Overview
The Mass General Brigham Emergency Medicine Fellowship in Leadership and Administration prepares residency-trained Emergency Medicine physicians to become competent, knowledgeable and successful leaders in the complex task of providing effective and efficient care in Emergency Departments.
This is a two-year fellowship that includes clinical care and administrative tasks in a variety of settings including academic departments, community hospital departments, and an urgent care clinic. Additionally, it is paired with a Master’s in Health Care Management program at the Harvard T.H. Chan School of Public Health (HSPH) which is adjacent to Brigham and Women’s Hospital.
Clinical Emergency Medicine: Fellows serve as attending physicians across multiple sites. Our fellows receive academic appointments at BWH and MGH, both Level 1 Trauma, STEMI, and Stroke Centers with a combined annual visit volume of ~200,000 patients. Fellows also have opportunities to work in community hospital settings if desired. Fellows supervise Harvard residents in the emergency department and are expected to be active participants in educational programs.
Academic Activities: Fellows are expected to participate in academic activities, including formal didactic sessions, trauma conferences, morbidity and mortality sessions, and faculty meetings as their schedule permits.
Administration: The fellow will be deeply involved in administration while assisting in managing Emergency Care delivery including patient flow, patient relations, quality and safety monitoring and management, inter-professional relations, ED staffing, coding and billing, budgeting, and personnel management. This will entail participation in meetings related to flow within the Department and from the Department to other destinations, quality of care, staff experience, safety of both patients and staff, as well as policy development at the Department level. Additionally, it will require compiling and presenting reports on areas of interest in ED management including business plans related to departmental initiatives. Knowledge about risk management (both at department and hospital levels) will be cultivated as well. The fellow will also explore systems-level administrative projects with a focus on integration of the department of Emergency Medicine across multiple hospitals.
IEDLI: In addition to department activities, the participants will attend the International Emergency Department Leadership Institute (IEDLI) courses with the goal of learning emergency management from a global perspective. The weeklong program runs annually in early November at a European destination and attracts Emergency Department leaders from across the globe. Fellows will complete the Leadership Essentials course during the second year of their fellowship. Cost of the tuition for IEDLI is paid for by the department. Information about IEDLI can be found at iedli.org.
Harvard T.H. Chan School of Public Health Executive Master in Health Care Management (MHCM): The fellowship includes a fully supported opportunity to obtain an executive-level graduate degree through the Master in Health Care Management (MHCM) program at Harvard T.H. Chan School of Public Health over the course of the two-year fellowship. This degree is specifically designed for physicians in leadership roles and provides advanced training in healthcare management, finance, strategy, quality improvement, and organizational leadership to drive high-value care delivery. The program cohort generally includes medical directors, department chairs, chief medical officers, company founders, and sometimes hospital presidents from across the country. Fellows integrate this formal academic experience with real-time operational and administrative work across the health system, creating a uniquely applied learning environment. All tuition and associated costs for this executive degree are fully covered by the fellowship.
A separate application is required for this program. Applications must be submitted by December 1st of the year prior to starting the fellowship. Admissions information and the online application are available at www.hsph.harvard.edu/admissions/
Research: The Department has an active research program with a wide range of topics. Research on administrative projects can fit into many areas including health disparities, staff experience, overcrowding, flow processes, finance, claims management, risk mitigation, tele-medicine, artificial intelligence, and more. The fellow will develop a project with a faculty mentor early on, and there is an expectation that there will be an abstract available at the end of year one and a publishable manuscript at the end of year two. This research effort may be paired with a required project that is a part of the MHCM program at HSPH.