INTERNATIONAL EMS AND DISASTER OPERATIONS FELLOWSHIP

About IEMS Fellowship

Our program mission is the exploration of International EMS Systems with the ultimate goal of discovering best practices through comparison and to assist with the global improvement of Prehospital emergency care and access. The fellowship provides a personalized, dynamic educational experience that focuses on the practice of EMS internationally and prepares our fellows to become leaders and educators in the field of EMS and Disaster Operations.

If you are interested in enrolling in International EMS and Disaster Operations Fellowship course, contact gciotton@bidmc.harvard.edu for more information.

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CURRICULUM

It is an expectation that all fellows will start the formal fellowship didactics on August 1st prepared to discuss and engage in academic content related to Prehospital Emergency Medicine (EMS) and Disaster medicine on the minimum level expected of an Emergency Medicine physician. To this end, all fellows are required to complete the following curriculum consisting of advance reading, online coursework, and local rotations and preparing a research proposal for review in coordination with the Research Director during their time in July and August.
If you have any questions, please contact the fellowship directors directly.

Didactic Lecture Schedule

August
  • Introduction to EMS
  • Anatomy of EMS Systems
  • EMS Role in Disaster Medicine
September
  • International history of EMS: how did the two models develop and why
  • System Leadership, Organization, Regulation & Policy Subsystem
October
  • Resource Management Subsystems – Financial
  • Resource Management Subsystems– Human Resources
November
  • Resource Management Subsystems – Transportation
  • Resource Management Subsystems – Facility and Specialty Care Regionalization
December
  • Public Access and Communications Subsystems
  • EMD / PSAP
  • Public Information, Education and Prevention Subsystem
January
  • Clinical Care, Integration of Care, and Medical Direction
  • NAEMSP Medical Director’s Certification Course
  • Information, Evaluation, and Research Subsystem
March
  • Large Scale Event Preparedness and Response Subsystem
  • Disaster Operations
April
  • EMS Education and Training
May
  • Specialty – Option 1: Tactical, Special Events, Flight Operations, Wilderness EMS , Search & Rescue, Community Paramedicine, etc
June
  • Quality Management
  • Performance Improvement Programs
July
  • Specialty – Option 2: Tactical, Special Events, Flight Operations, Wilderness EMS , Search & Rescue, Community Paramedicine, etc

Research Project

Each fellow is expected to develop an active independent project that can be completed by the end of the academic year, with expectation that it will have been submitted to a conference and be ready to submit to a journal by graduation.
It is expected that you will arrive with a research project proposal to present to the fellowship leadership for review and critique on September 1st week.
To aid in this process, it is recommended you submit your initial ideas for a project to Dr. Mick Molly, the fellowship Research Director, prior to beginning the fellowship. This will allow you to work on developing a formal project for internal review in the division and IRB submission as soon as you arrive in Boston.
Please email Dr. Molloy when you have a list of potential topics to develop. Please also send him any previously published papers or abstracts you have published.

Mandatory Readings

Recommended Online Reading

  • Accidental Death and Disability: The Neglected Disease of Modern Society (Free pdf online)
  • EMS Agenda for the Future ( Free pdf online)
  • National EMS Scope of Practice Model ( Free pdf online)
  • Institute of Medicine(IOM) Report :
    1. Hospital-Based Emergency Care: At the Breaking Point explores the changing role of the hospital emergency department and describes the national epidemic of overcrowded emergency departments and trauma centers.
    2. Emergency Medical Services At the Crossroads describes the development of Emergency Medical Services (EMS) systems over the last forty years and the fragmented system that exists today.
    3. Emergency Care for Children: Growing Pains describes the unique challenges of emergency care for children.
    4. Crisis Standards of Care: A Systems Framework for Catastrophic Disaster Response, 2012