Counter-Terrorism Medicine Fellowship

About the Counter-Terrorism Medicine Fellowship

CTM is a one-year fellowship utilizing our esteemed faculty, who collectively have over 150 years experience preparing for and responding to terrorist events at all levels of government, along with a dynamic curriculum, and rotations in Boston, Washington DC, and other training facilities across the country. Fellows will learn the unique aspects of mitigation, preparedness, and response to terrorist events, including the health service support considerations in the era of asymmetrical threats, and weapons of mass destruction. We look forward to accepting our first Counter-Terrorism Medicine Fellows to begin in July.

If you are interested in enrolling in Counter-Terrorism Medicine Fellowship course, contact gciotton@bidmc.harvard.edu for more information.

Counter-Terrorism Medicine Fellowship Curriculum

Counter-Terrorism Medicine: Operations

General Counter-Terrorism Medicine
  1. Introduction to Disaster Medicine and Emergency Management for Terrorist Attack
  2. Public Health and Terrorist Attack
  3. The Role of Emergency Medical Services in Terrorism Preparedness and Response
  4. The Role of Hospitals in Terrorist Attack
  5. Ethical Issues in the Provision of Emergency Medical Care in Multiple Casualty Incidents
  6. Terrorism Response in the United States
  7. Terrorism Response in Europe
  8. Local Response to Terrorist Attack
  9. State/Regional Response to Terrorist Attack

10. Selected Federal Disaster Response Agencies and Capabilities
11. Global Terrorism Response
12. Community Hazard Vulnerability Assessment
13. Informatics and Telemedicine in Disaster
14. Public Information Management in Terrorist Attack
15. Terrorism Mitigation
16. Terrorism Preparedness
17. Worker Health and Safety in the Response to Terrorist Attack

Terrorist Event Response
  1. Accidental versus Intentional Event
  2. Crisis Leadership in Public Health Emergencies
  3. The Incident Command System
  4. Scene Safety in Terrorism Events
  5. Needs Assessment in Terrorism Events

6. Operations and Logistics in Terrorism Events
7. Disaster Communications in Terrorism Events
8. Personal Protective Equipment
9. Management of Mass Fatalities from Terrorist Attack
10. Urban Search and Rescue in Terrorism Events
11. Triage in Terrorism Events

High-Threat Terrorist Event Response
  1. Lessons Learned from Recent Terrorist Attacks
  2. The Psychology of Terrorism
  3. Health Service Support Considerations in the Era of Asymmetric Threats
  4. Integrated Response to Terrorist Attacks
  5. Multimodality, Layered Attack
  6. Active Shooter Events
  7. Hostage Taking By Terrorists
  8. Terrorism-Induced Civil Unrest and Rioting
  9. Introduction to Explosions and Blasts
  10. Suicide Bomber
  11. Improvised Explosive Devices

12. Vehicle Borne Improvised Devices
13. Conventional Explosions at a Mass Gathering
14. Response to Nuclear Terrorist Attack
15. Dirty Bomb (Radiologic Dispersal Device) and Other Radiation Scenarios
16. General Approach to Chemical Attack
17. General Approach to Biologic Attack
18. Future Biologic and Chemical Weapons
19. Chemical, Biologic, and Nuclear Quarantine
20. Chemical Decontamination
21. Radiation Decontamination
22. Directed-Energy Weapons

Operational Medicine in a Terrorism Event
  1. Military Lessons Learned for Disaster Response
  2. Integration of Law Enforcement and Military Resources with Emergency Response to Domestic Terrorist Events
  3. Tactical EMS applications for Terrorism
  4. Medicine Beyond the Barricade

5. Operational Rescue in Terrorist Attack
6. Operations Security, Site Security and Incident Response in Terrorist Attack
7. Medical Intelligence
8. Preventative Medicine for Responders in High Threat Environments

Counter-Terrorism Medicine: Treatment of Casualties

CBRNE: Nuclear/Radiation Terrorism Events
  1. Introduction to Nuclear/Radiologic Disasters
  2. Nuclear Detonation
  3. Radiation Event – Isolated Exposure

