This is the International Emergency Medicine Fellowship based in the Department of Emergency Medicine at the Brigham and Women's Hospital and Harvard Medical School.


Harvard is rich with international experts and leaders in many areas relevant to the fellowship. Fellows have access to a wealth of resources including faculty at Harvard Medical School, the Harvard T.H. Chan School of Public Health, the John F. Kennedy School of Government, Harvard Business School, and the Harvard Faculty of Arts and Sciences.  A list of current international emergency medicine faculty in the Department of Emergency Medicine at Brigham and Women’s Health Care can be found at HERE


1 Position to Start July 1, 2020






Fellowship Overview

Harvard is rich with international experts and leaders in many areas relevant to the fellowship. Fellows have access to a wealth of resources including faculty at Harvard Medical School, the Harvard T.H. Chan School of Public Health, the John F. Kennedy School of Government, Harvard Business School, and the Harvard Faculty of Arts and Sciences.  A list of current international emergency medicine faculty in the Department of Emergency Medicine at Brigham and Women’s Health Care can be found at HERE.

In sum, our division has 16 faculty members, making it the largest International Emergency Medicine Division in the United States. Two year fellows without a Master of Public Health (MPH) degree will complete one at the Harvard Chan School of Public Health, which is fully funded by the fellowship. The Harvard Chan School of Public Health provides a world-class education for future leaders in international health. 

Fellows typically enroll in the Global Health concentration of the MPH program and complete their degree requirements as part-time students over the two-year fellowship period. One year fellows already possessing an MPH have the option to attend courses and short programs at the School of Public Health if desired. Fellows prepare grand round presentations and participate in lectures and teaching conferences at Harvard University, affiliated medical centers, and other institutions. Fellows attend several core courses during their fellowship, with full financial support from the fellowship. 

  1. The Health Emergencies in Large Populations (H.E.L.P.) course offered by the International Committee of the Red Cross at 10 locations worldwide. This interactive two-week course is designed to promote professionalism in humanitarian assistance in conflict and disasters. Costs of attending the course are paid by the fellowship program.
  2. The Humanitarian Response Intensive Course offered by the Humanitarian Academy at Harvard in Boston. This two-week course prepares aid workers for international disaster and humanitarian crisis response. The course includes a three-day field simulation of a complex humanitarian emergency.
  3. The International Emergency Department Leadership Institute Leadership Essential Course was created by Harvard Medical School faculty and other international experts to provide ED leaders with the skills and knowledge they need to operate successful emergency departments in any part of the world. This five-day course provides a unique opportunity for the fellow to interact with senior ED leadership from around the world. 

International Experience

The emergency medicine family of the Division of International Emergency Medicine and Humanitarian Programs at Brigham and Women’s Hospital is actively involved in emergency care systems strengthening, global heath research, and humanitarian response. 

The Division coordinates a hospital-wide disaster response roster and sends faculty and fellows into disaster areas as the need arises. Through collaborations with a number of international aid organizations—including the International Rescue Committee, Oxfam, Save the Children, CARE, Red Cross/Red Crescent, Médecins Sans Frontières, Samaritan’s Purse, Emergency, International Medical Corps, Team Rubicon, NYC Medics, and Catholic Relief Services—the fellowship provides substantive field experiences and excellent learning opportunities for fellows. Strong support from the emergency medicine faculty provides ED schedule flexibility that allows last minute fellow deployment to disaster areas.

Throughout the fellowship, fellows are generally expected to be prepared to travel for up to two months with as little as 48 hours’ notice. Overall, about three to four months per year are spent working abroad. Overseas projects typically last from two weeks to two months depending on the nature of the project and the fellow’s MPH class schedule. Fieldwork is arranged and coordinated by the fellows under the supervision of the Fellowship Director. Fieldwork encompasses the following core areas:

-International emergency systems evaluation, research, and development
-Humanitarian assistance, disaster response, and refugee health
-Health and human rights policy development
-International public health
-Emergency medicine education and residency program development
-International medical provider training

Field experiences are designed to increase the fellow’s knowledge base and provide an opportunity to practice acquired skills. Fellows are expected to take an active leadership role during field placements. Our program prides itself on a wide range of placements; please see the below list of previous placements and projects. Travel medicine experience is also available through the Department of Emergency Medicine for interested fellows who elect to serve for one month as expedition physicians.

Clinical Experience

Brigham and Women’s Hospital (BWH) is a leader in tertiary care and is a Level I Trauma and Burn Center. As attending physicians, fellows supervise residents in the BWH emergency department. The 54 bed ED serves 60,000 patients per year. The Harvard Affiliated Emergency Medicine Residency is a PGY 1-4 program with 60 residents, many of whom have a strong interest in international health. The Brigham houses a large Physician Assistant (PA) program in the ED and fellows will supervise them during some ED shifts. Fellows will also supervise and teach Harvard Medical Students in the ED. Finally, fellows are given the option to work a portion of their shifts at the Brigham and Women’s Faulkner Hospital in Jamaica Plain which provides the opportunity to work in a sole provider community setting.

Fellows receive clinical and academic appointments at Brigham and Women’s Hospital and Harvard Medical School. Fellows are expected to participate in academic activities and are encouraged to attend Emergency Department faculty meetings as their schedules allow. There are numerous opportunities for teaching residents, PAs, medical students, and paramedic students that the fellow can pursue. Fellows provide clinical coverage equal to 0.6 FTE each year and typically work eight or nine nine-hour shifts per month when they are not traveling overseas. Fellows receive a competitive salary benchmarked with the Partners Healthcare PGY-5 ($77,000) and PGY-6 ($80,000) pay scales for first and second year fellows, respectively. A generous package of faculty benefits, CME funds ($3,000), and hospital parking is provided. Access to the Harvard library system is provided as part of the fellows’ academic appointment.

