Home Institution: Carolinas Medical Center Main (CMC) in Charlotte, North Carolina. CMC is an 874-bed, community-based, tertiary care teaching hospital that serves as the only regional level-I trauma center, the State Poison Control Center, and is a tertiary referral center for Mecklenburg County and 16 surrounding counties in North and South Carolina. It is the flagship facility for the network that includes acute care facilities, subacute facilities, and clinics in North and South Carolina. The campus includes an adjacent 234-bed children's hospital, Levine Children's hospital, which is a Pediatric Level 1 trauma center.  Residency programs exist in all specialties including Emergency Medicine, which is a PGY 1-3 program that includes 42 residents.  Fellowship positions are offered in EMS, Toxicology, Ultrasound, Pediatric Emergency Medicine, and Disaster and Operational medicine. There are 41 academic faculty members in the Department of Emergency Medicine as well as 2 adjunct assistant professors in the Department of Emergency Medicine from Muhimbili National Hospital in Dar es Salaam, Tanzania. The Emergency Department at Carolinas Medical Center manages over 115,000 patients each year, or about 300 to 320 patients per day. The department features an unusually diverse mix of patient care opportunities, and the socioeconomic diversity of our patient population sets us apart from other institutions. CMC ED physicians work in one of three adult treatment areas to which patients are triaged by acuity of illness, as well as a 21-bed Children's ED.   The Children's ED is first in the region that offers 24-hour emergency care for children in a family-centered environment. Three to six board-certified emergency medicine faculty members are present in the open areas 24-hours a day.

CMC Global EM fellows will be classified as junior EM faculty and will work clinical shifts in the CMC ED as the attending physician. In this capacity, their responsibilities will include delivery of clinical patient care as well as the supervision and education of CMC residents and advanced care providers.

International Partner Sites:
Emergency Medicine Department, Muhimbili National Hospital (MNH), Dar es Salaam, Tanzania. MNH opened the first public, full service ED in Tanzania in 2009, and now sees a daily volume of 150-200 patients (20% pediatrics). In 2021, a new dedicated pediatric emergency department opened on the same campus. Specialty clinics attend 1000 patients a day, and the hospital has a bed capacity of 1500 patients. All specialties are available at the MNH Campus including medical, surgical, cardiovascular, trauma, pediatrics, and psychiatry. Fellows wishing to treat patients will become licensed physicians in Tanzania. Medical licensure will be provided by the Medical Council of Tanzania for fellows wishing to treat patients. The Emergency Medicine Department at MNH is led by locally-trained specialists in Emergency Medicine who are available to provide mentorship.

Hospital Regional de Escuintla, Escuintla, Guatemala. In a unique collaboration between the Pediatrics department of the Hospital Regional de Escuintla, the Pediatrics and Emergency Medicine departments at CMC, we have developed an ultrasound training program for Escuintla's Pediatrics residents. In addition to ongoing ultrasound educational projects including "Train the trainer" courses for local pediatric attending physicians, CMC EM faculty are researching novel uses of ultrasound in low resource settings. We have also expanded ultrasound training to general surgery residents in Escuintla.

San Juan de Dios Hospital, Guatemala City, Guatamala. CMC EM Faculty in the ultrasound division successfully secured grant funding for an ultrasound machine that was donated to the recently established EM Residency Program at IGSS in Guatemala City. The first in-depth critical care ultrasound course for these residents took place in November 2021.

 Team Rubicon, USA

David Callaway, MD, serves as the Chief Medical Officer and Medical Director for Team Rubicon (TR). In June 2018, Team Rubicon became the first US-based NGO to become certified as an Emergency Medical Team, Type I Mobile by the World Health Organization (WHO). Previous CMC fellows have been deployed internationally for capacity-building work and sudden-onset and complex humanitarian emergencies in the following countries: Uganda, Papau New Guinea, The Bahamas, Mozambique, Mariana Islands, Greece.