Disaster Fellowship
Harvard Affiliated Disaster Medicine Fellowship
Disaster Medicine Section
Harvard Medical School
Division of Disaster Medicine
Harvard Medical Faculty Physicians
To check out the new website for the Disaster Medicine/Emergency Management Fellowship:
click here!
Program Director:
Gregory R. Ciottone, MD, FACEP
Assistant Director:
Stephen P. Wood,ACNP-BC, MS
Fellowship Coordinator:
Viola Moses (vmoses@bidmc.harvard.edu)
Faculty:
Amado Alejandro Báez MD (Brigham and Womens, Dominican Republic)
Paul Biddinger MD (Massachusetts General Hospital)
Jonathan Burstein MD (Beth Israel Deaconess Medical Center)
Ted Curcio MD (Mt. Auburn Hospital)
Meg Femino (BIDMC)
Robert Macy Ph.D. (BIDMC)
Charles Pozner MD (Brigham and Womens Hospital)
Assaad Sayah, MD (Cambridge Hospital)
Debra Weiner, MD (Childrens Hospital)
Richard Zane MD (Brigham and Womens Hospital)
Adjunct Faculty:
Gregory T. BannerMS, CEM (Regional Emergency Coordinator, Rgn I, US Dpt of Health and Human Services)
Michelangelo Bortolin MD (Torino, Italy)
Saleh Fares MD (Abu Dhabi, UAE)
Mark Keim, MD, MPH(Senior Science Advisor, NCEH/ATSDR Office of Terrorism Preparedness, Centers for Disease Control, Atlanta GA)
Tom Lawrence, NREMT-P, I/C (Commander RI-1 DMAT, Providence RI)
Cpt. Philip P. McGovern III (Mayor's Office of Emergency Management, Metro Boston UASI)
Michael Molloy MD (Royal College of Surgeons, Ireland)
Kevin Mont (Director, Emergency Preparedness/EMS OperationsFallon Ambulance Service)
Participating Agencies and Organizations:
Fellows participate in mass gathering preparedness and response for Boston Red Sox home games at Fenway Park
Fellows participate in mass gathering preparedness and response for Boston Celtics home games at Banknorth Garden
Fellows participate in mass gathering preparedness and response for Boston Bruins home games at Banknorth Garden
Fellows participate in mass gathering preparedness and response for New England Patriots home games at Gillette Stadium
Harvard Medical Faculty Physicians Emergency Management Committee
Center for Public Health Preparedness at Harvard School of Public Health
Haiti Street (
www.haitistreet.org )
Longwood Medical Area Emergency Management Committee
Medical Academic and Scientific Community Organization (MASCO)
United States Affiliated South Pacific Island Disaster Medicine Consortium, CDC
Program Duration:
Disaster Medicine Fellowship: twelve months
Disaster Medicine/Emergency Medical Services (EMS) Fellowship: twenty four months
Eligibility:
Applicants must have completed a recognized Emergency Medicine residency program or equivalent.
Funding:
Currently, the fellowship is only available for Self-funded applicants. Past Fellows have been funded primarily from their home governments
Position:
Fellows will be given a faculty position at Harvard Medical School and all necessary credentials to work with the participating agencies and organizations. Visas for international fellows will be arranged through the Harvard International Office.
Program Description:
The DM fellowship program is designed to provide qualified emergency physicians the opportunity to develop an expertise in the related fields of Disaster Medicine (DM) and Emergency Management (EM), and in the optional second year Emergency Medical Services (EMS). This is accomplished through didactic lectures, seminars, and readings, goal-related research in a specific area of DM and EM, and fieldwork resulting in a thesis. Upon completion of this fellowship, graduates will be skilled in all aspects of the disaster cycle and have the ability to assume a leadership role on the local, regional, federal, or international level in the area of Disaster Medicine and Emergency Management. It is assumed that after graduation fellows will assume such a leadership position and be active in research and academics, leading to their emergence as internationally noted experts in these fields. The additional Disaster/EMS year will allow the Fellow to gain further experience in Disaster preparedness and response as it specifically applies to the practice of Emergency Medical Services (EMS). As well, the Fellow will learn the administrative roles in EMS as active particpants. Fellows will also participate in EMS dispatch, communications, training, and practice. Fellows will gain field experience through ride-alongs, and will learn EMS/Disaster operations through hands-on particpation in mass gathering response for all Boston Red Sox, Celtics, Bruins, and New England Patriots home games at Fenway Park, Banknorth Garden, and Gillette stadium, respectively.
