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Harvard Affiliated Emergency Medicine Residency

Harvard Affiliated Emergency Medicine Residency (HAEMR) is a four-year training program sponsored by Brigham and Women’s Hospital and Massachusetts General Hospital.

Overview

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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 Leadership

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

Partner Organizations

HAEMR partners with Harvard-affiliated teaching institutions to provide residents with comprehensive, cutting-edge clinical training and experience.

Curriculum

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HAEMR Educational Mission

  • Our goal is to provide outstanding clinical and academic training in emergency medicine
  • We support a variety of academic pursuits, the development of leadership skills, and the commitment and ability to care for a diverse array of patients in a skilled and compassionate manner
  • This is accomplished through unique educational methods, mentorship, and devotion to professionalism and community

HAEMR Curriculum

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 First Year

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.

Rotation

ED (BWH/MGH)

Pediatric ED (BCH)

Medical ICU

Pediatric ICU

Internal Medicine

OB/GYN

Ultrasound

Anesthesiology

Intern Bootcamp

Vacation

Duration

5 blocks

1 block

1 block

1 block

1 block

1 block

1 block

0.5 block

0.5 block

1 block

 

 

 

 

 

 

 

 

 

 

 

 

The Second Year

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.

Rotation

ED (BWH/MGH)

Community ED (Mount Auburn)

Pediatric ED (BCH)

Cardiac Step-Down Unit

Orthopedics

Surgical ICU (BWH/MGH)

Toxicology/MEEI

Elective

Vacation

Duration

5 blocks

1 block

1 block

1 block

1 block

2 blocks

0.5 block

0.5 block

1 block

 

 

 

 

 

 

 

 

 

 

 

The Third Year

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.

Rotation

ED (BWH/MGH)

Community ED (Mount Auburn)

Pediatric ED (BCH)

Elective

Vacation

Duration

8 blocks

1 block

1 block

2 blocks

1 block

 

 

 

 

 

 

 

The Fourth Year

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.

Rotation

ED (BWH/MGH)

Admin/MEEI

Teaching

Toxicology

Elective

Vacation

Duration

7 blocks

1 block

1 block

1 block

2 blocks

1 block

 

 

 

 

 

 

 

 

Didactics

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.

STRATUS Center for Medical Simulation

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

Professional Development

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.

Research

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.

Elective

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.

Academic Support

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.

Faculty

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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.

Resident Community

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HAEMR residents

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.

Welcome to Boston

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

Alumni

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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.

2015 2014 2013

Emily Aaronson*
Kendra Amico
R. Eleanor Anderson
Ken Bernard
Stephanie Burgos
John Eicken*
Andrew Eyre*
Brian Geyer
Elisabeth Lessenich
Daphne Morrison Ponce
Ann Rodgers
Samantha Stoll
Michael Vander Meulen
Christina Wilson*
David Yamane
Brian Yun*

David Beversluis
David Curley
Alissa Genthon*
Laura Janneck
Karen Kinnaman
Calvin Lee
Nicholas Maldonado
Griffin Myers
Mariana Recalde
Alexander Sheng
Jonathan Slutzman
Radhika Sundararajan
Eva Tovar Hirashima
David Young

Chioma Agbo
Erik Antonsen
Lisa Arvold
Justin Baca
Laurel Barrett
Timothy Fallon
Patricia Henwood*
Cheryl Lynn Horton
Brendan Norwood
Justin Pitman
Munirih Qualls Yeshwant
Jonathan Rogg
Catherine Seo
Hanni Stoklosa*
Leana Wen

 

2012 2011 2010

Bernard Chang
Jonathan Elmer
Sarah Frasure*
Liza Gonen Smith
Kohei Hasegawa*
Ann Marie Lattanzi
Jennifer Martindale
Ziad Obermeyer*
Joshua Penn
Shada Rouhani*
Margaret Samuels-Kalow
Benjamin Sandefur
Timothy Tan
William Tollefsen
Arjun Venkatesh

James Andruchow
Francisco Atez
Emily Brown
Roberta Capp
Amanda Czuczman
Lindsay Fossett
Justin Hering
Zoe Howard
Jessica Monas
Helen Ouyang
Jeffrey Siegelman
Aaron Skolnik
Lisa Thomas
Jonathan Welch*
Maame Yaa Yiadom

Pooja Agrawal
Racquel Duval
Deborah Ensler
Mark Foran
Katja Goldflam
Calvin Huang*
Christopher LeMaster
Kalpana Narayan
Ronak Patel
Jane Preotle
Vishnukrupa Reddy
Joshua Rempell*
Alison Ridpath
Olan Soremekun
Heather Studley

 

