Goals and Objectives
The goals of the fellowship-training program are to provide the fellow with:
1. A working knowledge of public health issues by obtaining a MPH at the GWUs School of Public Health and Health Services in epidemiology/biostatistics, international health policy and programs, or international health promotion/disease prevention.
2. International clinical field projects.
3. Training in EMS education and system design and disaster preparedness as it pertains to international emergency medicine development.
4. Ability to conduct clinical research and propose for funding for projects in international health care.
5. Administrative skills to develop and organize international educational exchanges.
6. Working knowledge of governmental and non-governmental international organizations and infrastructure.
7. Maintenance and refinement of clinical skills within his/her residency trained specialty at one of our affiliated hospitals.
Fellowship Curriculum
The curriculum is designed to have variability in order to meet the individual needs and desires of the fellows. The curriculum will be divided into seven specific areas:
1. International Curriculum
The fellow will participate in specific course work in international emergency medicine health topics. He/she will prepare grand round presentations and participate in lectures and teaching conferences. The fellow will also participate in lectures and presentations pertaining to international health at the School of Public Health.
2. International Field Work
The fellow will spend two to three months per year working abroad on various health projects. This time will be divided into two to four week blocks, as permitted by the individual and MPH class schedule. These practical experiences must be designed to be substantive and increase the fellows' knowledge base. It is the fellowship goal that this not be a simple observational experience, but that the fellow takes an active leadership role. This practical experience will also provide an opportunity to apply acquired skills in varied clinical and educational settings. Fieldwork will be arranged and coordinated by the fellow under the supervision of the Fellowship Director. Fieldwork will include some of the following core activities:
* Health policy development
* International public health
* International emergency medicine program development
* International emergency systems evaluation and research
* Disaster response, disaster preparedness, and bioterrorism
* Emergency medicine educational/residency training program development
* International EMS development activities
In addition, as part of the fellowship curriculum, fellows may choose elective rotations with the following agencies and lending institutions (World Bank, IADB, CDC, USAID, AIHA, PAHO, FEMA, DHHS)
3. School of Public Health
The international studies curriculum will be structured around the core curriculum of the GWUs School of Public Health, including epidemiology, biostatistics, health resources management, behavioral sciences, community health, and environmental health. The fellow can study areas of specific interest using elective courses (including independent study programs). The faculty will assist in research and independent study projects.
4. Research
Research will be in international health and fellows will be encouraged to join ongoing projects by the Reagan Institute faculty in order to facilitate interdepartmental collaboration. Research topics may focus on:
* Emergency health systems (clinical and/or administrative)
* Educational initiatives
* Epidemiology
* Public health
* Acute care aspects of primary care
* Disaster response
* EMS systems
5. Clinical Medicine
The fellow will work as a member of the clinical faculty at an affiliated hospital. The fellow will provide 14 hours/week of clinical coverage in the emergency department. The fellow will participate in all academic activities in the Department of Emergency Medicine in accordance with their residency training. This will include grand round presentations, conferences, and journal clubs.
6. EMS Education
The didactic aspects of this are formally provided through GWUs Emergency Health Services Program, under the auspices of the Department of Emergency Medicine. The undergraduate EMS management curriculum covers, in a programmatic manner, EMS systems, administration, operations and all other essential aspects of EMS. The fellow attends sessions according to his/her educational needs. The fellow is expected to teach in the EHS program when appropriate (especially as it pertains to training of international students).
7. Disaster Medicine/Emergency Management
The Ronald Reagan Institute of Emergency Medicine is actively involved, often in a leadership capacity, in most of the national programs addressing the medical response to disasters. We also maintain a leadership role in local emergency preparedness initiatives, and provide consultation for specialized preparedness for high-risk or high-profile sites such as the US Capitol and the White House. These experiences are generally available for the fellow's participation.
Fellowship Competencies
Upon completion of the International Emergency Medicine Fellowship, the fellow will be able to:
1. Successfully complete the requirements for the degree of Masters in Public Health (MPH) at the GWU's School of Public Health.
2. Display knowledge of public health issues as they pertain to developing health systems. This will include work abroad and domestic educational opportunities.
3. Display working knowledge of critical topics in international emergency medicine development.
4. Conduct research related to international emergency medicine health systems and educational interventions.
5. Develop and coordinate international educational project development.
6. Integrate training in emergency medicine with international health and apply acquired skills to clinical experience abroad.
Effective Dates and Duration
The duration of the International Emergency medicine Fellowship is one to two years based on educational training and fellowships goals.
Fellowship Program Director
The Fellowship Director will supervise all fellow functions. A faculty adviser from the School of Public Health will coordinate all fellowship activities related o the completion of the MPH degree.
Curriculum Evaluation
The Fellowship Director will review the curriculum every six months. The curriculum will be evaluated on the basis of educational value and content relevance to the fellowship goals and objectives. The fellow and the director will review the clinical experience and international electives.
Participant Evaluation
The Fellowship Director and other faculty will evaluate the fellow upon completion of the first and second year. A written evaluation will be generated for the fellows file. The participant will be evaluated by a formal evaluation from the School of Public Health. The Chairman of the Emergency Department will review clinical performance within the hospital. International fieldwork will be evaluated via an evaluation form from field personnel.
Requirements
Fellows accepted into the program must be board eligible in Emergency Medicine.
The current application requirements include a copy of your curriculum vitae, a letter of intent (1-2 pages in length expressing your interests/career goals, expectations from the program, and the strengths that you would bring to the fellowship), and 3 reference letters, including one from your emergency medicine residency program director. Please have the reference letters mailed directly from the author to the Fellowship Director:
Girish Bobby Kapur, M.D., M.P.H.
The George Washington University
Department of Emergency Medicine
2150 Pennsylvania Avenue, NW
Suite 2B-417
Washington, D.C. 20037
Phone: 202-741-2911
Email: kapur@gwu.edu