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Healthcare Leadership & Administration
These program objectives align with the six core competencies for emergency medicine:
1. Patient care. The fellows will continue to refine their clinical skills in the care of the full spectrum of emergency department patients at our clinical sites. They will be evaluated by residents and medical directors. They will also receive feedback on performance on quality metrics.
2. Medical knowledge. The fellows will continue to acquire knowledge through conference attendance, independent reading and board certification preparation.
3. Professionalism. The fellows will gain understanding in the elements of professionalism expected not only of emergency physicians, but physician leaders through the fellowship and associated coursework.
4. Systems-based practice. This is essentially one of the foci of the fellowship: learning how to optimize the delivery of emergency care from a departmental and system perspective. This includes any associated advanced degree work.
5. Practice-based learning and improvement. The fellow will be included in administrative meetings at all levels and asked for input; feedback will be provided in discussion with leadership teams.
6. Interpersonal and communication skills. Again, this is another critical element in the fellowship. The fellow will receive education and feedback on their communication skills. This will be included in any advanced degree work.
The Brown University School of Medicine Department of Emergency Medicine is offering a one or two-year fellowship in emergency medicine administration and healthcare leadership. This fellowship is geared toward individuals interested in gaining more experience and training before endeavoring to pursue a career as a leader in emergency medicine and the healthcare delivery system. This fellowship is ideally suited for individuals who see themselves as future leaders within a department, as a director, in a practice group, or even within a healthcare institution. This is a post-residency non-ACGME approved fellowship offering a wide variety of unique clinical sites with highly experienced Brown faculty.
The overall goals and objectives of this program are to provide each fellow with:
• The opportunity to work and assume administrative leadership experience while working under the mentorship of department leadership
• An in depth working knowledge of ED operations, process improvement, and administrative leadership
• Further improvement and development of healthcare leadership skills
• Refinement and broadening of residency training skills at one or more of the affiliated hospitals
• Academic training that is consistent with the long-term goals of the candidate
Specific Learning Objectives
1. Identify an operational opportunity for improvement
2. Design and implement an operational improvement project
3. Prepare a financial analysis of an operational project
4. Develop leadership, communication and teamwork skills to implement an operational project.
5. Identify the leadership skills for success at the local and national level
6. Describe techniques for evaluating and optimizing operational efficiency
7. Demonstrate conflict resolution techniques
8. Submit an abstract for publication or presentation at a regional or national meeting
9. Deliver a lecture within the residency program on an administrative or leadership topic
Brown offers a one or two year curriculum that allows each fellow the flexibility and depth of training in clinical, experiential administrative training, and academic training. The diversity of clinical sites and the associated administrative experience will allow each fellow to develop an in depth experience in each practice environment. As such, the curriculum includes combining the clinical and administrative experience at several sites.
Fellows pursuing the one year track will complete the first 2 phases of the ACEP Emergency Department Directors Academy. These 2 national conferences provide foundational training in the essentials of Emergency Department administration. Fellows will also have the opportunity to attend the Emergency Department Innovations conference to acquire additional training in ED operational efficiency.
Fellows will have approximately 1 hour per month of dedicated training by affiliated experts on topics including Audit and Compliance, Billing, Coding and Reimbursement issues, Advocacy and Media training, Conflict Resolution, Contract Negotiation, Healthcare Finance , Academic Practice Plan development, Budget Preparation and Review, Human Resource Issues, and Leadership Development.
Fellows will attend monthly meetings at their assigned site including the hospital level Medical Executive Committee and site Clinical Operations meetings, UEMF level Clinical Operations, Finance and Negotiations, and Brown- wide departmental Faculty meetings, as well as the quarterly network level Lifespan Emergency Services Council.
Fellows pursuing the two year track will have the option of enrolling in an approved advanced degree program or certificate program. The former can include a two year M.B.A. program at Bryant that dovetails with the ED schedule, with classroom work required 2 evenings per week.
Emergency Medical Services
Injury Prevention Research
Injury Prevention Center of Rhode Island Hospital Research Fellowship is a two-year physician research training program that includes a Masters in Public Health degree or Master of Science in Clinical and Translation Research from Brown University. Fellows are graduates of emergency medicine or pediatric residency programs and work clinically 2 days per week the emergency departments affiliated with Brown. They have the remainder of their time protected for research and educational activities. During the two-year program, fellows are expected to pursue mentored research projects in injury or violence prevention and are guided in obtaining skills and training in the established “Core Competencies for Injury and Violence Prevention”. Upon completion of the fellowship, graduates will be prepared for an academic career with a dedicated focus on injury and violence research.
