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Massachusetts General Hospital has been offering Wilderness Medicine training since 2003. We trained our first wilderness medicine research fellow in 2005-07. The MGH Wilderness Medicine Fellowship began in 2008. Our fellowship is designed to provide graduates of emergency medicine residency programs with advanced training in wilderness medicine practice, research, and teaching. MGH trains tomorrow’s wilderness medicine leaders.
The MGH Wilderness Medicine Fellowship is a one to two year program designed to give graduates of emergency medicine residency programs the skills and knowledge to become tomorrow’s leaders in the field of wilderness medicine.
While a ‘new’ specialty, Wilderness Medicine traces its roots to the earliest days of medical care, when resource-limited, austere conditions were the norm. Now as then, the touchstones of our patient care are intellect, ingenuity, and a keen attention to each patient’s history and physical exam. We then ally this ancient human relationship with modern, portable, state-of-the-art technology, from ultrasound imaging to blood testing. Our focus is on the patient in front of us; our vision and reach are global.
The fellowship director holds regular, direct meetings with the fellow to encourage the individual’s personal and professional development. Our fellows aren’t simply well-trained, they become active contributors to our MGH community for the rest of their careers.
Our staff and fellows have served in leadership/field medical staff positions with:
Regular and direct contact with fellowship director to oversee:
Additional opportunities exist for extended experience through:
A range of opportunities exist to develop technical backcountry skills. Staff and prior fellows have taken advantage or have access to world-class teaching through group and individual expeditions through:
Fellows have regular teaching responsibilities with the Harvard Affiliated Emergency Medicine Residents and Harvard Medical School students at MGH, and can gain active participation and field time with the Wilderness Medicine Institute of the National Outdoor Leadership School (WMI/NOLS). Dr. Harris serves as Medical Director, Curriculum Writer, and Supervising and Field Faculty for the senior medical student course (Medicine in the Wild) taught with NOLS/WMI.
International Experience – Numerous opportunities for extended backcountry medical experience exist through our long-term relations with the Himalayan Rescue Association, NOLS, Woods Hole Research Center, and international colleagues. Additionally, opportunities include the MGH Center for Global Health & Disaster Response (Thomas Burke, MD MGH), MGH Center for Disaster Response (Hillary Cranmer, MD MGH), the Global Emergency Care Collaborative, The Institute for International Emergency Medicine and Health (Brigham and Women's Hospital), and contacts with Partners in Health colleagues in Rwanda. Numerous opportunities to gain experience exist through the Institute for Medical Simulation (James Gordon, MD MGH) and the STRATUS Center for Medical Simulation (Brigham and Women's Hospital).
Explorers’ Club (NYC): Fellows may be invited to the Annual Explorer’s Club Dinner and to consider participation in active research expeditions with this storied group.
We encourage all who are interested in wilderness medicine to be in touch with us EARLY. See “How to Apply” for details.
Applicants must be graduates of an ACGME-accredited emergency medicine residency program and have completed the program in good standing. At least two letters of recommendation, including a letter from the residency program director, and current curriculum vitae should be submitted to Dr. N. Stuart Harris, Fellowship Director, firstname.lastname@example.org and Dr. Renee Salas, Assistant Fellowship Director, email@example.com. Interviews are conducted in Boston, typically in the summer to fall in the year before starting on July 1st. See “Curriculum” for details.
While our Fellowship is structured around a range of organized teaching, research, and clinical opportunities, MGH Wilderness Fellows are expected to be enthusiastic, driven, and self-directed. Our curriculum is extensive and unique – not least because it exists – but has been rigorously vetted by the Graduate Medical Education Committee of the Harvard Teaching Hospitals.
Our curriculum is available here We encourage you to compare it with others.