Full tuition and fees related to the Harvard School of Public Health MPH degree program, including the cost of required textbooks (up to $1,000), are covered by the fellowship. Costs of attending the ICRC’s H.E.L.P. course, the Humanitarian Response Intensive Course, and the International Emergency Department Leadership Institute’s Essentials Course are also fully paid. Fellowship-related travel costs are paid, including airfare, room and board, global malpractice insurance coverage, and international medical and evacuation insurance. Two weeks of vacation and two weeks for educational pursuits are allowed per year.




Curriculum

The fellowship begins July 1 and lasts two years. A fellow who already has an MPH degree will complete a one-year fellowship. Fellows divide their time between international projects and research, Harvard Chan School of Public Health classes, and clinical work in the ED. Fellows are required to sit for the ABEM written and oral boards in their first year of fellowship. All fellows will attend and complete the following courses during their fellowship. All cost related to attending these courses is supported by the fellowship. 

  1. Health Emergencies in Large Populations (H.E.L.P.) course offered by the International Committee of the Red Cross in Geneva, Switzerland (June) 
  2. Humanitarian Response Intensive Course offered by the Humanitarian Academy at Harvard in Boston (April)
  3. International Emergency Department Leadership Institute Essentials Course in Europe (November) Beyond this, the curriculum is tailored to fellows’ individual interests and is centered around the key areas outlined below. 

During the fellowship, a fellow will complete a project related to each area to ensure a well-rounded experience.

  1. Humanitarian Aid and Disaster Response 
  2. Emergency Care Development 
  3. Displaced Populations 

Fellows are encouraged to initiate new endeavors, advance preexisting work, or support one of our many ongoing projects. 

Fellows are expected to produce at least one scholarly project of publishable quality related to the field during their fellowship. In addition, fellows are strongly encouraged to complete at least one grant proposal during the fellowship. The Fellowship Director and the Emergency Department’s grants administrator are available to guide fellows through the process.

Fellows become affiliates of the Harvard Humanitarian Initiative (HHI), a program developed to encourage university-wide collaboration among Harvard faculty promoting research, training, and policy development in humanitarian assistance and conflict studies. HHI provides an excellent resource for field projects and research.

For two year fellows completing an MPH at the Harvard Chan School of Public Health will complete a minimum of 42.5 credits that includes the core requirements listed below. In addition, fellows may choose to pursue the Interdisciplinary Concentration in Humanitarian Studies, Ethics, and Human Rights. Further information on the MPH program and courses is available in the MPH Curriculum Guide.

Core Requirements: MPH in Global Health (credits)
-Ethics of Public Health Practice (2.5)
-Practice and Culminating Experience (3.75)
-Biostatistics (5.0)
-Epidemiology (2.5)
-Environmental Health Sciences (2.5)
-Health Services Administration (2.5)
-Social and Behavioral Sciences (2.5)

Fellowship candidates must apply separately to the Harvard School of Public Health MPH program by the December 1 deadline. Costs of required textbooks (up to $1,000), tuition, and fees are paid by the fellowship program. 

Fellows meet with the Fellowship Director regularly and receive a formal written evaluation every six months. The Chairman of Emergency Medicine reviews fellows’ clinical performance. International fieldwork is evaluated by field personnel and fellowship faculty. The fellowship curriculum is reviewed every six months by the Fellowship Director to ensure relevance to fellowship goals. The fellow will review clinical, academic, and field experiences regularly with the Fellowship Director. 




Alumni




Application
Application Criteria

Prospective fellows must be American Board of Emergency Medicine (ABEM) board certified or board eligible by the July 1st start date. Prospective fellows must be U.S. citizens or hold either an H1B or O visa.

Application Process

Please submit all application materials to iem@partners.org.

Application Conditions

Applicants will be notified when applications are complete or what additional material is required.




Contacts

Program Director
Sean Kivlehan
Fellowship Director

Director of the International Emergency Medicine Fellowship at Brigham and Women's Hospital and faculty at Harvard Medical School and the Harvard H...

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Faculty / Admin
Megan Rybarczyk
MD

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Important Dates

Application Deadline | 2019-09-27

Only completed applications received before the deadline will be reviewed.

Interview Date | 2019-10-23

Applicants selected for an interview will be notified shortly after the application deadline. Interviews are conducted in-person on-site in Boston, MA.

Offer Date | 2019-11-11

The Harvard - Brigham IEM Fellowship abides by the no-offer date as agreed upon by all members of the fellowship consortium. As such, no offers will be made prior to this date.



Projects

Project Name & Description Details

Certification Program in Emergency Medicine (CPEM)

Year Long Emergency Medicine Physician Level Training Program in Karachi, Pakistan Details

Partners in Health / Hôpital Universitaire de Mirebalais

Emergency Medicine Residency Training Program in Mirebalais, Haiti. Details

World Health Organization

Working to support the WHO Emergency, Trauma, and Acute Care Programme Details

Emergency Medicine Training (MMed) at Makerere University

Visiting Faculty to support emergency medicine training at Makerere University and Mulago Hospital in Kampala, Uganda. Details