Emergency Medicine Fellowship

MaineGeneral Medical Center's Emergency Medicine Fellowship is designed to train primary care physicians to work in Emergency Medicine.

Our goal is to provide a high-quality, rigorous educational experience that prepares the graduate to work in a rural or community emergency department (ED).

We're particularly interested in physicians who want to live and work in rural Maine. The fellow will work under the supervision of faculty and emergency medicine attending physicians.

Fellowship Program Highlights

  • 12-month program, typically runs July through July
  • Competitive salary as well as relocation reimbursement and funding for required ATLS, Emergency Ultrasound and The Difficult Airway Course
  • Established program since 2010
  • Excellent East Coast location
  • Strong curriculum
  • Training in a state-of-the-art ED within a 192-bed facility, as well as in a freestanding ED with combined 55,000 visits per year

Eligibility

  • Eligible applicants must have, or will be, graduated from an accredited allopathic or osteopathic family medicine residency program.
  • Applicants must have ABFM/AOBFP or ABIM/AOBIM certification or eligibility.
  • Applicants must have or be eligible for a Maine license and a DEA certificate.
  • Applicants must have BLS / ACLS / PALS certification.

Application

The current program application deadline has passed. Look back here for future opportunities.

Goals and Objectives

MGMC's Emergency Medicine Fellowship is a year-long training program that transitions physicians from Family Medicine or Internal Medicine to Emergency Medicine.

Goals

  • To understand the breadth and depth of emergency medicine practice
  • To develop skills and knowledge needed to effectively work clinically as an emergency physician in an ED

Objectives Based on Competencies

Consistent with the overriding framework of the Accreditation Council for Graduate Medical Education's (ACGME) six core competencies, the educational objectives are followed, in bold, by the specific competencies they promote.

Competencies are abbreviated as follows:

  • Interpersonal and Communication Skills (IPCS)
  • Medical Knowledge (MK)
  • Patient Care (PC)
  • Practice-Based Learning and Improvement (PLBI)
  • Professionalism (P)
  • Systems-Based Practice (SBP)

By the end of the year, the Fellow will:

  • Communicate with patients and family in a sensitive and compassionate manner (PC, IPCS);
  • Coordinate effective and appropriate prehospital and inter-facility transport care (MK, SBP);
  • Demonstrate the ability to lead and coordinate care with multiple nursing and technician staff members (IPCS, P);
  • Develop time-efficient and appropriate history, exam, differential diagnosis in the ED setting (PC, MK);
  • Effectively coordinate care with primary care providers and specialist physicians (IPCS, SBP);
  • Provide effective diagnostic and treatment plans for all patients who present to the ED (PC, MK); and
  • Provide evidence-based and cost-effective emergency care (PLBI, SBP, PC, MK).

Curriculum

The MGMC Emergency Medicine Fellowship curriculum consists of:

  • 13 four-week blocks
    • 8 blocks spent in the MGMC emergency departments of both campuses, Augusta and Waterville
    • 1/2 block Intensive Care Unit
    • 1/2 block Anesthesia
    • 1 block Trauma; away at Level One Trauma Center, Hartford Hospital, Hartford, CT
    • 1 block high-acuity Emergency Pediatrics; away at Connecticut Children's Medical Center, Hartford, CT
    • 1 block elective (must be approved by program director)
    • 3 weeks of vacation (to occur during ED rotations)
  • Core Content Lecture Series: each Tuesday is a dedicated day for didactic learning. Teaching is provided by faculty as well as guest lectures using Tintinalli's Emergency Medicine textbook as a general guide.
  • Longitudinal research project with presentation at hospital Grand Rounds
  • Longitudinal learning includes regular mornings in the OR with anesthesia and reading films with radiologists
  • Procedural competency will be achieved through a combination of the required courses, hands-on learning during the Core Content Lecture Series, and through longitudinal learning experiences in the Emergency Department, OR, Intensive Care Unit and Trauma.
  • Required, fully funded courses include: ATLS, Airway, Emergency Ultrasound and The Difficult Airway Course
  • Additional learning experiences include hospital monthly Grand Rounds lectures, “Hospitalist University” lectures provided by the hospitalists and monthly ED meetings

The MGMC EM Fellowship curriculum is based on the core competencies from the Accreditation Council for Graduate Medical Education (ACGME).

Instruction

Instructional Strategy

  • Eight core faculty will provide weekly protected teaching sessions on core emergency medicine topics framed by reading Tintinalli's Emergency Medicine with a goal of completing this text by year's end.
    • One faculty member board-certified in EMS who serves as the medical director for area EMS agencies. He responds to 911 calls as an EMS physician and he will provide fellows with instruction on EMS as a system and how best to work with EMS while working as an Emergency Medicine physician.
    • One faculty member is Emergency Ultrasound Fellowship trained who will work directly with the Fellows for instruction in Ultrasound. This is additional to the Ultrasound Course.
  • Patient care in an ED of 55,000 visits per year alongside an emergency medicine physician. It is expected the fellow will see more than 1,500 patients.
  • The fellow will travel to outside tertiary care centers to rotate in Trauma Surgery and Pediatric Emergency Medicine. One month for elective rotation is included.
  • Procedural competency will be achieved through a combination of outside courses (U/S, Airway and Emergency Medicine Review) and longitudinal experience in the Emergency Department and with local anesthesia, critical care and surgery services. Learn more about our Procedural Training Curriculum.

Evaluation Method

  • Evaluations will be completed for each outside rotation and quarterly by in-house faculty.
  • Numbers of core procedures will be documented in New Innovations and evaluated by the Program Director and the Assistant Program Director.

Contact Us

For more information, please contact the Specialty and Medical Recruitment Team at medicalstaffrecruit@mainegeneral.org.