2009

2008

2007

Christopher Baugh*
Eileen Chang
Sayon Dutta*
Ruth Lamm
Adam Levine
Alison Lozner
Jennifer Millen
Sara Nelson
Pina Patel
Alisha Perkins Garth
Clifford Swap
Benjamin White*

Jacob Chapman
Christopher Hashikawa
Jonathan Ilgen
Heidi Kimberly*
William Krauss
Michael Levine
Todd Listwa
Marisela Marrero
Regan Marsh*
Richard Phillips
Sachita Shah
Tami Tiamfook-Morgan
Michael Walta
Susan Wilcox

Derek Barclay
Jennifer Chan
Tracy Farkas
Megan Fix
Christopher Gilligan
Wendy Macias Konstatopolous*
David McCann
Jenny McCormick
Robert Miller
Jon Scott Moussally
Sanjay Shewakramani
Sarah Tibbets
Kathleen Wittels*

 

2006

 

2005

 

2004

Kevin Biese
Mark Bisanzo
John Collins
Daniel Egan
Khama Ennis-Holcome
Alex Manini
Christina Matts
Murray McLachlan
Mariah McNamara
Joshua Resnick*
Morris Rivera
Monique Sellas
Emily Senecal Miller*

Andrew Aronson
Kriti Bhatia*
Calvin Brown III*
Yi-Mei Chng
Henry Epino*
Tania Fatovich
Medley Gatewood
Joshua Goldstein*
Rashid Kysia
Rodney Look
David Osborne
Alexander-Nicholas Sutingco
Christine Tsien-Silvers

Haritha Challapalli
James Eadie
David Feldman
Azita Hamedani
Shan Liu*
Ivette Motola
Bret Nelson
Peter Pang
Benjamin Sun
Tracy Wimbush
Christine Yang-Kauh


2003

2002

2001

N. Stuart Harris*
Diane Heller
Christopher Kabrhel*
Melisa Lai Becker
Christopher Leptak
Martin Lucenti
Barbara Masser
Nathan Mick
Vicki Noble*
Jessica Peters
Emily Spilseth Binstadt
James Kimo Takayesu*
Todd Thomsen

 

Paul Biddinger*
Peter Duic
Adelaide Evans
Michael Filbin*
Leo Kobayashi
Rick Kulkarni
Alan Kumar
Geoffrey Lifferth
Paul Morrissey
Peter Murray
Heikki Nikkanen
Matthew Risken
John Sullivan

Won Chung
Christo Courban
John Dutton
Jonathan Fisher
Chana Gable-Selmon
Richard Griffey
Resa Lewiss
Andrew Reisner*
Peter Ro
Scott Silvers
Gary Zimmer
William Zirkin

2000 1999  1998

Andrew Chang
Hilarie Cranmer*
Michelle Finkel
Shamai Grossman
Laura MacNow
Chris Moore
Mark Sagarin
Nathan Shapiro
Marco Sivilotti
Bruce Webster

Jon Buras
Kathleen Pastore
Rachana Suchdev
 

Martin Horak
Pascal Juang
Richard Lenhardt
Jeffrey Weincek

*indicates current BWH or MGH Emergency Medicine Faculty member

How to Apply

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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:

  • Completed ERAS application
  • Curriculum vitae
  • Educational Commission for Foreign Medical Graduates (ECFMG) report (if applicable)
  • Medical Student Performance Evaluation (MSPE) / Dean's Letter
  • Medical school transcript
  • United States Medical Licensing Examination® (USMLE) board scores
  • Up to four letters of reference – one of which should be from emergency medicine
  • Personal statement
  • Photo

Application Information

AAMC ID Number

13440663

NRMP Program Code

1261110C0

Visa Sponsorship

HAEMR sponsors both J-1 and H1-B visas.

USMLE and COMLEX Requirements

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.

Letters of Recommendation

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.

Applications Outside of ERAS

HAEMR does not accept applications outside of ERAS.

Application Deadline

The application deadline for each subsequent academic year is November 1.

Minimum Cutoff for GPA or USMLE Scores

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.

Contact Us

For additional information about the program, please contact:

Eric Nadel, MD
Program Director
Email

For program inquiries regarding the application process, please contact:

Alix Werner, MPH
Education Administrator
Email
617-724-4068

Contact

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Brigham and Women’s Hospital / Massachusetts General Hospital Harvard Affiliated  Emergency Medicine Residency Program

Phone: 617-724-4068

Eric Nadel, MD
Program Director
Email

For program inquiries regarding the application process, please contact:

Alix Werner, MPH
Education Administrator
Email
617-724-4068

Locations

Brigham and Women's Hospital
Department of Emergency Medicine
75 Francis Street, NH-2
Boston, MA 02115

Massachusetts General Hospital
Department of Emergency Medicine
5 Emerson Place, Suite 101
Boston, MA 02114

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