Intensive and very personal with a lot of documentation per ACPE standards. In addition to all the ACPE paperwork, there is also a phone or Skype interview with Chaplains currently on staff. There is also a drug and criminal background test, in addition to immunization requirements. It's a hospital. CPE residencies in general are extremely competitive and not for everyone. The interviewers are looking for more than educational sufficiency and people skills, they are particularly looking for how you take criticism and practice self care.