4. Radiation Event – Dispersed Exposure
5. Nuclear Power Plant Attack

CBRNE: Chemical Terrorism Events
  1. Introduction to Chemical Attacks
  2. Nerve Agent Mass-Casualty Incidents
  3. Vesicant Agent Attack
  4. Respiratory Agent Attack
  5. Cyanide Attack
  6. Antimuscarinic Agent Attack

7. LSD, Other Indoles, and Phenylethylamine Derivative Attack
8. Opioid Agent Attack
9. Hydrofluoric Acid Attack
10. Riot-Control Agent Attack
11. Cholinergic Agent Attack (Nicotine, Epibatidine, and Anatoxin-A)
12. Anesthetic-Agent Attack

CBRNE: Bioterrorism Events
  1. Introduction to Biologic Agents and Bioterroism
  2. Bacillus Anthracis (Anthrax) Attack
  3. Yersinia Pestis (Plague) Attack
  4. Francisella Tularensis (Tularemia) Attack
  5. Brucella Species (Brucellosis) Attack
  6. Coxiella burnetii (Q Fever) Attack
  7. Rickettsia prowazekii Attack (Typhus Fever)
  8. Orientia tsutsugamushi (Scrub Typhus) Attack
  9. Rickettsia rickettsii (Rocky Mountain Spotted Fever) Attack
  10. Vibrio cholerae (Cholera) Attack
  11. Shigella dysenteriae (Shigellosis) Attack
  12. Salmonella Species (Salmonellosis) Attack
  13. Salmonella typhi (Typhoid Fever) Attack
  14. Burkholderia mallei (Glanders) Attack
  15. Burkholderia pseudomallei (Melioidosis) Attack
  16. Chlamydia psittaci (Psittacosis) Attack
  17. Escherichia coli O157:H7 (Hemorrhagic E. Coli) Attack
  18. Viral Encephalitides (Alphaviruses) Attack
  19. Tick-Borne Encephalitis Virus Attack
  20. Viral Hemorrhagic Fever Virus Attack – Arenaviruses

21. Viral Hemorrhagic Fever Attack – Bunya Virus
22. Viral Hemorrhagic Fever Attack – Filo Viruses
23. Viral Hemorrhagic Fever Attack – Flaviviruses
24. Chikungunya Virus Attack
25. Variola Major Virus (Smallpox) Attack
26. Influenza Virus Attack
27. Monkeypox Attack
28. Hantavirus Pulmonary Syndrome Attack
29. Henipahvirus Attack (Hendra Virus Disease and Nipah Virus Encephalitis)
30. SARS-CoV and MERS Attack (Severe Acute Respiratory Syndrome)
31. Staphylococcal Enterotoxin B Attack
32. Clostridium botulinum Toxin (Botulism) Attack
33. Clostridium perfringens Toxin (Epsilon Toxin) Attack
34. Marine Toxin Attack
35. T-2 Toxin (Trichothecene Mycotoxins) Attack
36. Ricin Toxin from Ricinus communis (Castor Beans) Attack
37. Aflatoxin Attack (Aspergillus Species)
38. Coccidioides immitis Attack (Coccidioidomycosis)
39. Histoplasma capsulatum Attack (Histoplamosis)
40. Cryptosporidium parvum Attack (Cryptosporidiosis)

CBRNE: Bomb/Blast Terrorist Attack
  1. Explosions: Conventional
  2. Rocket-Propelled Grenade Attack
  3. Conventional Explosion at a Hospital
  4. Conventional Explosion in a High-Rise Building

5. Conventional Explosion at a Nuclear Power Plant
6. Tunnel Explosion
7. Liquefied Natural Gas Tanker Truck Explosion
8. Petroleum Distillation/Processing Facility Explosion

CBRNE: Ballistic Terrorist Attack
  1. Gunshot Attack: Mass Casualties
  2. Sniper Attack

3. Grenade and Pipe Bomb Attack

Other Terrorism Events
  1. Aircraft Hijacking
  2. Aircraft Crash into a High-Rise Building
  3. Airliner Crash into a Nuclear Power Plant
  4. Bomb Explosion at a Nuclear Waste Storage Facility
  5. Intentional Contamination of Water Supplies

6. Food Supply Contamination
7. Attack at Mass Gatherings
8. Ecological Terrorism
9. Computer and Electronic Terrorism and EMS
10. VIP Care and Protective Medicine