The Injury Prevention Center of Rhode Island Hospital has a well established research program, with a long track record of funding support from the NIH, CDC, state agencies, and private foundations. It also has strong community service and professional education programs. As part of their training, fellows will have the opportunity to work with a large group of physician-researchers, PhD researchers, masters-level clinical research staff, community program staff and the faculty of Brown University. The fellowship offers a very competitive salary and benefits package.
For more information about the Injury Prevention Center see its website.
Michael Mello, MD, MPH, FACEP
Phone: (401) 444-6684
International Emergency Medicine
The Department of Emergency Medicine at Brown University has one of the few formal academic Divisions of International Emergency Medicine anywhere in the country, allowing us to offer our Global Emergency Medicine fellows a wide range of training and mentoring resources. This two-year academic fellowship boasts a wealth of research mentoring opportunities, robust interdepartmental collaboration, and a rich clinical and teaching experience, both domestically and abroad.
Established international experiences available to our fellows include projects in Rwanda, Liberia, Nicaragua, Haiti, Turkey, Bangladesh, American Samoa, and Fiji in areas such as post-conflict development, EM curricula design and training, acute humanitarian and disaster response, and global EM research.
For more information, visit the Division of International Emergency Medicine's website.
Adam Levine, MD, MPH
Phone: (401) 444-5054
Pediatric Emergency Medicine
The Pediatric Emergency Medicine Fellowship began in 1989. Our mission is to : recruit outstanding Pediatricians and Emergency Physicians; create a rich and supportive clinical and academic environment which will allow fellows to aspire to lifelong goal(s) of becoming master clinicians, inspirational educators, successful academicians and effective administrators.
The PEM experience covers the range of childhood illness including physician and hospital referrals, common childhood maladies, second opinions, fulminantly ill children and pediatric traumas. The Hasbro Emergency Department serves as the designated Level I Trauma Center for the state and has twenty-four hour pediatric and surgical subspecialty coverage. Currently, the hospital has 24 board certified pediatric emergency medicine attendings and six fellows. Graduates of the program have entered careers in academic and clinical pediatric emergency medicine at major centers including Emory, Yale, Boston Children’s Hospital, Columbia, UMASS Medical Center, University of Nevada Las Vegas, Children’s Hospital Wisconsin, UC Davis, Tufts and Elliot Hospital.
For more information, visit the fellowship's website.
Elizabeth Jacobs, MD
Phone: (401) 444-6680
Sex and Gender in Emergency Care
Emergency physicians have the opportunity to inform the study of sex and gender based acute clinical care and are uniquely positioned to translate this research into lifesaving outcomes. In 2011, the Department of Emergency Medicine at Warren Alpert Medical School of Brown University established a two-year fellowship within the Division of Sex and Gender in Emergency Medicine (SGEM) in order to train a new generation of physicians in sex and gender specific emergency care. The SGEM Fellowship consists of two tracks: clinical research and physician educator. The SGEM Division includes Brown EM Faculty members, as well as a multidisciplinary panel of advisors from the medical school and institutions around the country.
For more information, please visit the fellowship's website.
Wendy Wesley, SGEM Fellowship Coordinator
The field of medical simulation (SIM) has been rapidly growing and evolving over the past two decades. Sophisticated techniques in conjunction with a broad spectrum of technologies and educational research are propelling simulation forward as a powerful, effective instructional and investigative modality. With the Lifespan Medical Simulation Center’s (LMSC) established presence in the field over the past decade and its dedicated EM / pediatric EM faculty, the medical simulation fellowship training at our institution provides the necessary training and experience for candidates pursuing an academic educator / researcher position with a focus on simulation.
The one-year fellowship in medical simulation proposes the following:
1. To train an individual in sophisticated, validated, innovative and up-to-date medical simulation
2. To foster a knowledgeable and experienced simulation expert capable of running an institutional simulation system
3. To encourage the development of a healthcare education researcher familiar with human factors and outcomes research methodologies pertaining to simulation
1. Skills acquisition: basic and advanced medical simulation techniques
2. Skills acquisition: basic and advanced medical simulation technologies / equipment
3. Participation in development and implementation of educational and evaluative simulations conducted at the simulation center
4. Participation in day-to-day operations and strategic planning of an academic medical simulation center
5. Development of a significant simulation-related research or administrative project and completion of associated deliverables
The Medical Simulation fellow will serve in a mixed clinician / educator / researcher position. Fellow duties include the clinical care of patients in Emergency Departments staffed by the Department of Emergency Medicine and affiliated with the Alpert Medical School of Brown University. The fellow will have the following weekly time commitments:
- 16 hours of clinical Emergency Department care (additional on-call duties and administrative responsibilities directly resulting from patient care activities)
- 8 hours of simulation session conduct / facilitation
- 8 hours of simulation materials development
- 8 hours of simulation research / administrative duties
For more information, please visit the fellowship's website.
