Emergency Medicine Administration Fellowship
The Administrative Fellowship within the Department of Emergency Medicine is a two-year program designed to provide future leaders with valuable experience in all aspects of emergency department management.
This fellowship is ideal for board-eligible or board-certified emergency medicine residency graduates.
Fellows are appointed as clinical instructors at the Stanford University School of Medicine, and combine clinical shifts in an academic teaching hospital with didactics, and participation in committees and projects at Stanford Health Care on:
- process improvement
- lean management
- change management
Fellows also participate in didactics related to the Stanford Operating System/Lean Management, as well as other formal physician leadership training series. The two-year fellowship also allows fellow the opportunity to pursue a graduate degree such as an MBA or equivalent degree at highly ranked programs around the country.
The Fellow will also choose an area of focus to develop more depth in knowledge and experience. Graduates of this fellowship will be prepared to embark on a leadership track in an academic or community hospital setting.
Stanford's Administration Fellowship has been approved by the Society for Academic Emergency Medicine.
- Development of strong clinical skills early in career
- Understanding systems issues as a clinician and as an administrator
- Building relationships with nursing staff and nursing leadership
- Mentoring residents and medical students
- Stanford Operating System (SOS) Executive Training Sessions: Stanford Health Care management philosophy
- Lean Management: understanding a powerful management tool used in healthcare systems across the country
- Participation in Stanford Medicine Improvement Training Programs
Leadership, Operations and Process Improvement
- Medical Executive Committee
- ED Quality Committee
- Trauma Quality Committee
- Clinical Task Forces (e.g. Sepsis)
- Kaizen/Rapid Process Improvement Work
- Trauma Process Improvement Committee
- Future Patient Value Stream
Area of Focus
Fellows concentrate on one aspect of management through a focused project designed with the fellowship director. Possible topics include:
- Redesigning triage
- Optimal staffing for an emergency department
- Development of surge plans
- Improving Fast Track processes
- Reducing readmissions
- Design Thinking
- Entrepreneurship in healthcare
- Healthcare finance
- Clinical design
Learn from another industry through a short rotation (e.g. management consulting, venture capital, healthcare start up, telemedicine, biodesign). Dependant upon on available opportunities.
- Review current literature on operations and process improvement strategies.
- Opportunity to design a research project and publish in peer reviewed journal
Michael Losak, MD
Medical Director, Clinical Decision Unit, Stanford Emergency Department
Assistant Professor, Stanford University
Nida F. Degesys, MD, FACEP
Medical Director, Age Friendly Emergency Department, UCSF Parnassus
Assistant Medical Director, UCSF Parnassus Adult Emergency Department
Assistant Professor, UCSF School of Medicine
Ryan Ribeira, MD, MPH
Assistant Medical Director, Stanford Emergency Department
Assistant Professor, Stanford University
Fellows combine clinical shifts in an academic teaching hospital with didactics.
- Fellows are required to work 8 shifts per month (approximately 15 hours per week) as Attending Physician in the emergency department (ED) at Stanford University Hospital, with an academic appointment of Clinical Instructor in the Clinician Educator Line at Stanford University.
- While attending in the ED, fellows supervise residents and medical students.
- Clinical time is spent at Stanford University Hospital which is a world-renowned medical center. It is a Level 1 Adult and Pediatric trauma center with aero-medical transport. The diverse and high acuity patient population provides an excellent opportunity to continue to master clinical skills.
- All fellows must be ABEM board certified/eligible.
Applications are due October 1.
- Board-eligible or board-certified emergency medicine physician from 4 year ACGME-accredited emergency medicine residency programs or 3 year ACGME EM programs with minimum 1 year post-graduate experience
- Must be eligible for an unrestricted CA medical license
- Demonstrated high academic achievement
- Strong interpersonal and communication skills
- Demonstrated interest in administration and health care management
- Entrepreneurial spirit
- Three Letters of Reference
- Letter of Interest