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Residents in the Brigham and Women's/Massachusetts General Hospital Harvard AffiliatedEmergency Medicine Residency (BWH/MGH HAEMR) are exposed to a diverse patient population in varied environments, ranging from tertiary and quarternary referral centers, a leading pediatric hospital, to an outstanding community hospital. Patient care and supervisory responsibilities are graduated over the course of the program with our senior residents supervising, teaching and managing our busy emergency departments.
Ample elective time allows residents the flexibility to pursue academically enriching experiences that, coupled with leadership and personal development, fit their career goals. By the end of training, residents will have the skills and knowledge to practice and teach emergency medicine in any setting.
Meet Our Current Residents
Program Director: Eric Nadel, MD Associate Program Director, MGH: David Peak, MD Associate Program Director, BWH: Kriti Bhatia, MD Assistant Program Director, MGH: Kimo Takayesu, MD Assistant Program Director, BWH: Christian Arbelaez, MD, MPH
HAEMR partners with Harvard-affiliated teaching institutions to provide residents with comprehensive, cutting-edge clinical training and experience.
Each academic year is comprised of thirteen four-week blocks, more than half of which will be spent among our four affiliated emergency departments. During off-service rotations, residents join the teams of some of the leading medical and surgical services which have been selected from among the best educational experiences available throughout the Harvard Medical School system. Our administrative rotation provides in-depth exposure to quality and safety, emergency department operations and continuous quality improvement programs. The teaching rotation emphasizes bedside teaching in the emergency department and classroom or simulation teaching to junior emergency medicine residents.
The goals of the first year (PGY-1) are to provide residents with underlying skills and a fund of knowledge to practice emergency medicine. This is achieved by combining six blocks of adult emergency medicine and one block of pediatric emergency medicine with off-service rotations in obstetrics, internal medicine, medical intensive care, ultrasound, anesthesiology and pediatric intensive care.
Pediatric ED (BCH)
In the second year (PGY-2), residents focus on mastering individual patient care, spending six blocks in the adult emergency departments of the affiliated hospitals as well as one block of pediatric emergency medicine. Elective time is introduced in the PGY-2 year to allow residents focused time for independent research and study. The remainder of the year is spent on off-service rotations, such as orthopedics, surgical intensive care, trauma intensive care, cardiac step down unit and ultrasound.
Community ED (Mount Auburn)
Cardiac Step-Down Unit
Surgical ICU (BWH/MGH)
During the third year (PGY-3), residents begin to assume a supervisory role in each of the emergency departments, advising junior house-staff and senior medical students, and directing paramedics. The primary goal of the third year is to acquire the skills necessary to manage multiple critical emergencies. Pediatrics remains a focus and elective time is increased to two blocks.
The PGY-4 resident functions as the supervisory emergency physician for the base institutions. Under the guidance of emergency medicine attendings, the senior resident directs major resuscitations and directs patient care and flow in each ED. Senior residents learn the skills needed to administer emergency departments, teach medical students and paramedics. There are two four-week blocks of elective time that may be used for research or added clinical activities related to emergency medicine. The fourth year also contains rotations in ED administration, teaching, ophthalmology/otolaryngology (at Massachusetts Eye & Ear Infirmary) and toxicology.
Fourth year residents gain experience with systems-based practice as well as quality and safety by leading Morbidity & Mortality and trauma conferences. Throughout the fourth year curriculum, our graduates develop the clinical and administrative skills necessary to assume leadership roles in emergency medicine.
Education in Emergency Medicine (EM) requires the integration of a broad range of medical knowledge into a functional clinical knowledge base. This knowledgebase must be sufficient to drive both symptom evaluation and the pursuit of simultaneous diagnostic and therapeutic interventions (1). Five hours of protected conference time are held each week Tuesdays from noon to 5pm. Additional resident reports and intern lectures are held to facilitate small group learning with faculty and PGY-4 teaching residents.The core content of EM is covered by a wide range of learning activities including small group work, primary literature review, seminars, case-based presentations, lectures, procedure labs, and simulations. Residents participate in open, faculty-driven discussions of EM topics in an interactive curriculum that ranges from cardiovascular topics such as ACS, CHF, and arrhythmias every July through EM Administration in June. Particular emphasis is placed on pairing content acquisition through seminars and lectures with hands-on simulations and procedural training in our simulation labs (2). Simulation offers a rich, risk-free environment for residents to learn clinical emergency medicine under the direct supervision of expert attending faculty. Rather than passively hearing new knowledge, residents are able to use newly acquired knowledge in simulation exercises which allows them to integrate it into their growing clinical knowledgebase. Medical simulation facilitates the learning of certain types of tasks, integrating medical knowledge, and demonstrating capability or competency across the spectrum from individual procedures to complex resuscitative management (3).In addition to simulation, residents receive intensive skills training annually in advanced airway management, ultrasound, tube thoracostomy, defibrillation, central line placement and other technical procedures. Seminars in research methodology are held every other month which, in conjunction with our clinical and academic mentorship program, introduce residents to academic pursuits in a variety of settings including clinical EM, public health, global health, operations, and education. To build their individual academic teaching portfolios, all residents will give a follow-up case presentation in the PGY-1 and PGY-2 years as well as a resident lecture on a core EM topic of their choice in the PGY-3 year. In the PGY-4 year, residents give a resident lecture in their area of academic interest and also lead Morbidity and Mortality Case Conference, Trauma Case Conference, and Intern workshops to complete their teaching portfolio.Preparation for the American Board of Emergency Medicine certification examination is assured by an in-depth review of written examinations including the annual national in-service examination and oral board case simulations.(1) Thomas HA, Beeson MS, Binder LS, Brunett PH, Carter MA, Chisholm CD, McGee DL, Perina DG, Tocci MJ. The 2005 Model of the Clinical Practice of Emergency Medicine: The 2007 Update. Ann Emerg Med. 2008; 52:e1-e17.(2) Binstadt ES, Walls RM, White BA, Nadel ES, Takayesu JK, Barker TD, Nelson SJ, Pozner CN. A Comprehensive Medical Simulation Education Curriculum for Emergency Medicine Residents. Ann Emerg Med. 2007; 49:495-504.(3) Takayesu JK, Nadel ES, Bhatia K, Walls RM. Incorporating Simulation into a Residency Curriculum. CJEM. 2010 Jul;12(4):349-53.
