The Department of Emergency Medicine at the University of California, San Francisco, offers educational experiences for medical students, residents, and fellows . A four-year joint residency program (UCSF-SFGH), approved for fourteen residents per year, began in June 2008. Our affiliated four-year emergency medicine residency program at UCSF-Fresno was founded in 1974 and has ten resident positions each year. Unique rotations for medical students are offered at UCSF, ZSFG, and Fresno. The department also offers numerous fellowship programs.