Global EM Fellowship

Application Fees

  • Application fee is $400 at the time of submission.
  • Annual fee of $150 for years 1 and 2.
  • Annual fee of $200 for year 3 and beyond.
  • Please make check payable to "SAEM" and reference "[Type of fellowship] Fellowship Application."
  • Checks can be mailed to: SAEM, 1111 East Touhy Ave, Suite 540, Des Plaines, IL 60018 or faxed using the credit card form [pdf] to (847) 813-5450.

New Application Deadline: March 31st annually

Renewal Application Deadline: September 30th annually

  • Renewal applications are due the 3rd year after initial application is approved.
  • Subsequent renewals are due every 5 years.

How to Submit

All applications and evaluations must be submitted through the online portal by 5pm Central Time on the deadline. If the deadline falls on a holiday or weekend, applications will be accepted on the next business day. 

 

You can download a copy of the application form. Please note, you must submit applications through the online portal. Emailed copies of an application will not be accepted.

 

Annual Reports

(Non-research fellowships only)

Annual Fellowship Evaluations are required of approved programs on March 31st each year. The annual evaluation will ask you to list graduating fellows. Please make sure to complete this form in order for your fellows to receive their certificate.

 

Institution Application

SAEM endorsement of a Global Emergency Medicine fellowship program is contingent upon a review of the following: institutional environment; success of prior program graduates (if applicable); current members of the faculty fellowship team; and the proposed curriculum for future fellows. All approved Global Emergency Medicine fellowship programs must be affiliated with an ACGME-accredited Emergency Medicine residency and should have support for global health programs already in place. Essential to SAEM endorsement, eligible Global Emergency Medicine fellowship programs must provide evidence of significant collaboration with one or more international partners and sites that are capable of supporting the clinical, educational, and/or research needs of participating fellows. 

The Accreditation Council for Graduate Medical Education (ACGME) is the organization responsible for accrediting the majority of graduate medical training programs in the United States. The Society for Academic Emergency Medicine (SAEM) recognizes that there are many valuable non-ACGME accredited fellowship training opportunities for Emergency Medicine (EM) residency graduates. In an effort to promote high quality and standardization across these non-ACGME-accredited fellowship programs (e.g., Global Emergency Medicine, Geriatric Emergency Medicine, Medical Education, Research, etc.), SAEM has established guidelines (that is, curricular elements, faculty support recommendations, career development opportunities, etc.) through which eligible non-ACGME-accredited fellowship program can earn the endorsement of SAEM.

Global Emergency Medicine (formerly called International Emergency Medicine) is a discipline focused on the improvement of emergency and acute care across the world through clinical care, research, and educational programs.

SAEM endorsement of a Global Emergency Medicine fellowship program is contingent upon a review of the following: institutional environment (as defined below under “Essential Elements for an SAEM-Approved Fellowship Program in Global Emergency Medicine”); success of prior program graduates (if applicable); current members of the faculty fellowship team; and the proposed curriculum for future fellows. All approved Global Emergency Medicine fellowship programs must be affiliated with an ACGME-accredited Emergency Medicine residency and should have support for global health programs already in place. Essential to SAEM endorsement, eligible Global Emergency Medicine fellowship programs must provide evidence of significant collaboration with one or more international partners and sites that are capable of supporting the clinical, educational, and/or research needs of participating fellows.

As part of the program assessment and environmental evaluation, the SAEM Fellowship Approval Committee reserves the right to request a site visit and/or in-person interviews with key fellowship personnel.

Initial approval is granted for a period of three academic years (July 1- June 30), and programs with demonstrated success can be re-approved for a period of five years. SAEM-approved Global Emergency Medicine fellowship programs must promptly communicate to the SAEM Fellowships Approval Committee any significant changes in fellowship personnel (see below), curricula/program structure, and/or international partnerships. In the event of the departure or replacement of the Program Director and/or Department Chair/Division Chief, a secondary review by the SAEM Fellowship Approval Committee may be required. The participating program is then to apply for re-approval as per the usual cycle.


Essential Elements for an SAEM-Approved Fellowship Program in Global Emergency Medicine


A Global Emergency Medicine fellowship program should prepare the participant to become a leader in Global EM. Graduates should have the necessary skills to facilitate career advancement in Global EM both clinically and in at least one of three other areas:

1. Administration – the development of fundamental administrative skills to allow fellows to evolve as leaders in global health and emergency care. This may include expertise in clinical operations, quality improvement processes, patient safety, or other appropriate administrative topics in an international setting.