Program Objectives:
The Disaster Medicine program:
· Develop a knowledge base and skills set to be experts in all phases of the disaster cycle.
· Participation in local, regional, federal, and international DM activities.
· Develop a comprehensive knowledge base of United States' Preparedness and Response System.
· Develop skills to take leadership roles in their community
· Develop a compentency in DM research and teaching skills.
· Fellows will conduct teaching rounds for Emrgency Medicine residents
The Disaster Medicine/EMS Fellowship program:
· EMS field experience. Fellows will ride-along with Boston EMS, Cataldo and Fallon EMS, and Boston MedFlight helicopter
· EMS Communications. Fellows will be involved and learn dispatch protocols, dispatcher training, and equipment needs for EMS communications
· EMS Medical Direction. Fellows will learn Medical Direction for EMS using both standing and verbal order protocols. Fellows will participate in the medical direction of several EMS systems
· EMS Administration. The Fellows will participate on strategic planning and administration boards for public and private EMS systems
· EMS-Disaster preparedness integration. Fellows will learn and experience the synergy between EMS and disaster preparedness/response as active paricipants
· Fellows will conduct EMS teaching rounds to pre-hospital personnel and Emergency Medicine residents.
Training Structure:
The fellow will be invovled in the following basic areas of training: didactic lectures and readings, participation in hospital-based, local, and regional leadership committees, research, fieldwork,and thesis development.
1. Didactic Education:
The didactic component of the training occurs throughout the duration of the fellowship and consists of textbook readings, small group lessons, courses and lecture series.The fellow will also be asked to give two presentations to the Emergency Medicine residents from the Harvard-Affiliated Emergency Medicine Residency Program (HAEMR) during his/her fellowship.
2. Committee participation:
Throughout the fellowship the fellow will participate in both HMFP and Boston disaster-related committees/activities, including the HMFP Emergency Management Committee, The Longwood Medical Area Emergency Management Committee, the Center for Public Health Preparedness at Harvard School of Public Health, the Conference of Boston Teaching Hospitals (COBTH)Medical Academic and Scientific Community Organization (MASCO) and the Boston Metropolitan Medical Response System
3. Research:
The research and thesis development portion of the training will span the entire fellowship period. The fellow will be asked early on to define a research goal and to begin designing his thesis. The research and subsequent thesis will focus on a specific area of Disaster Medicine or Emergency Management and will be approved by the Fellowship Director. The goal of the thesis is for it to be published in the specialty literature.
3. Fieldwork:
The fieldwork phase will be in conducted throughout the Fellowship Program. The fellow will perform fieldwork in disaster preparedness and response through deployment with local and regional agencies and organizations, including:
Banknorth Garden/ Boston Celtics and Bruins
Boston EMS
Boston MedFlight
Boston Metropolitan Medical Response
Cataldo Ambulance
Department of Health and Human Services, Region I
Fallon Ambulance
Fenway Park/ Boston Red Sox
Gillette Stadium/ New England Patriots
Rhode Island-1 Disaster Medical Assistance Team
In addition, the Fellow will participate on the organizational/leadership level with "Haiti Street", a medical/psychosocial relief program working with over 1200 orphans in Haiti. The fellow will travel to Haiti as an administrative leader of this program
A six-week rotation at the Centers for Disease Control and Prevention (CDC) is also included in the Fellowship program (Appendix A), as is participation in the newly created United States Affiliated South Pacific Islands Disaster Medicine Consortium, CDC. This fieldwork will be overseen by the Fellowship Director and must lead to a thesis. At the start of the Fellowship, the fellow will present his concept for a thesis and it must be accepted by the Fellowship Director prior to the start of the fieldwork period.
