PEER Challenge

PEER Challenge Madness Returns for 2025!

Think you've got what it takes? See how your residency program stacks up in this popular bracket-style competition!

The road to victory starts May 8.

The PEER Challenge is a single elimination tournament that matches up residency programs against each other in a showdown of clinical knowledge.

The winning program is crowned after a live competition, the PEER Ultimate Championship, each year at ACEP Scientific Assembly. In addition to valuable bragging rights, the grand prize includes a full year of complimentary PEERprep for Programs.

The Competition

Each round features clinical questions from the PEER suite of board prep content. Every match will be moderated by one of the PEER Editors-in-Chief.

Speed matters — the quicker a question is answered, the more points earned.

Multiple residents from each program can play in the first three rounds — the program’s score is averaged, and different residents can play in each round.

PEER Board Prep

The Prizes

Complimentary registration for four residents to ACEP25 for each of the final four residency programs
Free PEERprep for Programs for the entire winning program for the 2026-2027 academic year
Bragging rights for an entire year, plus some championship bling!

Watch the PEER Challenge and Cheer On Your Faves

Qualifying Round. Sign up today for seat in this online event at 4 p.m. CT, May 8. Based on their scores, the top 32 programs will be ranked and sorted into the PEER Challenge bracket.

Round One. All 32 ranked programs will compete against their opponent online - 4 p.m. CT, June 5.

Round Two. The 16 programs to advance will compete against their opponent online - 4 p.m. CT, July 10.

Round Three. The eight programs to advance will compete against their opponent online - 4 p.m. CT, August 7.

PEER Ultimate Championship Rounds. The final four programs will compete in Salt Lake City during ACEP25 in the Battle Docs Arena in the Exhibit Hall — an intense gaming area where the crowd can cheer each team on under the kind of pressure emergency physicians are built for.

Semifinals. The four programs to advance will compete for a place in the championship on Sunday, September 7.
Final. The final showdown - live and in person, Monday, September 8.

The Winners

Congrats to 2024 PEER Challenge winners - After score verification, the inaugural ACEP24 PEER Ultimate Championship resulted in a tie. Good Samaritan University Hospital (New York) and the University of Central Florida/HCA Florida Healthcare now share the title as the smartest emergency medicine residency programs in the world!

Good Samaritan University Hospital in New York

- Paxton P. Aung, DO
- Sunil Shah, MD, MBA
- Sherif Shehata, MD
- Arthur Speziale, DO

University of Central Florida/HCA Florida Healthcare

- Natalie Diers, MD
- Drake Dixon, MD
- Darielys Mejias Morales, MD
- Nicole Vuong, MD