This is a small program with a focus on clinical and didactic excellence in a challenging tertiary hospital setting. Unusual innovations of our program include a strong regional service, outstanding TTE education, and an ERAS rotation during internship. Our emphasis is on providing an excellent teaching environment where the resident is NOT relied upon to "staff all the rooms" and instead is given monetary compensation (moonlighting) for staying after 4:30PM. We are extremely receptive to feedback on ways to continuously improve the residency program in every way possible!