health Baptist is a 352-bed hospital with an annual census of 36,000 patients per year.  
  • PRISMA HEALTH PARKRIDGE - Another site for our community emergency medicine rotation, Prisma Health Parkridge is a 76-bed hospital with an annual census of 35,000 patients per year.  



The EMS training at Prisma Health Richland combines several educational experiences to provide residents with exposure to a wide spectrum of out-of-hospital emergency care. The EMS curriculum consists both ground and air ambulance assignments during an intern year rotation.


Our residents ride with the regional aeromedical EMS service, LifeNet.  A senior elective in aeromedical EMS is available for interested senior residents.


The Richland County EMS System transports more than 35,000 patients per year, the majority of which come to Prisma Health Richland.  Residents interface with Richland County EMS by riding with ground units and giving lectures to paramedics on emergency medicine topics.  An assistant director position is available to interested residents and provides funding for additional texts and outside conference attendance. 



tactWork with the Richland County Sheriff's Department of Special Response Team and the South Carolina Law Enforcement Division (SLED). Educational activities include exercises in care-under-fire, medical threat assessment, command responsibility, and care of the team. An assistant director position is available for interested residents and provides funding for additional texts and conferences





  • The Children's Emergency Center (CEC) occupies more than 8000 square feet of space within the emergency department and cares for more than 30,000 patients each year.
  • All emergency medicine attending physicians staff the CEC including three physicians double-boarded in emergency medicine and pediatric emergency medicine.
  • The CEC is a well-maintained clinical area with trained pediatric nurses, private rooms, and a resuscitation bay.
  • While rotating in the emergency department, one-third of all shifts are done in the Children's Emergency Center.


traumaPrisma Health Richland provides the only Level-1 Trauma Center for the Midlands region of South Carolina. Within the emergency department are two spacious, state-of-the-art trauma resuscitation bays where more than 2400 major trauma admissions are seen each year.

The EM residents actively participate in all trauma resuscitations by providing airway management and by rotating on the trauma service during two months of their training. Approximately 20 percent of trauma admissions are for penetrating injuries.

Within the emergency department are two spacious trauma bays with all the tools necessary to provide state-of-the-art trauma care.


The Emergency Department at Prisma Health Richland has been a national leader in emergency ultrasound education since 1997. There currently are six ultrasound systems in the department exclusively for EM-resident and attending use. Residents are provided with a state-of-the-art, web-based education system on common and novel uses of ultrasound in emergency medicine settings. All residents are required to complete the training guidelines set forth by the American College of Emergency Physicians while completing hundreds of exams in an expanding number of uses.

Several faculty members founded the 3rd Rock Ultrasound. Since 1998, 3rd Rock has conducted over 1500 courses to over 25,000 healthcare providers.

The Emergency Department also offers a one-year fellowship in emergency ultrasound.  Fellows will receive advanced training in all areas of clinical ultrasound including cardiovascular, peripheral vascular, procedural, musculoskeletal, and critical care.  

Applicants must be in their final year of EM residency or have graduated from an EM program and be board-eligible or board certified. For more information, contact the fellowship director, Patrick Hunt, MD at huntpat@sc.rr.com or visit the fellowship's web page.




Prisma Health Richland is home to an internationally praised Hyperbaric Medicine Course which is open to interested residents as an elective rotation.

Celebrating Three Decades of Clinical Excellence & National Leadership

Throughout the past quarter of a century, this unique service has become nationally and globally prominent. Recognition centers on leadership roles in the development of evidence-based clinical practice standards, provision of primary and advanced medical education opportunities, and groundbreaking scientific research. 

  • Over 3000 patients have safely undergone approximately 90,000 treatments.
  • Uninterrupted 24/7-call response for wide-ranging medical emergencies.
  • Patients transferred to Palmetto Health throughout South Carolina, North Carolina, and Georgia.
  • Headquarters for the National Board of Diving & Hyperbaric Medical Technology.


  • The wilderness medicine rotation is extremely popular with residents in emergency medicine and other specialties. Medical student positions are available for the rotation conducted every Spring.
  • The curriculum is a combination of live didactic lectures as well as outdoor skills stations.
  • The rotation culminates in a 4-day camping trip to the Appalachian mountains in western North Carolina.


  • Opened in 2007, the Prisma Health Simulation Medicine Center is located on the Richland campus with over 10,000 square feet of surface area.  It contains exceptional, state-of-the-art resources for this exciting and growing area of medical education. 
  • The center's director, Dr. Chris Gainey, is a faculty member with the department of emergency medicine, and EM residents are assigned to educational exercises conducted in the lab on a regular basis.
  • The laboratory is capable of providing practical instruction on common and seldom-used procedures such as lumbar puncture, thoracentesis, endotracheal intubation, rapid sequence induction, cricothyrotomy, laryngeal-mask airways, and fiberoptic intubations. In addition, the lab can be used to test a resident's ability to manage complex resuscitation scenarios.


The Palmetto Poison Control Center (PPC) is under the direction of Dr. William Richardson, a member of our faculty and the leading toxicologist in the state.

The center is located in Columbia and serves all 46 counties in South Carolina and receives 37,000 calls per year for information and advice.  The PPC provides services free-of-charge to the public and health professionals 24 hours-a-day, 365 days a year, and was awarded certification as a Regional Poison Center by the American Association of Poison Control Centers is 2006. Only 61 centers nationally have met the requirements for this designation. The PPC is staffed by healthcare professionals, including pharmacists and nurses, who are formally trained in the toxicology as specialists in poison information.




The program's curriculum includes training and instruction on topics relevant to the challenges residents face after graduation. The lecture series includes talks on personal finance, contracts, job searching, hospital administration, fatigue and sleep issues, and interpersonal relationships as professionals.


  • Debt management
  • Cash flow
  • Tax preparation
  • Stock Market
  • Mortgages
  • Retirement Planning
  • Real Estate
  • Contracts



Each spring, senior residents and their significant others participate in an out-of-town retreat. The retreat includes sessions on personal finance, interpersonal relationships, and the business of medicine.



Candidates must submit an application on the Visiting Student Application Service (VSAS).   Visiting students are eligible for housing on a first-come, first-serve basis. The student rotation is not available in June and July.

For information regarding all emergency medicine rotations for medical students, contact the program coordinator, Sherry Allen, at 803-434-3790 or e-mail at sherry.allen@prismahealth.org


A four-week elective rotation is available for senior medical students. The rotation consists of the following

  • Fifteen 8-hour shifts
  • Didactic Lectures
  • Simulation Medicine Training
  • Surgical Skills (only September through November)
  • EMS shifts (optional) 


A four-week elective rotation is available for senior medical students. The rotation consists of the following

  • Fifteen 8-hour shifts exclusively in the Children's Emergency Center
  • Didactic Lectures
  • Simulation Medicine Training


A four-week elective rotation is available for senior medical students. The rotation is only available during April. The rotation consists of the following

  • Wilderness Medicine Lecture Series
  • Skills Lab
  • A 4-day camping trip to the Appalachian Mountains


A two or four-week elective rotation is available for senior medical students. The rotation consists of the following

  • Internet-based curriculum with over twenty on-line modules
  • Case review
  • Clinical Scanning in the emergency department. Each student will perform 200 studies on ED patients.