CHESTLearning & EventsCHEST Annual MeetingCHEST Challenge

CHEST Challenge

Each year, CHEST Challenge gives pulmonary and critical care medicine fellows-in-training an opportunity to compete for fun and prizes. Thanks to all who participated in the 2025 CHEST Challenge online qualifying quiz! Players from the top three training programs based on quiz scores will now prepare to go head-to-head in a live Jeopardy-style game during the CHEST Challenge Championship at CHEST 2025 in Chicago—with bragging rights and cash prizes on the line.

CHEST Challenge Championship 2025
Tuesday, October 21, 2025
McCormick Place
Chicago, Illinois

Meet the finalists

Congratulations to all participants and the 76 institutions that competed in this year’s online quiz. Cheer on this year’s finalists at the CHEST Challenge Championship at CHEST 2025 on Tuesday, October 21.

Marshall University

University at Buffalo

University of Colorado

CHEST Challenge Championship 2025
Tuesday, October 21, 2025
McCormick Place
Chicago, Illinois

Top 25 teams

Congratulations to all the teams that came out on top for this year's CHEST Challenge.

Top 10
Allegheny Health Network
Cleveland Clinic Florida
Corewell Health East William Beaumont University Hospital
Houston Methodist Hospital
New York-Presbyterian - Brooklyn Methodist Hospital
University of Nebraska Medical Center
University of Texas Houston McGovern Medical School

Top 25
Bowling Green Medical Center
Brooke Army Medical Center
Cleveland Clinic
HCA Florida Aventura Hospital
Indiana University
Keck School of Medicine of USC
Mayo Clinic
Mayo Clinic Florida

New York Presbyterian Hospital - Weill Cornell Medical Center
University of Arkansas for Medical Sciences
University of California San Francisco
University of Cincinnati
University of Oklahoma
University of South Florida
University of Tennessee Health Sciences Center - Memphis

Quiz prizes

The top three scoring teams will compete in Chicago for the CHEST Challenge Championship! Cash prizes will be awarded based upon each team's championship performance.

$5,000

FIRST PLACE

$3,000

SECOND PLACE

$1,000

THIRD PLACE

Three players from each of the top three scoring teams also will receive:

Free registration for the CHEST Annual Meeting 2025 in Chicago
Airfare to Chicago and 3-night hotel stay
FREE registration for a virtual CHEST Board Review 2025 course OR access to a Board Review On Demand product

Two players from each team ranking fourth through 10th place in the online quiz will receive:

FREE registration for the CHEST Annual Meeting 2025 in Chicago
FREE registration to a virtual CHEST Board Review 2025 course OR access to a Board Review On Demand product

These teams will also be recognized as CHEST Challenge Top Performers at the live CHEST Challenge Championship.

The teams ranking 11th through 25th from the online quiz will win:

One FREE copy of the most recent CHEST SEEK^® book of the program director’s choice, per team (pulmonary or critical care)

CHEST Challenge prizes are sponsored and awarded solely by the American College of Chest Physicians. 

CHEST Challenge over the years

CHEST Challenge is truly a one-of-a-kind experience that has become synonymous with the CHEST Annual Meeting. For more than two decades, this lively competition has brought together fellows from across the country to compete head-to-head… to head, as three teams vie for a chance to take home the coveted Rosen Cup. The CHEST Challenge Championship brings everyone at the CHEST Annual Meeting together for one night to celebrate and appreciate the bright future of medicine that is our up-and-coming pulmonary and critical care fellows.

Each year, a video montage of the competing teams and the host city is shown to energize the crowd and kick off the competition. Take a stroll down memory lane, and check out the CHEST Challenge archives to get yourself ready for #CHESTChallenge2025.

CHEST Challenge Championship 2024
At CHEST 2024 in Boston, Allegheny Health Network, HCA Florida Aventura Hospital, and NewYork-Presbyterian Brooklyn Methodist Hospital battled for the top spot.

CHEST Challenge Championship 2023
CHEST 2023 returned to Hawaiʻi for an exciting showdown between UTHealth Houston, University of Oklahoma, and University of Southern California.

CHEST Challenge Championship 2022
CHEST 2022 competitors Brooke Army Medical Center, Mayo Clinic, and NewYork-Presbyterian Brooklyn Methodist faced off live in Nashville.

CHEST Challenge Championship 2021
Buffalo, Interfaith Medical Center, and The Ohio State University battle it out for the 20th anniversary of CHEST Challenge.

CHEST Challenge Championship 2020
In a year unlike any other, CHEST Challenge went virtual for the first time ever, as New York Presbyterian, MetroHealth, and SUNY Downstate became “unFrozen” to compete for the title.

CHEST Challenge Championship 2019
For the 2019 CHEST Challenge, “Natural” instinct was put to the test for competitors Maimonides, The Ohio State University, and Walter Reed.

CHEST Challenge Championship 2018
To introduce the “Greatest Show” of the CHEST Annual Meeting, the 2018 montage brought on the music to roll out competitors Emory, Cleveland Clinic, and University of Michigan.

CHEST Challenge Championship 2017
Heading up to Canada, the 2017 CHEST Challenge montage hit the ice to skate in competitors Maimonides, University of Texas, and San Antonio Military Medical Center.

CHEST Challenge Championship 2016
With CHEST 2016 in Los Angeles, competitors Interfaith Medical Center, New York Methodist, and University of Arizona took to the water to save the day.

CHEST Challenge Championship 2015
For “One Day More” of competition, the CHEST Challenge 2015 montage introduced “Les UnMiserables,” the competitors from Cleveland Clinic, Maimonides, and University of Texas at Houston.

CHEST Challenge Championship 2014
Embracing the host city of Austin, CHEST Challenge 2014 brought new sheriffs into town, as Cleveland Clinic, New York Methodist, and University of Texas at Houston competed for the title.

CHEST Challenge Championship 2013
Taking place in CHEST’s hometown of Chicago, IL, the 2013 CHEST Challenge introduced the A-Teams of Cleveland Clinic, Maimonides, and Walter Reed Military Medical Center.

CHEST Challenge Championship 2012
The CHEST 2012 meeting embraced the Mission Impossible theme, as Harvard, Maimonides, and Toronto got ready to do battle.

CHEST Challenge Championship 2011
For the 10th anniversary of CHEST Challenge, competitors University of Missouri, National Capital Consortium, and UCSF Fresno embraced the Hawaiʻian spirit.

CHEST Challenge Championship 2009
For the 75th CHEST Annual Meeting in 2009, Maimonides, Mayo Clinic, and National Capital Consortium met to take home the title of CHEST Challenge Champions.