Global Emergency Medicine Fellowship
Overview (updated 4/21/2023)
The Department of Emergency Medicine at Carolinas Medical Center has a strong commitment to expanding emergency care for the sick and wounded globally. Our global emergency medicine (GEM) program operates under the mission of capacity and resilience building and international crisis response.
History
Since 2009, our department has enjoyed a productive clinical and research capacity-building relationship with a major teaching hospital in Tanzania, Muhimbili National Hospital (MNH). The tangible products of this collaboration include the development of the MNH ED and an emergency medicine residency program. Both the ED and the residency program are the first of their kind in Tanzania and both are now staffed and run by locally-trained emergency physicians and nurses. To date, the research products of our inter-institutional collaboration have included 16 scientific abstract presentations (14 by a Tanzanian investigator) and nine full-length peer-reviewed publications (five with a Tanzanian first author and all with a Tanzanian second author). Our approach to this partnership has focused on sustainability and so all our research and educational activities are aimed at building local capacity. The emergency care in Tanzania is led by the Emergency Medical Association of Tanzania (EMAT).
Additionally, in a unique multidisciplinary collaboration, CMC EM faculty in the Ultrasound division have developed ultrasound training programs in Guatemala. We have completed several “boot camp” and “train the trainer courses” for pediatrics residents in Escuintla, Guatemala, and recently began in-depth critical care training programs in the new residency program at San Juan de Dios Hospital in Guatemala City, Guatemala.
Finally, the Department of Emergency Medicine also has a partnership with the disaster response, non-profit organization, Team Rubicon, with medical direction being provided by CMC faculty member Dave Callaway. 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 to various Team Rubicon responses which include capacity-building work and sudden-onset and complex humanitarian emergencies.
To support our overall mission, the Global Emergency Medicine Fellowship was created in 2018, and graduated our first fellow in 2019.
Fellowship Goals
Facets of Training
Fellowship length
The GEM fellowship is a 12 – 24-month fellowship. Fellows in the 24-month track have the option to pursue an advanced degree, such as a Diploma in Tropical Medicine and Hygiene (DTMH) from the Alexander von Humboldt Tropical Medicine institute in Lima, Peru.
Program Strengths
Sample Curriculum
One-Year Track: Educational Blocks
The Department of Emergency Medicine at Carolinas Medical Center has a strong commitment to expanding emergency care for the sick and wounded globally. Our global emergency medicine (GEM) program operates under the mission of capacity and resilience building and international crisis response.
History
Since 2009, our department has enjoyed a productive clinical and research capacity-building relationship with a major teaching hospital in Tanzania, Muhimbili National Hospital (MNH). The tangible products of this collaboration include the development of the MNH ED and an emergency medicine residency program. Both the ED and the residency program are the first of their kind in Tanzania and both are now staffed and run by locally-trained emergency physicians and nurses. To date, the research products of our inter-institutional collaboration have included 16 scientific abstract presentations (14 by a Tanzanian investigator) and nine full-length peer-reviewed publications (five with a Tanzanian first author and all with a Tanzanian second author). Our approach to this partnership has focused on sustainability and so all our research and educational activities are aimed at building local capacity. The emergency care in Tanzania is led by the Emergency Medical Association of Tanzania (EMAT).
Additionally, in a unique multidisciplinary collaboration, CMC EM faculty in the Ultrasound division have developed ultrasound training programs in Guatemala. We have completed several “boot camp” and “train the trainer courses” for pediatrics residents in Escuintla, Guatemala, and recently began in-depth critical care training programs in the new residency program at San Juan de Dios Hospital in Guatemala City, Guatemala.
Finally, the Department of Emergency Medicine also has a partnership with the disaster response, non-profit organization, Team Rubicon, with medical direction being provided by CMC faculty member Dave Callaway. 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 to various Team Rubicon responses which include capacity-building work and sudden-onset and complex humanitarian emergencies.
To support our overall mission, the Global Emergency Medicine Fellowship was created in 2018, and graduated our first fellow in 2019.
Fellowship Goals
- Gain proficiency with concepts needed for the practice of emergency medicine internationally, including basic tropical medicine, humanitarian and disaster response, and public health.
- Acquire project management and academic skills through the successfully completion of a research or educational project (this may be used for an advanced degree if applicable)
- Improve existing cultural competencies, and learn best-practices for international collaborations through a decolonized approach to global health.
- Develop partnerships that can be used for further collaborations after fellowship completion
Facets of Training
- Clinical work at CMC Main/Levine Children’s Hospital (12 hours/week average)
- Opportunities for field work in both disaster response and international capacity building
- Paid courses in humanitarian response
- Dedicated fellow didactics
- Optional coursework advanced degree (such as a Diploma of Tropical Medicine and Hygiene) for fellows in two-year track.
Fellowship length
The GEM fellowship is a 12 – 24-month fellowship. Fellows in the 24-month track have the option to pursue an advanced degree, such as a Diploma in Tropical Medicine and Hygiene (DTMH) from the Alexander von Humboldt Tropical Medicine institute in Lima, Peru.
Program Strengths
- Flexible scheduling and light clinical load to allow for maximal field work
- Long-term partnerships international sites
- Junior faculty status for a top-tier Emergency Medicine residency program, allowing development of clinical teaching and academic skills.
