Hostname: page-component-5d59c44645-l48q4 Total loading time: 0 Render date: 2024-03-02T08:02:40.835Z Has data issue: false hasContentIssue false

Current Status of International Emergency Medicine Fellowships in the United States

Published online by Cambridge University Press:  28 June 2012

Gregory H. Bledsoe*
Affiliation:
Center for International Emergency, Disaster, and Refugee Studies (CIEDRS), the Department of Emergency Medicine, Johns Hopkins Medical Institute, Baltimore, Maryland, USA
Chayan C. Dey
Affiliation:
Center for International Emergency, Disaster, and Refugee Studies (CIEDRS), the Department of Emergency Medicine, Johns Hopkins Medical Institute, Baltimore, Maryland, USA
Christopher Kabrhel
Affiliation:
Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
Michael J. VanRooyen
Affiliation:
Center for International Emergency, Disaster, and Refugee Studies (CIEDRS), the Department of Emergency Medicine, Johns Hopkins Medical Institute, Baltimore, Maryland, USA
*
1830 Monument Street, Suite 6-100, Baltimore, MD 21025USA E-mail: gbledso1@jhmi.edu

Abstract

Objective:

A consensus panel of Emergency Physicians with experience in international health has published a recommended curriculum for a formal fellowship in International Emergency Medicine. This article reviews the current International Emergency Medicine (IEM) fellowships available to residency-trained Emergency Physicians in the United States.

Methods:

Every allopathic Emergency Medicine (EM) residency program in the United States was contacted via e-mail or telephone. Programs that reported having an IEM fellowship were asked detailed information about their program, including: (1) the number of years the program has been offered; (2) the duration of the program; (3) the number of fellows taken each year; (4) the number of fellowship graduates from each program and their current practice patterns; (5) how the fellowship is funded; and (6) whether a Masters Degree in Public Health (MPH) is offered.

Results:

All 127 allopathic EM residency programs responded. Eight (6.8%) of these programs offered IEM fellowships. Of a total of 29 graduates identified, 23 (79.3%) were employed in academic medicine. All of the fellowships offered formal public health training and were funded by a combination of clinical billing and project-specific grants and scholarships. All IEM fellowships described a curriculum that reflected the previously published recommendations.

Conclusion:

Opportunities in formal training in international health are increasing for graduates of EM residencies in the United States. The proposed curriculum for IEM fellowships seems to have been implemented and graduates of IEM fellowships seem to be applying their training in international projects.

Type
Original Research
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2005

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Arnold, JL: International emergency medicine and the recent development of emergency medicine worldwide. Ann Emerg Med 1999;33(1):97103.CrossRefGoogle Scholar
2. Kirsch, TD, Holliman, CJ, Hirshon, JM, Doezema, D: The development of international emergency medicine: A role for US emergency physicians and organizations. SAEM International Interest Group. Acad Emerg Med 1997;4(10):9961001.CrossRefGoogle Scholar
3. Church, AL, Plitponkarnpim, A: Emergency medicine in Thailand. Ann Emerg Med 1998;32(1):9397.CrossRefGoogle ScholarPubMed
4. VanRooyen, MJ, Townes, DA, Hart, RG, Willoughby, P: International Health Fellowship: A proposed curriculum for emergency physicians. J Emerg Med 1997;15(2):249252.CrossRefGoogle ScholarPubMed
5. Baker, TD, Weisman, C., Piwoz, E: United States health professionals in international health work. Am J Public Health 1984;74(5):438441.CrossRefGoogle ScholarPubMed
6. Kirsch, TD, Hilwig, WK, Holder, Y et al. : Epidemiology and practice of emergency medicine in a developing country. Ann Emerg Med 1995; 26(3): 361367.CrossRefGoogle ScholarPubMed
7. Townes, DA, Lee, TE, Gulo, S, VanRooyen, MJ: Emergency medicine in Russia. Ann Emerg Med 1998;32(2):239242.CrossRefGoogle ScholarPubMed
8. VanRooyen, MJ, Erickson, TB, Cruz, C. et al. : Training military medics as civilian prehospital care providers in Southern Sudan. Prehosp Emerg Care 2000;4(1):6569.CrossRefGoogle ScholarPubMed
9. Erickson, TB, VanRooyen, MJ, Werbiski, P et al. : Emergency medicine education intervention in Rwanda. Ann Emerg Med 1996;28(6):648651.CrossRefGoogle ScholarPubMed
10. Koch-Weser, D: International health: Academic specialty or humanitarian service? Am J Public Health 1984;74(5):430431.CrossRefGoogle ScholarPubMed
11. VanRooyen, MJ, Clem, KJ, Holliman, CH et al. : Proposed fellowship training program in international emergency medicine. Acad Emerg Med 1999;6(2): 145149.CrossRefGoogle ScholarPubMed
12. Hsu, EB, Ma, M, Lin, FY et al. : Emergency medical assistance team response following Taiwan Chi-Chi earthquake. Prehosp Disast Med 2002;17(1):1722.CrossRefGoogle ScholarPubMed
13. Vanier, VK, VanRooyen, MJ, Lis, J, Eliades, MJ: Post-war Kosovo: Part 1. Assessment of prehospital emergency services. Prehosp Disast Med 2001; 16(4):263267.CrossRefGoogle ScholarPubMed
14. Eliades, MJ, Lis, J, Barbosa, J, VanRooyen, MJ: Post-war Kosovo: Part 2. Assessment of emergency medicine leadership development strategy. Prehosp Disast Med 2001;16(4):268274.CrossRefGoogle ScholarPubMed
15. Lis, J, Eliades, MJ, Benishi, D et al. : Post-war Kosovo: Part 3. Development and rehabilitation of emergency services. Prehosp Disast Med 2001; 16(4):275280.CrossRefGoogle ScholarPubMed
16. Goldsmith, MF, Gunby, P: Physician service opportunities abroad. JAMA 1993;270(5):567571.CrossRefGoogle ScholarPubMed
17. Baker, TD, Weisman, C., Piwoz, E: US physicians in international health. Report of a current survey. JAMA 1984;251(4):502504.CrossRefGoogle ScholarPubMed
18. VanRooyen, MJ, Townes, DA, Hart, RG: Rationale for emergency medicine fellowship in international health. Acad Emerg Med 1995;2(12):11121113.CrossRefGoogle ScholarPubMed
19. Holliman, CJ, Green, GB, VanRooyen, MJ et al. : Proposed curriculum for an “observational” international emergency medicine fellowship program. Acad Emerg Med 2000;7(4):359364.CrossRefGoogle ScholarPubMed
20. Holliman, CJ, VanRooyen, MJ, Green, GB et al. : Planning recommendations for international emergency medicine and out-of-hospital care system development. Acad Emerg Med 2000;7(8):911917.CrossRefGoogle Scholar
21. Dey, CC, Grabowski, JG, Gebreyes, K et al. : Influence of international emergency medicine opportunities on residency program selection. Acad Emerg Med 2002;9(7):679683.CrossRefGoogle Scholar
22. Smith, DD, Gonzalez, J: International emergency medicine fellowship: The basics. Ann Emerg Med 2003;41(1):144147.CrossRefGoogle Scholar
23. Hoffman, GL, Bock, BF, Gallagher, EJ et al. : Report of the task force on residency training information (2001–2002), American Board of Emergency Medicine. Ann Emerg Med 2002;39(5):510527.CrossRefGoogle ScholarPubMed