2. Education – the development of fundamental medical education experiences to allow fellows to evolve as leading educators in Global EM. This may include establishing expertise in key areas of Global EM content—as determined by the Program Director—with educational materials developed by fellows that can be used to advance global emergency care knowledge.

3. Research – the development of fundamental skills in clinical, basic science, and translational research to allow fellows to evolve as leading researchers in Global EM. This can include focused research training, training in design and conduct of clinical trials, training in writing and reviewing scientific manuscripts, and training in grant writing. Fellows should produce, at a minimum, one publishable investigative research project during their time as a fellow.

Clinical: Home Institution

Fellows, in the capacity of attending physicians, should provide direct care to patients and /or supervise trainees providing care to patients in one or more of the home institution’s hospital Emergency Departments (ED). Fellows, while in this capacity, should be mentored—by the Program Director and Department Chair/Division Chief among other key faculty—as junior attendings and/or junior faculty members in a Department/Division of Emergency Medicine. Fellows, serving as junior attendings/faculty, should meet all predetermined clinical, educational, and research requirements as outlined by the Program Director and Department Chair/Division Chief.

Clinical: Abroad (Suggested but NOT required)

Clinical experiences abroad should include care of acutely ill and injured children and adults in at least one resource- and/or EM specialty-constrained setting. The clinical experience should be as broad as possible—capitalizing on the opportunities provided by the local health care system hosting Global EM fellows. These opportunities should include Emergency Department (or its local equivalent)-based care of patients and pre-hospital care of patients—with an emphasis on attaining the necessary knowledge and skills to adeptly care for patients with locally endemic diseases in a resource-appropriate manner. Again, fellows should meet all predetermined clinical, educational, and research requirements as outlined by the Program Director, Department Chair/Division Chief, and local site mentor/director.

Specific Requirements

All fellows must have completed an M.D. or D.O. ACGME-accredited residency program in Emergency Medicine.

Participating Global EM fellowship programs must demonstrate how they will prepare graduates as scholars, and to this end, programs may choose a curriculum providing broad training in all areas of scholarship (e.g., administration, education, and research). By contrast, participating Global EM fellowship programs may develop separate areas of concentration that focus on one or more areas of scholarship while still including a degree of exposure and training in all three areas.

Fellowship programs may be one or more years in length. An advanced degree should be a part of the curriculum if the program is two or more years. Programs offering a masters-level degree should assure the coursework is applicable to a related doctorate degree (in the case participating fellows choose to pursue the related doctorate).

SAEM-endorsed Global Emergency Medicine programs must have a dedicated Program Director. The Program Director must possess the necessary credentials and experience to fulfil his/her duties as outlined in a written departmental position description. The Program Director must also be afforded, by the Department Chair/Division Chief, sufficient clinical release-time to fulfil his/her duties to the Global Emergency Medicine fellowship program.

All fellows enrolled in an SAEM-approved Global Emergency Medicine must hold an active SAEM membership. Programs not meeting this requirement are subject to losing their SAEM endorsement.

In order to meet the standards for SAEM endorsement, the following curricular elements should be addressed. All graduates of an SAEM-approved Global Emergency Medicine fellowship program must demonstrate clinical competence (at the home institution and/or at an international site), scholarly production, as well as participation and competence in several of the elements of at least one of the three areas of concentration listed below:

Note: While Global Emergency Medicine fellowship programs should expose fellows to the administrative, educational, and research aspects of Global EM, fellows should have a focus in at least one of the three areas listed below.

1. Administration

  • Successful completion of a Master of Business Administration (MBA), Master of Health Administration (MHA), Master of Finance, Master of Public Administration (MPA), or other administrative degree/diploma/certificate; and/or
  • Successful completion of coursework in accounting, analytic tools/statistics, business communication, economics, ethics, finance, managerial and leadership skills, operations, strategy, etc.; and/or
  • Participation and leadership in local, national and/or international organizations with focus on administration of Global EM programs; and/or
  • Participation in the American College of Emergency Physician (ACEP) Leadership and Advocacy Conference; and
  • Compulsory: Development of resource-appropriate policies, protocols, and clinical operations initiatives to advance emergency care in one or more Emergency Departments (or their local equivalent) abroad; and
  • Compulsory: Completion of one or more Global EM- and administration-related scholarly projects culminating in externally- and peer-reviewed, publically disseminated work(s) (e.g., abstract presentation at a national or international conference, manuscript publication in a peer-reviewed journal, MedEdPORTAL®, etc.).

