Disaster Medicine Fellowship
To provide a comprehensive disaster medicine educational experience for fellows to prepare them to become interdisciplinary leaders in disaster preparedness, response, and recovery.
The IUSM disaster medicine fellowship is designed to provide the fellow with in-depth training in multiple facets of disaster medicine that will prepare graduates of the program to obtain leadership positions in disaster response agencies, hospital or public health emergency management organizations, and governmental or non-governmental policy and preparedness organizations. This is a one-year fellowship that takes a multi-disciplinary approach to disaster preparedness, response, and recovery. The fellowship was designed to give a wide exposure to multiple areas of disaster medicine and provide educational experiences at the local, regional, national, and international levels.
The fellow’s educational curriculum is designed to meet the core competencies and objectives described above. Many of the objectives may be achieved in Indianapolis at one of the primary educational sites. However, others will require rotations at outside educational facilities or other clinical sites. As the availability of these educational opportunities may change from year to year, there will be some flexibility built-into the curriculum for any given year. Additionally, depending on an individual fellow’s academic or research interests, the curriculum may be modified with approval by the fellowship directors to meet the fellow’s individual interests.
Below are the core required curricular requirements.
MESH is a non-profit, public/private coalition of local healthcare systems whose mission is to assist local healthcare facilities in their disaster preparedness activities. These activities include training, drills, and hospital-based emergency management activities. The mission of the organization closely aligns with the educational mission of this fellowship, and the fellow will work closely with the staff at MESH as part of his or her educational experience. In addition to various projects that may develop during the fellowship year that the fellow may participate in, the fellow should expect to participate in the following activities:
- Quarterly District 5 meetings
- Monthly meetings at the emergency management committee meetings for Methodist Hospital, Riley Hospital, and Eskenazi Hospital.
- Quarterly MESH grand rounds sessions.
Indiana University has a robust disaster medicine curriculum for various specialties through various schools including the School of Medicine Department of Emergency Medicine, School of Nursing, School of Public Health, and School of Public and Environmental Affairs. The fellow will have the opportunity to participate in courses offered through these schools but also to participate in training and teaching as well. Experiences are variable depending on demand and the year but may include the following activities:
- Completion of various emergency management and public health courses
- Training of nursing students, PA students, and NP students on disaster preparedness and triage training
- Leading the annual disaster day during emergency medicine residency orientation
- Delivering a grand rounds lecture for the department of emergency medicine
- Managing the emergency medicine residency disaster medicine interest group
- Participating in the school of medicine wilderness medicine interest group
- Attending department of emergency medicine division of out-of-hospital medicine bimonthly research meetings and monthly division meetings
The fellow will work closely with Indianapolis EMS and with the IU EMS fellow. Specific responsibilities include the following:
- Engaging in twice a month ride-along shifts with individual EMS crews, duty officers, or district lieutenants.
- Daily monitoring of the mass casualty paging system.
- Responding to all mass casualty incident pages, either at the MedMACC or on-scene. There is typically about 1 mass casualty page per month.
- Monitoring and responding on-scene to all hazmat incident pages.
- Working with IEMS leadership and EMS fellow to plan for 1 mass gathering event.
- Observing 1 EOC activation.
Many opportunities will exist for quality training at off-site locations, whether through formal courses or via experiential learning. During a typical year, the fellow will attend 4-5 off-site activities. These will be determined on a case-by-case basis with the fellow and the fellowship directors depending on availability and fellow academic interests. Some may be mandatory based on curricular objectives. Possible activities include the following:
- USAMRID/USAMRCD chemical and biological casualty care course at Ft. Detrick in Maryland.
- Healthcare surge course at the Center for Domestic Preparedness in Anniston, AL.
- Hazmat course at the Center for Domestic Preparedness or at an alternate site.
- International rotation at JFK Hospital in Monrovia, Liberia.
- Health policy rotation at the Veterans Administration, Center for Medicare/Medicaid Services (CMS), the Centers for Disease Control (CDC), or the office of the Assistant Secretary for Preparedness and Response (ASPR).
- Rotation at the Indiana State Department of Public Health.
- Wilderness medicine course, combat medicine course, or confined space medicine course at various training locations.
The official textbook for the fellowship will be Koenig and Schultz’s Disaster Medicine. Additionally, the fellow will be provided regular reading assignments by the fellowship directors. The fellow will be expected to keep up with assigned readings and discuss readings on a weekly basis with the fellowship directors.
Once a month, the fellow will be expected to find, discuss, and critically appraise one current study in disaster medicine. This monthly journal club will be open to faculty, residents, medical students, and others interested in disaster medicine.
During the year-long fellowship, the fellow will be expected to develop and complete a scholarly project. The project may be a research project, curriculum development, or other scholarly activity, but it must be approved by fellowship directors. Early in the year, the fellow will be expected to undergo an intensive two-week research mentorship project with one of the IU Emergency Medicine research faculty who will assist the fellow in development of his or her academic project. The scholarly project should result in a publication or a presentation at a national-level conference.
The EMS fellow will work a total of 6 clinical shifts per month at Eskanazi Memorial Hospital, one of the 3 primary teaching sites for the IUSM Department of Emergency Medicine. The fellow will be responsible for direct supervision and clinical teaching of the EM residents, medical students, and other rotators in the department.
- The fellow is responsible for ensuring that his/her clinical duties do not interfere with his/her required fellowship responsibilities.
- All scheduling will be done through the assigned departmental representative
- Any additional clinical time must not violate duty hour limits as set forth by the RRC
Interested applicants can contact the fellowship director, Chad Priest (firstname.lastname@example.org) with questions or to obtain more information. Candidates interested in applying for the IUSM disaster medicine fellowship must email the CV and cover letter to Chad Priest.
2016 - Emily Fitz, MD
Department of Emergency Medicine
Indiana University School of Medicine
Fellowship Director, Disaster Medicine
Faculty, Fellow, & Staff
Medical Director, Eskenazi Hospital
Chief of Indianapolis EMS
Division Chief & Fellowship Director, Out-of-Hospital Care
Chief Medical Director, Indianapolis EMS
Deputy Medical Director, Indianapolis EMS