Sample Curriculum
One-Year Track: Educational Blocks
- Travel and Field Medicine – Two months
Course - CMC Global Heath Intensive Course, Charlotte NC (2 weeks) (Participant role) - Disaster Management - Two Months
Recommended Course - FEMA Barrier Precautions and Controls for Highly Infectious Disease, Anniston, Alabama (4 days) - EM Systems and Development – Two Months
- Public Health – Two Months
- Humanitarian Relief – Two months
Course – Harvard Humanitarian Initiative (2 weeks) - Program Administration – Two months
Optional Course - SAEM grant-writing workshop - Academic Skills – Longitudinal
- Global Health Ethics – Longitudinal
- Travel and Field Medicine I – Two months
Course - CMC Global Heath Intensive Course, Charlotte NC (2 weeks) (Participant role) - Disaster Management - 4 months
Recommended Course - FEMA Barrier Precautions and Controls for Highly Infectious Disease, Anniston, Alabama (4 days) - Humanitarian Relief – 4 months
Course – Harvard Humanitarian Initiative (2 weeks) - Program Administration & Research I – 3 months
Optional Course - SAEM grant-writing workshop - Academic Skills/Becoming a Master Educator – 3 months
Course – CMC Global Health Intensive Course, Charlotte NC (Instructor role) - Travel and Field Medicine Block II – 2 months
- EM Systems and Development – 2 months
- Program Administration & Research Block II – 4 months
- Public Health - Longitudinal (per Master’s degree curriculum))
- Ethics in Global Health - Longitudinal
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Program Director:
Adeline Dozois, MD |
Assistant Program Director:
Michael Runyon, MD, MPH |
Compensation and Benefits
Fellows receive a competitive compensation package based on PGY-level. Travel and lodging to clinical sites and additional trainings in humanitarian relief are provided. Health insurance is provided, with premiums paid by AH for fellows and their spouses. Affordable dental/vision coverage as well as retirement plans with employer match are also available to fellows.
Internal and external moonlighting opportunities are available to fellows.
Application
Requirements/prerequisites:
To Apply:
Please email a copy of the following documents to Adeline Dozois, fellowship program director, and cc Claudette Batton, fellowship administrator:
Application Deadline (for 2024-2025/26): October 1st, 2023
Interview Process: Our current plan is to conduct interviews virtually in late September or early October 2023, however the decision on whether to conduct in-person interviews will be reevaluated in the context of institutional and national trends and recommendations in the fall.
Similar to other International EM Fellowship programs, CMC’s Global EM fellowship will accept applicants through the NRMP match. Following interviews, applicants will rank programs through the NRMP website with a match day in November 2023.
Contact information
Department of Emergency Medicine
1000 Blythe Blvd
Medical Education Building, 3rd Floor
Charlotte, NC 28203
Phone: 704-355-9360
Fax: 704-355-7047
Email:
Current Fellow
Fellows receive a competitive compensation package based on PGY-level. Travel and lodging to clinical sites and additional trainings in humanitarian relief are provided. Health insurance is provided, with premiums paid by AH for fellows and their spouses. Affordable dental/vision coverage as well as retirement plans with employer match are also available to fellows.
Internal and external moonlighting opportunities are available to fellows.
Application
Requirements/prerequisites:
- Applicants must be board eligible or board certified in Emergency Medicine at the time of the start of the fellowship.
- Previous international clinical or research experience is encouraged
- As a requirement for licensure in the state of North Carolina, applicants must have competed a primary residency in Emergency Medicine within the United States.
To Apply:
Please email a copy of the following documents to Adeline Dozois, fellowship program director, and cc Claudette Batton, fellowship administrator:
- Two letters of reference (including one from residency program director.
- Personal statement including specific interest in our program, experience and goals
- CV
Application Deadline (for 2024-2025/26): October 1st, 2023
Interview Process: Our current plan is to conduct interviews virtually in late September or early October 2023, however the decision on whether to conduct in-person interviews will be reevaluated in the context of institutional and national trends and recommendations in the fall.
Similar to other International EM Fellowship programs, CMC’s Global EM fellowship will accept applicants through the NRMP match. Following interviews, applicants will rank programs through the NRMP website with a match day in November 2023.
Contact information
Department of Emergency Medicine
1000 Blythe Blvd
Medical Education Building, 3rd Floor
Charlotte, NC 28203
Phone: 704-355-9360
Fax: 704-355-7047
Email:
Current Fellow
Elise Klesick, DO
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Medical School: Western University of health Sciences College of Osteopathic Medicine of the Pacific
Residency: Western Michigan University School of Medicine
Favorite thing about Global Health at CMC:
One of my favorite things about being a fellow at CMC is the great group of residents and faculty who not only have welcomed me in but are eager to help with shift swaps to enable me to deploy on disaster response trips. When I am not traveling or working, I enjoy exploring new hikes and restaurants in the Charlotte area.
Residency: Western Michigan University School of Medicine
Favorite thing about Global Health at CMC:
One of my favorite things about being a fellow at CMC is the great group of residents and faculty who not only have welcomed me in but are eager to help with shift swaps to enable me to deploy on disaster response trips. When I am not traveling or working, I enjoy exploring new hikes and restaurants in the Charlotte area.
