Administrative Emergency Medicine Fellowship


Stanford University School of Medicine, Department of Emergency Medicine is excited to announce a new one-year fellowship opportunity in Emergency Medicine administration. This fellowship is ideal for board eligible or board certified EM residency graduates with a strong interest in obtaining direct experience in all areas of emergency medicine administration. Fellows in the program will be appointed as clinical instructors at the Stanford University School of Medicine, and will balance clinical shifts in the Stanford Hospital's Marc and Laura Andreessen Emergency Department with participation in committees and projects related to quality, operations, process improvement, Lean management, billing/coding, change management. Fellows will also participate in didactics related to the Stanford Operating System/Lean Management as well as other formal physician leadership training series throughout the year. This is an ideal start to building a foundation to help shape future emergency medicine healthcare leaders.

This post-Emergency Medicine residency one year fellowship is designed to give future leaders in Emergency Medicine administration valuable experience in all aspects of Emergency Department management. The Fellow will combine clinical shifts in an academic teaching hospital with didactics and participation in Emergency Department operations, quality, and process improvement committees and projects at Stanford Health Care. The Fellow will also choose an area of focus to develop more depth in knowledge and experience. Graduates of this fellowship will feel prepared to embark on a leadership track in an academic or community hospital setting.


  • Board-eligible or board-certified Emergency Medicine physician from ACGME accredited Emergency Medicine residency
  • Demonstrated high academic achievement
  • Strong interpersonal and communication skills
  • Demonstrated interest in administration and health care management
  • Entrepreneurial spirit

Core Curriculum


  • Development of strong clinical skills early in career
  • Understanding systems issue as a clinician and as an administrator
  • Building relationships with nursing staff and nursing leadership in the Emergency Department
  • Mentoring residents and medical students


  • Stanford Operating System (SOS) Executive Training Sessions:
  • Learning the foundation for the management philosophy at Stanford Healthcare
  • Lean Management:
  • Understanding a powerful management tool used in healthcare systems across the country

Committee Memberships, Participation and Observation


  • Medical Executive Committee
  • Credentials


  • ED Quality Committee
  • Trauma Quality Committee
  • Clinical Task Forces (e.g. Sepsis)

Operations/Process Improvement

  • Kaizens/Rapid Process Improvement Work
  • Trauma Process Improvement Committee
  • Future Patient Value Stream

Area of Focus

Ability to concentrate on one aspect of ED management through a focused project designed with the fellowship director.

  • Redesigning triage
  • Optimal staffing for an Emergency Department
  • Development of surge plans for the ED
  • Improving Fast Track processes
  • Reducing ED readmissions

Cross Training

Opportunity to learn from another industry through a short rotation (e.g. management consulting, venture capital, health care start up, telemedicine, biodesign). This area will be depending on available opportunities in the Bay Area at the time of fellowship.


  • Review current literature on ED operations and process improvement strategies
  • Opportunity to design a research project and publish in peer reviewed journal

Contact Us

For any questions regarding the fellowship, please contact:

Sam Shen, MD, MBA, FACEP
Clinical Associate Professor
Medical Director, Administrative Fellowship
E-Mail: Sam Shen

Alexei Wagner, MD, MBA
Clinical Assistant Professor
Assitant Medical Director, Administrative Fellowship
E-Mail: Alexei Wagner

Department of Emergency Medicine
Stanford University School of Medicine
Suite 350, 900 Welch Rd.
Palo Alto, CA 94304
t: (650) 498-5220
f: (650) 723-0121