HAEMR has designed its curriculum to incorporate active learning methods that include seminar-based teaching, small group learning, mock oral board testing, and, most importantly, simulation-based education. Learn more about STRATUS
HAEMR residents during a pediatric STRATUS
HAEMR uses a portfolio system that houses evaluations from faculty, peers, and nursing as well as resident procedure logs, academic projects, mentorship contacts, and self-reflections that support individual resident development. Residents meet individually with program directors semi-annually to review clinical, academic, and career growth and to provide mentorship. While our central goal is to train outstanding clinicians, the professional development process is structured to ensure residents are achieving the paramount milestones that will make them highly competitive in the academic and community job market. During their final year of training, residents are provided with one-on-one guidance to steer them through the job application and contract negotiation process.
Residents are encouraged and fully supported to present research abstracts at the SAEM and ACEP research meetings as well as other regional/national research symposia. As many diverse opportunities are available for residents in clinical medicine, basic science and public health, numerous resident-authored manuscripts are published annually. Presentation of a longitudinal project is a requirement for graduation.
We are also committed to providing ample time and guidance in the establishment of an academic focus to prepare residents for a future career in academia. We provide over four months of uncommitted academic elective time during which residents may explore areas of potential academic interest at home or abroad starting in the PGY-2 year.
We provide funding to each resident to attend an academic emergency medicine conference during their final year of residency training as well as support residents to present their research at national emergency medicine conferences.
The academic and research opportunities available at HAEMR training sites, coupled with our faculty's dedication to mentorship, provides outstanding support to our residents in their personal and professional growth.
HAEMR recruits top candidates, both nationally and internationally. Our residents enrich the program by contributing diverse perspectives and backgrounds.
The HAEMR family comes together every fall for a retreat. Organized by our residents, the program meets off-campus for a full day to review the structure of the program and to brainstorm ideas and improvements for the year to come.
At the end of the PGY-1 year, the class is given time off as a group to reconnect and reflect on their first year of training with HAEMR and look forward to the year ahead surrounded by their peers and families.
Residency is a challenging yet rewarding time in every physician’s life. HAEMR recognizes the importance of health and wellness as an intricate piece of emergency medicine training. The program supports resident-planned activities outside of the hospital and every year the residents engage in a variety of activities including hiking, barbeques, yoga, sporting events, etc.
Boston is rich in history and culture and home to more than 50 colleges and universities. Boston is known for its sports teams and for its major cultural institutions like the Boston Ballet and the Boston Symphony Orchestra. There are many museums, galleries and restaurants to visit, along with a thriving local music scene for interested residents.
Boston is centrally located to major destinations in the Northeast. New York is just four hours away by bus. Train lines such as Amtrak and the MBTA local commuter rail make traveling in New England and along the coast easy. We are in close proximity to Cape Cod, Martha's Vineyard and other major travel destinations. International flights are also available out of Boston's Logan International Airport.
Learn more about living and working in Boston
The HAEMR alumni community spans the world. Our residents have gone on to nationally competitive fellowships, academic hospital leadership positions and community hospital postings upon graduation. We are incredibly proud of all our graduates and all they have done, and are doing, to promote the advancement of the emergency medicine specialty.
We highly value our strong alumni engagement with HAEMR and our current trainees. Your continued support is greatly appreciated; we encourage you to give through our Alumni Development Fund.