2. Education

  • Successful completion of a Master of Education (M.Ed) or other education degree/diploma/certificate; and/or
  • Successful completion of coursework in assessment, career and professional development, curriculum design, didactic and clinical teaching, educational program administration, education research methods, feedback, teaching skills, theories of learning, etc.; and/or
  • Delivery of Global EM-related educational topics to learners at the home institution and at international site(s) by way of:
    o Assigned readings;
    o Directed seminar series or courses;
    o Electronic resources;
    o Formal didactic lectures;
    o Journal clubs;
    o Skills workshops; and
    o Others; and/or
  • Participation in the American College of Emergency Physician (ACEP) Teaching Fellowship; and/or
  • Mentorship of learners and colleagues in Global Emergency Medicine; and
  • Compulsory: Development of novel resource-appropriate Global EM curricula—employing case-based learning, formal didactic lectures, simulation, small group learning, and other modalities; and
  • Compulsory: Completion of one or more Global EM- and administration-related scholarly projects culminating in externally- and peer-reviewed, publically disseminated work(s) (e.g., abstract presentation at a national or international conference, manuscript publication in a peer-reviewed journal, MedEdPORTAL®, etc.).

3. Research

  • Successful completion of a Master of Public Health (MPH), Master of Science (MSc), or other research degree/diploma/certificate; and/or
  • Successful completion of coursework in biostatistics, epidemiology, project evaluation/management/monitoring, research methodology, site assessment, systematic review, etc.; and/or
  • Training in grant writing; and/or
  • Critical appraisal of the medical literature; and/or
  • Compulsory: Submission of one or more Global EM-related research protocols to an Institutional Review Board (IRB); and
  • Compulsory: Completion of one or more resource-appropriate Global EM investigative research projects at one or more international sites; and
  • Compulsory: Submission of one or more individual grant proposals; and
  • Compulsory: Presentation of one or more individual research abstracts at a national or international conference and/or publication of one or more manuscripts in a peer-reviewed journal.

Additional Resources


Global Emergency Medicine leadership may find the (non-exhaustive list of) published manuscripts below useful in the completion of this application, in the establishment of a new Global EM fellowship program, or in the refinement of a current Global EM fellowship program.


1. Jacquet GA1, Vu A, Ewen WB, Hansoti B, Andescavage S, Price D, Suter RE, Bayram JD: Fellowships in international emergency medicine in the USA: a comparative survey of program directors' and fellows' perspectives on the curriculum. Postgrad Med J. January 2014. 90(1059):3-7. doi: 10.1136/postgradmedj-2012-131714. Epub 2013 Aug 20.


2. Martin IBK, Jacquet G, Levine A, Douglass K, Pousson A, Dunlop S, Bentley S, Khanna K, Tupesis J: Global Health and Emergency Care: A Post-Graduate Medical Education Consensus-Based Research Agenda. Academic Emergency Medicine. December 2013. 20(12):1233-40. PMID: 24341578.


3. Jacquet G, Levine A, Hansoti B, Martin IBK: Career Paths and Practice Patterns of Global Emergency Medicine Physicians: A Cross-Sectional Survey. The Journal of Emergency Medicine. April 2014. PII: S0736-4679(14)00150-4 doi:10.1016/j.jemermed.2014.01.029.


4. Martin IBK, Levine A, Kayden S, Hauswald M: More than just a hobby: Building an academic career in Global Emergency Medicine. The Journal of Emergency Medicine. March 2014. PII: S0736-4679(13)01450 doi:10.1016/j.jemermed.2013.11.123.


5. Weiner S, Totten V, Jacquet G, Douglass K, Birnbaumer D, Promes S, Martin IBK: Effective Teaching and Feedback Skills for Global Emergency Medicine “Train-the-Trainers” Programs. The Journal of Emergency Medicine. August 2013. doi:pii: S0736-4679(13)00593-3. 10.1016/j.jemermed.2013.04.040. [Epub ahead of print] PMID: 23942154.


6. Bayram J, Rosborough S, Bartels S, Lis J, VanRooyen MJ, Kapur GB, Anderson PD: Core curricular elements for fellowship training in international emergency medicine. Acad Emerg Med. July 2010. 17(7):748-57. doi: 10.1111/j.1553-2712.2010.00795.x.


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