The University of Vermont Medical Center (UVMMC) is a 562-bed regional referral center for 1 million people in Vermont and Northeastern New York, and a community hospital for 160,000 residents. It serves as the primary academic center for the Robert Larner College of Medicine, offering 17 residency and 25 fellowship programs. UVMMC includes a Level 1 Trauma Center, the UVM Children’s Hospital, the UVM Cancer Center, and Vermont’s only Neonatal ICU. The ED handles 68,000 visits annually, exposing students and residents to a range of cases. Students work closely with board-certified EM faculty, gaining hands-on experience and collaborating with subspecialists in critical care, orthopedics, neurology, and cardiology. UVMMC's strong academic focus supports teaching and professional development.

Central Vermont Medical Center (CVMC) in Berlin, VT is a 122-bed rural hospital serving 66,000 people. Its 25-bed ED sees 28,000 visits annually and is staffed by board-certified physicians and PAs. Without resident trainees, CVMC offers a unique rural EM experience for Larner College of Medicine students and residents, emphasizing patient care without on-site consultants. Students gain exposure to trauma cases from local activities, learn when to transfer critical patients, and assist in hospital codes and airway emergencies. This rural setting provides a valuable contrast to the consultant-rich environment at UVMMC.

Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY is a 300-bed community hospital serving northeastern New York. Its ED handles 40,000 visits annually, staffed by UVMMC faculty. With no other resident trainees, students gain a high-volume, high-acuity experience. They access some consultants during the day and learn to manage patients without on-site specialists after hours, including deciding when to call in private consultants or observe patients overnight.