Emily Aaronson*Kendra AmicoR. Eleanor AndersonKen BernardStephanie BurgosJohn Eicken*Andrew Eyre*Brian GeyerElisabeth LessenichDaphne Morrison PonceAnn RodgersSamantha StollMichael Vander MeulenChristina Wilson*David YamaneBrian Yun*
Chioma AgboErik AntonsenLisa ArvoldJustin BacaLaurel BarrettTimothy FallonPatricia Henwood*Cheryl Lynn HortonBrendan NorwoodJustin PitmanMunirih Qualls YeshwantJonathan RoggCatherine SeoHanni Stoklosa*Leana Wen
Bernard ChangJonathan ElmerSarah Frasure*Liza Gonen SmithKohei Hasegawa*Ann Marie LattanziJennifer MartindaleZiad Obermeyer*Joshua PennShada Rouhani*Margaret Samuels-KalowBenjamin SandefurTimothy TanWilliam TollefsenArjun Venkatesh
James AndruchowFrancisco AtezEmily BrownRoberta CappAmanda CzuczmanLindsay FossettJustin HeringZoe HowardJessica MonasHelen OuyangJeffrey SiegelmanAaron SkolnikLisa ThomasJonathan Welch*Maame Yaa Yiadom
Pooja AgrawalRacquel DuvalDeborah EnslerMark ForanKatja GoldflamCalvin Huang*Christopher LeMasterKalpana NarayanRonak PatelJane PreotleVishnukrupa ReddyJoshua Rempell*Alison RidpathOlan SoremekunHeather Studley
Jacob ChapmanChristopher HashikawaJonathan IlgenHeidi Kimberly*William KraussMichael LevineTodd ListwaMarisela MarreroRegan Marsh*Richard PhillipsSachita ShahTami Tiamfook-MorganMichael WaltaSusan Wilcox
Derek BarclayJennifer ChanTracy FarkasMegan FixChristopher GilliganWendy Macias Konstatopolous*David McCannJenny McCormickRobert MillerJon Scott MoussallySanjay ShewakramaniSarah TibbetsKathleen Wittels*
Kevin BieseMark BisanzoJohn CollinsDaniel EganKhama Ennis-HolcomeAlex ManiniChristina MattsMurray McLachlanMariah McNamaraJoshua Resnick*Morris RiveraMonique SellasEmily Senecal Miller*
Haritha ChallapalliJames EadieDavid FeldmanAzita HamedaniShan Liu*Ivette MotolaBret NelsonPeter PangBenjamin SunTracy WimbushChristine Yang-Kauh
N. Stuart Harris*Diane HellerChristopher Kabrhel*Melisa Lai BeckerChristopher LeptakMartin LucentiBarbara MasserNathan MickVicki Noble*Jessica PetersEmily Spilseth BinstadtJames Kimo Takayesu*Todd Thomsen
Paul Biddinger*Peter DuicAdelaide EvansMichael Filbin*Leo KobayashiRick KulkarniAlan KumarGeoffrey LifferthPaul MorrisseyPeter MurrayHeikki NikkanenMatthew RiskenJohn Sullivan
Won ChungChristo CourbanJohn DuttonJonathan FisherChana Gable-SelmonRichard GriffeyResa LewissAndrew Reisner*Peter RoScott SilversGary ZimmerWilliam Zirkin
Andrew ChangHilarie Cranmer*Michelle FinkelShamai GrossmanLaura MacNowChris MooreMark SagarinNathan ShapiroMarco SivilottiBruce Webster
Jon BurasKathleen PastoreRachana Suchdev
Martin HorakPascal JuangRichard LenhardtJeffrey Weincek
*indicates current BWH or MGH Emergency Medicine Faculty member
HAEMR welcomes inquiries from all interested applicants. We participate in the Electronic Residency Application Service (ERAS) and thus do not accept paper applications. Those who would like to submit a formal application should do so through ERAS, associated with the American Association of Medical Colleges (AAMC).
Please submit the following documents electronically via ERAS:
HAEMR sponsors both J-1 and H1-B visas.
Effective January 2, 2014, physicians applying for an initial limited license in MA will be required to pass USMLE Step I and Step II, CK and CS, or the first two levels of COMLEX or complete all parts of MCCQE.
We require three letters of recommendation, one of which must be from emergency medicine. All letters are received through ERAS. All letter received outside of ERAS, are not considered part of the official application.
HAEMR does not accept applications outside of ERAS.
The application deadline for each subsequent academic year is November 1.
Our program directors review every application and assess each applicant based on the entire application package. We do not have a minimum cutoff for any one piece of the application.
For additional information about the program, please contact:
Eric Nadel, MDProgram DirectorEmail
For program inquiries regarding the application process, please contact:
Alix Werner, MPHEducation AdministratorEmail617-724-4068
Brigham and Women’s Hospital / Massachusetts General Hospital Harvard Affiliated Emergency Medicine Residency Program
For program inquiries regarding the application process, please contact:Alix Werner, MPHEducation AdministratorEmail617-724-4068
Brigham and Women's HospitalDepartment of Emergency Medicine75 Francis Street, NH-2Boston, MA 02115
Massachusetts General HospitalDepartment of Emergency Medicine5 Emerson Place, Suite 101Boston, MA 02114
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