The Emory University School of Medicine Department of Emergency Medicine offers a two-year Fellowship in Emergency Department Administration. This fellowship is ideal for emergency medicine residency graduates with a strong interest in administrative aspects of Emergency Medicine. It provides post-graduate training in emergency department leadership, operations, finances, staffing, strategic planning, risk management, emergency preparedness, knowledge translation, quality improvement, and other essential areas of Emergency Medicine administration. The Administrative Fellow will have a faculty appointment as a Clinical Instructor in the Department of Emergency Medicine at Emory University School of Medicine.
Training consists of following components:
Clinical commitment: Fellows are expected to work 64 clinical hours per month as an Attending Physicians in the Emory Healthcare and Grady Memorial Hospital Emergency Departments.
- Leadership: The Administrative Fellow functions as a member of the Operations leadership group and is actively involved in operational aspects of Emergency Medicine at Emory University sites. The fellow should participate in at least one hospital and/or SOM committee. Fellow will meet with faculty participating in state and local EM organizations (SAEM, ACEP) to understand their structure and relationship to emergency medicine practice. SAEM and ACEP dues are paid by the department.
- Clinical Operations: Fellow will have a base administrative location and participate in administrative aspects such as departmental meetings, and taking administrative call. An understanding of state and federal regulations governing the practice of emergency medicine will be demonstrated. Fellow will work with credentialing and medical directors to learn the approach to credentialing process as it relates to hospital credentialing, federal and private pay entity credentialing. Other specialized areas such as EMS administration and Informatics instructions and participation are also areas of basic fellowship curriculum. .
- Education: Fellow as a faculty member will be responsible for participating in required teaching requirement of the Department of Emergency Medicine. Fellow will be involved in the curriculum planning, revision, and execution of the PGY3 Administrative rotation of the EM residency. The Administrative Fellow will select an area of focus developing as an area of expertise. This will include responsibility for resident and student teaching on this area. The department will support completion of Phase 1 of ACEP Medical Directors Academy during first year of fellowship. Fellows should take advantage of department support for a master’s level program at Emory University chosen from a variety of related fields.
- Quality: The fellow will be expected to work with Quality Directors. Fellow will design, execute and survey at least one quality metric/program per year of fellowship. Fellow will also be expected to mentor residents CQI projects in Administrative Rotation under faculty supervision. The fellow will also be asked to investigate and respond to patient complaints under the direction of the site medical director for an assigned month in their fellowship. Fellow will participate in and demonstrate knowledge of efforts for Core
- Measures and National Patient Safety Goals. Fellow should participate in department morbidity and mortality conferences.
- Risk Management: The fellow will work with the department Vice Chairs of operations in reviewing risk management issues and cases at Emory (Lowery-North) and Grady (Haley). The fellows will be expected to meet with Patient Reps to understand the patient and family grievance process.
- Coding and Billing: The fellow will work with Reba Harrison to learn coding and billing aspects of emergency medicine, and be able to understand how to correctly assign level of service. In addition the fellow will choose an audit area and develop a plan for improvement in documentation among faculty to capture services provided (eg EM levels, Critical Care etc)
- Finances: The fellow will be expected to attend and participate in meetings and discussions on budget related to the operations of Department of Emergency Medicine.
- Staffing: The fellow will learn how to evaluate staffing models and needs, and analyze staffing at one of the Emory Healthcare sites and prepare a staffing plan.
- Observational Medicine: The fellow will be expected to understand how observation medicine impacts ED flow and reimbursement.
- Evidence Based Medicine: Fellow will participate in EBM curriculum. Fellow will help implement EBM and knowledge translation projects in clinical operations and as part of educational curriculum. Fellow will be literate in processes of formulating questions, designing processes for implementation and monitoring that are applicable to knowledge translation and general change and process management.
- Research: Fellows will be expected to design and produce a peer reviewed quality research project in an area appropriate for the fellowship, and ideally in their area of interest. The fellow is strongly encouraged to present this research at a national meeting (SAEM, ACEP, etc). Department support is provided.
The successful applicant will be board certified or board eligible in Emergency Medicine and have completed an accredited Emergency Medicine residency program. The applicant will also have expressed interest and experience in administration and leadership, be in agreement with the mission and vision of the Department of Emergency Medicine and understand the programs goals and objectives. Applicants must be able to obtain a Georgia license, participate as a provider in federal and contracted insurance plans with Emory Healthcare, and obtain hospital appointment at an Emory Healthcare hospital.
Successful completion of the fellowship will occur with completion of all required elements. The fellow is responsible for areas of faculty performance as determined by the Chair of Emergency Medicine and the Dean of the School of Medicine. In addition monthly meetings with fellowship director to review progress on goals and objectives should occur with quarterly evaluations from the subject matter experts responsible for mentoring areas above. Overall successful completion and graduation from the fellowship will be determined by the Fellowship Director.
Each Fellow will be expected to develop a set of individual learning objectives mutually agreed upon by the fellowship director and themselves within the first month of fellowship, but ideally before the starting. These individual objectives will be in addition to above 7 expectations that will form the focus of his or her Fellowship activities. Upon completion of the Fellowship, participants will be able to demonstrate the following core competencies:
- Professionalism and Collegiality The fellow will be expected to model and develop leadership skills during the fellowship and interact with colleagues and peers in a respectful professional manner.
- Administrative Competency: The fellow will be expected at the completion of the fellowship to be able to assume the position of Assistant, Associate or Medical Director in an Emergency Department.
- The fellow will have successfully completed assignments and objectives in areas of emergency medicine administration as outlined above and individual objectives determined at beginning of fellowship
For more information about any of Emory’s Emergency Medicine Administrative Fellowship, please contact:
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