Core Knowleadge:
The fellowship will focus on the following areas:
A. Introduction to Disaster Medicine and Emergency Management:
a. Common Definitions and Disaster Cycle
b. Role of hospitals, EMS and public health in Disasters
c. Psychological Impact of Disasters
d. "All Hazards" Emergency Operation Plans in healthcare facilities
e. Conducting a Hazard Vulnerability Analysis
f. Training and programs evaluations
g. Overview of govermental resources
B. Medical management in specific events:
a. Natural Disasters
b. Blasts/collapse/shooting/crashes/terrorism
c. Chemical/HazMat events
d. Biological events (Bacterial/Viral/Toxin disease recognition, infection control, vaccination, prophylaxis etc)
e. Mass Gatherings
f. Humanitarian Crises and Displaced Populations
g. Nuclear/Radiological events
C. Operational principles:
a. Incident Command System
b. Mass Casualty Triage and response
c. Surveillance
d. Communications
e. Search and Rescue
f. Decontamination and Personal Protective Equipements (PPE)
g. Evacuation
h. Surge Capacity
i. Media
j. Legal and ethical issues in Disasters
k. Integration of prehospital, hospital and public health services
Recommended Readings:
a. Disaster Medicine. 1st ed. Ciottone GR (ed). Philadelphia: Mosby Elsevier, Philadelphia, 2006.
b. Disaster Medicine. David E. Hogan and Jonathan L. Burstein.Lippincott Williams & Wilkins; Second Edition edition (March 1, 2007)
c. Advanced Disaster Medical Response Manual for Providers. Susan Briggs and Kathryn H. BrinsfieldHarvard Medical International; 1st edition (July 2003)
Courses:
a. Incident Command System (100, 200, 300, 400, 700, 800)
b. Hospital Incident Command System (HICS)
c. Basic/Advanced Disaster Life Support (BDLS/ADLS)
d. Hazardous Material Training (Level B and C)
e. Homeland Security Exercise and Evaluation Program (HSEEP)
f. Courses offered at DelValle Institute for Emergency Preparedness
g. Courses offered by Massachusetts Emergency Management Agency (MEMA)
h. Other online courses offered through FEMA website
Recommended Conference Attendance:
a. Annual Integrated Medical, Public Health, Preparedness and Response Training Summit (NDMS)
b. World Congress on Disaster and Emergency Medicine
c. American College of Emergency Physicians (ACEP) Scientific Assembly
Evaluation:
A.
Fellow Evaluation:
The fellow will have ongoing contact with the fellowship director and faculty. He /she will be evaluated formally at the midpoint and at the end of the fellowship period. Evaluations will consist of assessment of thesis and research progress and ongoing assessment of knowledge base. Multiple evaluators will be used (e.g., faculty, peers,
and other professional staff). Successful completion of the fellowship will be accomplished by achieving unanimous approval of the faculty and fellowship director and passing grade on the thesis.
B.
Faculty Evaluation
At least once a year, the programwill evaluate faculty performance including a review of the faculty'steaching abilities, commitment to the fellowship program,DM knowledge, professionalism, and scholarly activities.
C.
Thesis Evaluation
The Fellow will write a thesis during the course of the 12 month Fellowship. The thesis will be based on an accepted subject and data will be collected during the fieldwork portion of the program. The thesis will be evaluated based on originality of subject, data collection and analysis, writing, and impact on current Disaster Medicine theories and practices. It is expected but not required that the thesis will lead to a peer-reviewed journal publication.
D.
Program Evaluation and Improvement
The program document formal, systematic evaluation of the curriculum at least annually. The program will monitor and track fellowsand faculties' performance. If deficiencies are found, the program will prepare a written plan of action to document initiatives to improve performance in the areas identified.
APPENDIX A
Harvard - Centers for Disease Control (CDC) Disaster Medicine Fellowship Rotation
CDC Rotation Description:
The Disaster Medicine fellowship program at Harvard is designed to provide qualified emergency physicians the opportunity to develop an expertise in the related fields of Disaster Medicine (DM) and Emergency Management (EM). The Centers of Disease Control and Prevention(CDC) rotation will enrich this fellowship through the contribution to the didactic education, research and fieldwork experience of the fellows.
