PEER Challenge

The PEER Challenge is the first ever, 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.

The Prizes

• Complimentary registration for four residents to ACEP25 for 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

Round One. All 32 ranked programs will compete against their opponent.

Round Two. The 16 programs to advance will compete against their opponent.

Round Three. The eight programs to advance will compete against their opponent.

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 against their opponent.

Final. The final two programs to advance will compete against each other.

The Winners

• ACEP24 — Good Samaritan University Hospital in New York (Paxton P. Aung, DO; Sunil Shah, MD, MBA; Sherif Shehata, MD; and Arthur Speziale, DO) and the University of Central Florida/HCA Florida Healthcare (Natalie Diers, MD; Drake Dixon, MD; Darielys Mejias Morales, MD; and Nicole Vuong, MD)