Wilderness Medicine is defined as resource-limited medicine practiced under austere conditions. At the end of the fellowship, the fellow will be confident in his or her ability to provide medical care in the most remote locations under the most austere conditions. Over the last decade, faculty from the Division of Wilderness Medicine have cultivated relationships with more than a dozen wilderness medicine organizations across the globe (see Curriculum). Staff and fellows have gained invaluable field experience with the Himalayan Rescue Association, Woods Hole Research Institute (Chersky, Siberia), USARIEM (Kilimanjaro and Pikes Peak), NOLS/ WMI, and Denali National Park. The breadth of Harvard’s expertise allows the fellow to choose from a long list of opportunities to learn the practice and art of wilderness medicine. Your roots will be planted in the fertile soil of MGH and Harvard Medical School. Where you choose to grow is limited only by your imagination. The Division provides the fellow with a $3,000 research stipend and $3,000 in CME funding for this purpose.
The knowledge and skill set of an emergency physician is ideally suited for the practice of wilderness medicine. When the fellow is not in the field, he or she will practice emergency medicine in the MGH Emergency Department. MGH recently celebrated its 200th anniversary and is one of the world’s premier hospitals. U.S. News and World Report ranks it as the #1 hospital in the United States, and Harvard Medical School as the #1 medical school in the nation. Working in the MGH ED offers excellent opportunities for the fellow to develop as both a clinician and medical educator. Fellows work approximately 16 hours a week, supervising EM (PGY1-4), pediatric, internal medicine, and surgical residents. In addition, the fellow is expected to devote at least 16 hours a week to wilderness medicine related activities. Overall clinical responsibilities are approximately 0.6 FTE.
Duties include, but are not limited to, independent reading and research, teaching of residents and medical students, participation and development of outside courses, attendance at administrative and financial meetings, and research (development of an independent project and participation in ongoing studies).
It is expected that all Wilderness Medicine Fellows will actively pursue quality research as a key focus of their fellowship. The MGH Department of Emergency Medicine supports each fellow with a $3,000 research stipend and $3,000 in CME funding to help advance scholarly projects.
There are numerous research opportunities within the department as well as with faculty throughout the Massachusetts General Hospital, the Harvard teaching hospitals, Harvard University, and multiple outside collaborators. Current, active research includes collaborative projects with:
Our research has been supported by grant funding through the MGH, HMS, U.S. Dept. of Defense, CIMIT, and the National Institutes of Health.
Additionally, MGH is the home of the International HAPE Registry. Dr. Harris is Registry Master and Chair of the Steering Committee. The Steering Committee is comprised of Dr’s Peter Hackett, Peter Bartsch, Marco Maggiorini, and Buddha Basnyat.
To date, faculty and fellows have published their research on a range of topics including: the first description of ultrasound to diagnose HAPE; the treatment of HAPE at high altitude; correlation of optic nerve sheath diameter with symptoms of acute mountain sickness and in cases of HAPE; efficacy trials for high altitude headache analgesia; response of the right ventricle and pulmonary vascular pressure in response to acute hypoxia; Vitamin D and Mercury levels in Chersky, Siberia, and case reports on rabid fox attack and acute arterial thrombus leading to loss of limb.
Interested fellows are encouraged to pursue their specific interests in developing research projects that will be rewarding in the immediate term, and that will prepare them for a career as a leader of wilderness medicine.
It is never too early to be in contact with us about your future plans.
We tend to take a long view of relationships. Over the years, we have discussed wilderness medicine fellowship training with EMT’s, college and medical students, residents and practicing physicians.
While we have hired applicants who first approached us less than a year before starting their fellowship, we maintain an active roster of prospective fellows --some over more than 5 years – many of whom have then hired as fellows. We are friendly people who like to talk about wilderness medicine. We ask you to begin a conversation with us early.
We have interviewed and hired as early as August 1st. We typically interview in the summer or fall in the year before you would start in July of the next year.
Those in active practice, as well as graduating senior EM residents, are encouraged to formally apply.
Please contact us before formally applying. As part of your application, we require you to submit at least two letters of recommendation and a letter of support from your emergency medicine residency program director as well as a current CV to Dr. N. Stuart Harris at firstname.lastname@example.org and Dr. Renee N. Salas, Assistant Fellowshp Director, email@example.com. You will then be contacted regarding the interview date. All fellows should prepare for a start date of July 1 each year.
Contact: firstname.lastname@example.org and email@example.com
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