Rotation Directors:
Mark Keim, MD, MPHSenior Science Advisor
NCEH/ATSDR Office of Terrorism Preparedness
Centers for Disease Control
4770 Buford Highway, MS-F29
Atlanta, GA 30341
770 488 7345
mjk9@cdc.gov
Gregory Ciottone, MD, FACEP
Assistant Professor of Medicine
Director, Disaster Medicine Section
Harvard Medical School
One Deaconess Road
Boston, MA 02215
(617) 667-1701
gciotton@bidmc.harvard.edu
Position Title:
Disaster Medicine Fellow
Location:
Centers for Disease Control and Prevention
Atlanta, GA
Duration:
2 months
Description of Responsibilities:
Harvard Disaster Medicine Fellows are board-certified (or eligible) emergency physicians with some prior experience in DM, EM or public health. During their fellowship, they seek to gain experience in actual disaster management with governmental and non-governmental organizations.
The CDC is seeking a fellow to become an integral member of the team. Working closely with senior staff, the fellow will gain significant experience through involvement in international public health emergency preparedness and response programs. The fellow will gain strategic experience through assignment of a specific program for development.
Daily duties include, but are not limited to:
· Research and analysis of issues related to public health emergency operations planning and exercises.
· Assist in communication and outreach to build strategic partnerships amongst federal and international agencies.
- Assist in the development and application of public health risk reduction measures in multiple nations.
- Participate in the teaching activities offered by CDC
- Participate in CDC-led research and development projects
Harvard - CDC Disaster Fellowship Rotation Schedule- Example
Rotation #1 October 1 - December 31, 2009
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Pre-event preparation:
The fellow will contact Rufus Reddick (
rfr2@cdc.gov) before September 1, 2009 to begin the process for matriculation.
Start of fellowship rotation:
The fellow should present to Dr. Mark Keim's office at CDC Chamblee campus Building
106, room 02035 at 08:00 on Monday, October 5, 2009. (See map and instructions)
Week #1: Documentation and Orientation (October 5-9)
The fellow will obtain the following:
1. Basic security clearance and procurement of identification badge
2. Assignment of their workspace and computer access
3. An orientation to our office
4. Participation in one office and one team staff meeting
5. Work assignment for fellow presentation on the public health
consequences of a specific disaster hazard of their choice
Week #2: Office of the Surgeon General, Medical Reserve Corps (MRC)
Public Health Emergency Management Course (PHEMC) (October 12-16)
The fellow will participate in the following activities:
1. Attend the 3 day MRC PHEMC as taught by CDC
2. Location: Bethesda, MD (Harvard to pay travel)
Week #3: CDC Study Tour (October 19-23)
The fellow will participate in the following activities:
1. Study Tour of CDC emergency preparedness response organizations.
This will include on-site visits to CDC biological and chemical
laboratories, as well as the CDC emergency operations center. It will also include lectures by key CDC subject matter experts that provide an overview of their office activities.
2. This study tour will also be attended by a delegation from the
China Ministry of Public Health. The fellow will be encouraged to
participate actively with this group
3. Participation in one office and one team staff meeting
Weeks #4 - 5: Project preparation and lecture presentation(Oct 26 - Nov 6)
The fellow will participate in the following activities:
1. Assist CDC in preparation of training materials for Shanghai, China World
Exposition Table Top Exercise
2. Prepare fellow presentation on the public health consequences of
a specific disaster hazard of their choice
3. Participation in two office and two team staff meetings
Week #6 - 7: 2010 World Expo Public Health Tabletop Exercise - Shanghai, China
(November 9-20)
The fellow will participate in the following activities:
1. Assist CDC to teach, facilitate development and oversee the implementation of a
tabletop exercise hosted by Shanghai public health leadership
2. Harvard to cover travel expenses
Week #8:HOLIDAY (November 23-27)
Week #9: Project preparation and lecture presentation
(November 30 - December 4)
The fellow will participate in the following activities:
1. Assist CDC in preparation of training materials for Shanghai, China World
Exposition Operational Exercise
2. Prepare fellow presentation on the public health consequences of
a specific disaster hazard of their choice
3. Participation in one office and one team staff meeting
Week #10: 2010 World Expo Public Health Operational Exercise - Shanghai, China
(December 7-11)
The fellow will participate in the following activities:
1. Assist CDC to teach and facilitate development of an operational exercise hosted
by Shanghai public health leadership
2. Harvard to cover travel expenses
Week #11 Rotation closing (December 14-18)
The fellow will participate in the following activities:
1. Evaluation of the rotation
2. Participation in one office and one team staff meeting
3. Deliver fellow presentation on the public health consequences of
a specific disaster hazard of their choice
Week #12 HOLIDAY (December 21-31)
Rotation #2 -January 1 - March 31, 2010
Pre-event preparation:
The fellow will contact Rufus Reddick (
rfr2@cdc.gov) before December 1, 2009 to begin the process for matriculation.