Leo Kobayashi, MD
Phone: (401) 444-6237
The Brown Emergency Ultrasound Fellowship Program is a one-year program geared towards board certified/eligible emergency physicians seeking a niche in emergency ultrasound. We will provide you with the knowledge and skills to develop a fulfilling career in emergency ultrasound.
Fellowship participants will develop the ability to perform and interpret both basic and advanced ultrasound applications at the bedside. In addition, fellows have the opportunity to teach both residents and medical students through hands-on ultrasound sessions and didactics. They also assist with weekly journal club and image review, and will contribute to a research project during their fellowship.
We currently have six ultrasound faculty dedicated to the education of our fellows, residents and medical students.
Kristin Dwyer MD, MPH
Emergency Ultrasound Fellowship Director
617 763 3959
Applications: Fellows will master the basic ultrasound applications as defined by ACEP: Trauma/Airway, Pregnancy, Aorta, Cardiac/hemodynamics, Biliary, Urinary Tract, DVT, Soft-tissue, MSK, Thoracic, Bowel, Ocular and Procedural Guidance. In addition, fellows will learn advanced applications such as Testicular, Nerve Blocks, Advanced Cardiac etc
Hands-on: Fellows will participate in hands-on sessions throughout the week-scanning directly with EUS faculty, scanning independently and teaching residents and medical students in their scan shifts. The expectation is that a fellow performs at least 1,000 scans over the course of a year.
Didactics & Journal Club: Fellows will participate in weekly didactics, QA and journal club sessions with the faculty and rotating residents/medical students. Generally time is divided in this weekly division meeting between two journal articles, review of some highlighted scans from the week and reviewing an ultrasound topic through a brief presentation, chalk talk or hands on session. Fellows will have the opportunity to prepare and present a number of US lectures throughout the year.
Scholarly Work: Research is an integral part of a career in academic emergency medicine for many providers. At Brown we have a number of ongoing research projects in which fellows can participate. Fellows can either take the lead with an existing research project or initiate one on their own.
QA: Our images are stored and reviewed in QPath. We currently review 100% of submitted exams. Exams with interesting findings or good teaching points are highlighted for review in the weekly meetings.
For more information on our emergency ultrasound division click here.
For more information on life in Providence click here.
To apply to our Emergency Ultrasound Fellowship program click here.
The Brown Medical Education Research Fellowship is a two year mentored program sponsored by the Department of Emergency Medicine offering advanced training in medical education. Fellows complete a master’s degree and develop the competencies to become an independent researcher and academic leader. The program is designed for Emergency Medicine residency graduates, but features a multi-disciplinary faculty and extensive resources. This comprehensive fellowship provides training in:
- Medical education research
- Learner assessment and feedback
- Clinical and bedside teaching
- Curriculum design
- Adult learning theory
- Small group facilitation
- Program administration
- Procedural training
- Educational technology
- Large group format teaching
- Public speaking skills
The program includes the following experiences:
Fellows complete a master’s degree in Medical Education and Leadership, the AAMC Medical Education Research Certificate (MERC) program, and ACEP Teaching Fellowship. Fellows receive support to participate in the Association of American Medical Colleges and Council of Emergency Medicine Residency Directors national conferences. They also receive research mentorship and experience with curriculum design, instructional techniques, and assessment.
The program includes the following experiences:
Fellows can choose from several different master’s degree programs related to medical education, including, but not limited to:
Fellows complete a medical education research project. Support is provided for study design, grant applications, literature review, data acquisition and analysis, and scholarly writing.
Fellows engage the full spectrum of medical learners in a variety of settings. They gain expertise in small group facilitation, large group lecturing, simulation debriefing, bedside teaching and procedural training. Opportunities exist at the undergraduate, resident, and faculty/CME level. Fellows are directly observed and receive structured feedback on their teaching abilities.
Fellows complete a “change” project drawing on skills acquired through their coursework. Projects focus on finding creative solutions to identified educational needs in our department.
Fellows are appointed as Clinical Instructors and work two emergency department shifts per week, gaining practical experience teaching in a busy academic setting.
Fellows serve on the residency program’s curriculum committee and assist with the medical student elective. Fellows have opportunities to serve on the Alpert Medical School curriculum committee and steering group for the Program in Educational Faculty Development.
How to apply:
Graduates of accredited Emergency Medicine residency programs with demonstrated commitment to medical education will be considered. Applicants should submit a cover letter, curriculum vitae, and three letters of support to:
Brian Clyne, MD
Vice Chair for Education
Associate Professor of Emergency Medicine Alpert Medical School
Disaster Medicine & Emergency Preparedness