Healthcare Leadership & Administration
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:
These program objectives align with the six core competencies for emergency medicine:
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
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.
Medical knowledge. The fellows will continue to acquire knowledge through conference attendance, independent reading and board certification preparation.
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.
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.
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.
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.
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 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, Brown EM 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. These include a Brown MPH and/or a 2 year M.B.A. program at Bryant that dovetails with the ED schedule, with classroom work required 2 evenings per week.
For information on how to apply please
Gary Bubly, MD, FACEP
Vice Chair for Clinical Innovation & Integration
Senior Director for Business Development
Phone: (401) 793-3102
Identify an operational opportunity for improvement
Design and implement an operational improvement project
Prepare a financial analysis of an operational project
Develop leadership, communication and teamwork skills to implement an operational project.
Identify the leadership skills for success at the local and national level
Describe techniques for evaluating and optimizing operational efficiency
Demonstrate conflict resolution techniques
Submit an abstract for publication or presentation at a regional or national meeting
Deliver a lecture within the residency program on an administrative or leadership topic
Emergency Medical Services
For more information, please see the division
Nicholas Asselin, DO
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
Michael Mello, MD, MPH, FACEP
Phone: (401) 444-6684
Global 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 Global Emergency Medicine's fellowship
Naz Karim, MD, MHA, MPH
Phone: (312) 402-5208
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
Elizabeth Jacobs, MD
Phone: (401) 444-6680
Sex and Gender in Emergency Medicine
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
Wendy Wesley, SGEM Fellowship Coordinator
Medical Simulation Fellowship
Brown Emergency Medicine is proud to host the Medical Simulation Fellowship. This is an immersive training program for emergency medicine providers who want to build a career in simulation. The Medical Simulation Fellow will develop skills in education, research, and systems based practice. To learn more, visit our WEBSITE.
Program Director: Andrew Musits MD, MS
Program Coordinator: Wendy Wesley
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.
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
To apply to our Emergency Ultrasound Fellowship program click
Kristin Dwyer MD, MPH
Emergency Ultrasound Fellowship Director
617 763 3959
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:
The program includes the following experiences:
Fellows complete a master’s degree in Medical Education and Leadership and the AAMC Medical Education Research Certificate (MERC) program. 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.
Fellows can also choose from several different master’s degree programs related to medical education, including, but not limited to:
Medical education research
Learner assessment and feedback
Clinical and bedside teaching
Adult learning theory
Small group facilitation
Large group format teaching
Public speaking skills
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:
Christopher Merritt, MD, MPH, MHPE
Director, Medical Education Research Fellowship
The Johns Hopkins University Master of Education in the Health Professions program
The Massachusetts General Hospital Master of Science in Health Professions Educationprogram
The Harvard Medical School Master's in Medical Education program
The University of New England’s Master of Medical Education and Leadership program
Disaster Medicine & Emergency Preparedness
For more information, please see the division website
Selim Suner, MD
Emergency Digital Health Innovation
Brown Emergency Digital Innovation Fellowship
This first-of-its-kind post-graduate fellowship will rigorously train academic clinicians in the development, use, and evaluation of technology for both patient care and for medical education. In this innovative fellowship, we will expose our fellows to training in both types of technology design and implementation.
Trainees will choose to focus their work on either digital medical education or digital health development and evaluation. Trainees may choose between a 1-year track or a 2-year track with a Master’s degree in Medical Education, Instructional Design, or Clinical and Translational Science.
Fellowship Co-Directors Dr. Megan Ranney and Dr. Gita Pensa are the Director and Associate Director (respectively) of the Emergency Digital Health Innovation (EDHI) program, and are national leaders in digital medical education and digital health. Dr. Pensa additionally leads national podcasting and blogging programs.
Brown EM Emergency Medicine
Megan Ranney, MD, MPH, Co-Director
Gita Pensa, MD, Co-Director
Nick Musisca, MD, Educational Technology Faculty
Jay Baruch, MD, Educational Technology Faculty
Gregory Jay, MD, Research Advisor/Faculty
Peds Emergency Medicine
Chris Merritt, MD, Medical Education Research Faculty
Nicole Nugent PhD, Psychiatry, Research Technology Faculty
Brown Center for Behavioral and Preventive Medicine
Rochelle Rosen PhD, Behavioral and Social Sciences, Technology Assessment Faculty
Brown School of Public Health
Nancy Barnett PhD, Behavioral and Social Sciences, Research Technology Faculty
Brown Nelson Center for Entrepreneurship
Danny Warshay, Entrepreneurship, Entrepreneurship Faculty
Brown Instructional Technology Group
Maggie Regan, Design, Medical Education Technology Advising
The Digital Innovation 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
8 hours of research work
6 hours of master’s level coursework
4 hours of didactics lectures
4 hours of Digital Innovation Instruction
2 hours of administrative duties
The emergency departments affiliated with the Brown Department of Emergency Medicine (three adult and one pediatric) care for 200,000 adult patients and 55,000 children patients annually, and include the only Level I Trauma and Burn Center in Rhode Island. More information about the Brown EM residency can be found at: http://www.brownemresidency.org/
How to apply:
Graduates of accredited Emergency Medicine residency programs with demonstrated commitment to digital health will be considered. Applicants should submit a cover letter, curriculum vitae, and three letters of support to John Patena at John_Patena@alumni.brown.edu.
Click here for the Fellowship Track Comparison information.