The fellow would present to Dr. Mark Keim's office at CDC Chamblee campus Building
106, room 02035 at 08:00 on Monday, January 4, 2010. (See map and instructions)
Week #1: Documentation and Orientation (January 4-8)
The fellow will obtain the following:
1. Basic security clearance and procurement of identification badge
2. Assignment of their workspace and computer access
3. An orientation to our office
4. Participation in one office and one team staff meeting
5. Work assignment for fellow presentation on the public health
consequences of a specific disaster hazard of their choice
Week #2: 2010 World Expo Public Health Operational Exercise - Shanghai, China
(January 11-15)
The fellow will participate in the following activities:
1. Assist CDC to facilitate the implementation of an operational exercise hosted by
Shanghai public health leadership
2. Assist CDC to facilitate an After Action Review of the exercise
3. Assist CDC to facilitate revision of the Shanghai CDC emergency operations plan
4. Harvard to cover travel expenses
Week #3: CDC Study Tour (January 18 -22)
The fellow will participate in the following activities:
1. Study Tour of CDC emergency preparedness response organizations.
This will include on-site visits to CDC biological and chemical
laboratories, as well as the CDC emergency operations center. It will also include lectures by key CDC subject matter experts that provide an overview of their office activities.
2. Attend Dr. Keim's two-hour course at Emory University Rollins
School of Public Health on "National Security and Disasters"
3. Participation in one office and one team staff meeting
Weeks #4-5: Project preparation and lecture presentation(January 25 - February 5)
The fellow will participate in the following activities:
1. Assist CDC in preparation of training materials for Guatemala CDC
Public Health Emergency Management course
2. Attend Dr. Keim's two-hour course at Emory University Rollins
School of Public Health on "National Security and Disasters"
3. Prepare fellow presentation on the public health consequences of
a specific disaster hazard of their choice
4. Participation in two office and two team staff meetings
Week #6: Guatemala Regional CDC Office, Public Health Emergency Management Course (February 8-12)
The fellow will participate in the following activities:
3. Attend the 3 day course as taught by CDC
4. Location: Guatemala (Harvard to pay travel)
Weeks #7-8: Project preparation and lecture presentation(February 15-26)
The fellow will participate in the following activities:
1. Assist CDC in preparation of training materials for Medical Reserve Corps
Public Health Emergency Management course
2. Attend Dr. Keim's two-hour course at Emory University Rollins
School of Public Health on "National Security and Disasters"
3. Prepare fellow presentation on the public health consequences of
a specific disaster hazard of their choice
4. Participation in two office and two team staff meetings
Week #9: Office of the Surgeon General, Medical Reserve Corps (MRC)
Public Health Emergency Management Course (PHEMC) (March 1-5)
The fellow will participate in the following activities:
1. Attend the 3 day MRC PHEMC as taught by CDC
2. Location: Bethesda, MD (Harvard to pay travel)
Week #10 Rotation closing (March 8-12)
The fellow will participate in the following activities:
1. Evaluation of the rotation
2. Attend Dr. Keim's two-hour course at Emory University Rollins
School of Public Health on "National Security and Disasters"
3. Participation in one office and one team staff meeting
4. Deliver fellow presentation on the public health consequences of
a specific disaster hazard of their choice
Weeks #-11-12 HOLIDAY (March 15-31)