Social Emergency Medicine and Population Health
The Stanford Social Emergency Medicine and Population Health Fellowship is a one-year program with an optional second year available for applicants interested in obtaining a Masters in Public Health or Health Services Research.
Emergency Departments (EDs) are our healthcare system’s safety nets, for medical as well as social needs. EDs remain the sole access to any medical care for those in need, 24/7, regardless of insurance status. Consequently, ED providers must daily go beyond their core role of providing acute care to confronting the social complexities that burden our patients. The ED has become a unique bridge to the public, and is a compelling site for community outreach and partnership, as well as clinical and health services research geared towards impacting population health and policy.
The Social EM and Population Health Fellowship is created to form a robust collaboration of faculty and fellows working to enhance our understanding of and our capacity to impact the social determinants of health and disease from the unique vantage point offered by the emergency department.
Goals and Objectives
The overarching goal of the fellowship is to train physician researchers and educators dedicated to examining the complex interplay between societal structures, community well-being, and the practice of emergency medicine in order to identify highly impactful points of intervention in the social structures that determine health and disease and in the systems of acute care delivery.
Objective 1: To support and mentor fellows in initiating a career dedicated to examining the complex interactions between emergency medicine and the social forces that impact the health and well being of our patients and communities.
• Fellows will be mentored as they develop a novel project with a research component. The project will culminate in abstract submission and presentation at a national meeting, manuscript completion and application for grant funding.
• Fellows will have access to physicians, health policy researchers, economists and social scientists working to identify the healthcare and health-related social needs of vulnerable populations presenting to EDs and to design comprehensive health interventions.
• Fellows will be offered enrollment in an intensive one-week research methodology course; additionally she or he will have opportunities to audit Stanford courses, which address content-specific aspects of population health or research methods. Individual course access is available regardless of the decision to pursue a degree program.
• Fellows will develop skills to evaluate social determinants of health in community-based research; including knowledge of principles and theoretical frameworks, as well methods of planning, implementing and evaluating this research.
• Fellows will be offered grant writing support and supervision to ensure continuation of her or his work beyond the fellowship.
• Fellows will aid in the evolution, curriculum development and teaching of the Social Emergency Medicine service-learning course for Stanford undergraduate students.
• Fellows will help to disseminate research findings and social EM best practices by delivering grand round lectures on the topic of their chosen research.
Objective 2: To create a nexus around which researchers from the fields of clinical medicine, health policy, social science, economics and community service provision may collaborate to design, implement, and evaluate strategic interventions. Current projects and plans highlighted below:
• Stanford Health Advocacy and Research in the Emergency Department (SHARED)
HELP DESK: Centralized, interdisciplinary help desk interface drawing from Stanford Hospital’s Social Work and Case Management Department, Stanford Law School, Stanford University School of Medicine and the undergraduate college, providing brief interventions in the ED and working with community partners to provide patients with community resources, public benefits and legal assistance.
Stanford Alcohol Screening and Brief Intervention (SASBI): Mentored screening program to identify and provide a brief intervention for unhealthy alcohol use
STANFORD ED MEDICAL LEGAL PARTNERSHIP: In conjunction with San Mateo Legal Aid, we will provide targeted screening, legal and public benefit assistance for poor families and the elderly who come through the ED.
EMERGENCY MEDICINE ADVOCACY TRACK: We will run a quarterly lecture series, including a Grand Rounds speaker, on advocacy opportunities in emergency medicine. Lectures will focus on topics of significant importance including gun control, gender and race disparities in health care access and outcomes, human trafficking, brief interventions for substance abuse, hepatitis C and HIV ED-based screenings and medical-legal partnerships. Interested residents will be paired with mentors and have the opportunity to participate in on-going advocacy projects or develop their own.
ED-BASED SCREENING FOR HEPATITIS C AND HIV: In collaboration with Highland Hospital in Oakland, California, we are evaluating an ED-based HIV and hepatitis C virus screening program. In addition to the yield of screening, we are evaluating longitudinal outcomes, barriers to care and the impact of screening on ED operations.
ACUTE PSYCHIATRIC CARE ACCESS: This project aims to look at populations data to dissect the impact of prolonged ED length of stay from the influence of patient characteristics such as age, sex, insurance status, homelessness, particular psychiatric diagnoses, substance abuse and medical co-morbidities on a patient's risk of being placed on an involuntary psychiatric hold, risk of recurrent ED visits and risk of mortality. This project seeks to fill the current gap in knowledge of the personal and financial impact of increasingly long ED LOS on high-risk psychiatric patients and on the volume of ED presentations for psychiatric illness.
Candidates must have completed an ACGME-approved residency program in Emergency Medicine and be board certified/board eligible in Emergency Medicine. Prior to starting, the applicant must be licensed to practice medicine in the State of California. Applicants with a strong clinical background and a demonstrated interest in teaching and in research in population health or ED-based social determinant interventions will be given preference.
Interested candidates should contact Dr. Suzanne Lippert, MD, MS, Assistant Fellowship Director, prior to submitting an application.A personal letter outlining your goals and objectives for the Fellowship, a current Curriculum Vitae, and 3 letters of reference (including one from your Residency Director and one from your current Departmental Chair) are required.
For any questions regarding the fellowship, please contact:
Suzanne Lippert, MD, MS
Clinical Assistant Professor
Assistant Director, Social Emergency Medicine Fellowship
E-Mail: Suzanne Lippert
N. Ewen Wang, MD
Associate Director, Pediatric Emergency Medicine
Director, Social Emergency Medicine Fellowship
E-Mail: N. Ewen Wang
Department of Emergency Medicine
Stanford University School of Medicine
Alway Building, M121
300 Pasteur Drive
Stanford, CA 94305
t: (650) 723-0757
f: (650) 723-0121