Fellowship in Medical Simulation

Overview

The Mass General ED’s Fellowship in Medical Simulation is organized in collaboration with the Gilbert Program in Medical Simulation at Harvard Medical School, and offers one of the country's most established training programs in simulation-based medical education.

The fellowship experience is tailored to the individual trainee, and is completed over 1-2 years of study. All fellows complete comprehensive curricular modules offered by the Harvard Macy Institute and the Institute for Medical Simulation, both world-renowned centers for advanced medical faculty development. Simulation teaching experience is provided at Mass General and Harvard Medical School, where fellows run the On-Demand Medical Education Service. Active academic mentorship is provided by experts in the field, across the Boston simulation community. Fellows may pursue a Certificate of Teaching and Learning with a concentration in healthcare simulation through the MGH Institute for Health Professions, an interdisciplinary graduate school for healthcare professionals. Additionally, advanced certificate and degree work is also available, and tailored to the individual fellow’s career plan.

Fellowship faculty, trainees and graduates play a leading role in the growth of medical simulation worldwide.

Requirements

ED Simulation Fellows are required to have completed a residency in Emergency Medicine, and to be eligible for an appointment as an Attending Physician in Emergency Medicine at Mass General.

Curriculum

I. Intensive Faculty Development in Medical Education

(Harvard-Macy Institute Program for Educators in the Health Professions: description from the Institute website.)

The goal of this Harvard Macy Program is to enhance the professional development of physicians, basic scientists and other healthcare professionals as educators. The program will combine five major themes: Learning and teaching, curriculum, evaluation, leadership, and information technology. The program provides a select group of 55 healthcare professionals with the knowledge base and skills to enhance their expertise in both conducting an educational project of their own design and taking a leadership role in the educational activities at their home institutions.

The program consists of two sessions in residence at Harvard: an 11-day winter session and a 6-day spring session. Learning formats include large-group presentations, interactive exercises, problem-based learning, observations, reflective use of journals, and discussion in large and small groups. A variety of faculty-facilitated small-group formats are used to support learning from observation, to draw together scholars with common interests, and to further the development of each scholar's back-home project for educational change.

II. Intensive Faculty Development in Medical Simulation

(Institute for Medical Simulation Comprehensive Workshop: description taken from the Institute website)

This course is an intensive immersion experience in medical simulation. Experienced leaders at the forefront of the field conduct the course which covers all high-level elements and concepts involved in running a simulation program. Attendees will join a growing community of Institute graduates positioned as leaders in the field.

The program lasts 5 1⁄2 days. The daily formats vary and include simulation scenarios, lectures, small and large group discussions, case studies, and practical exercises with feedback. There will also be two evening social events providing additional opportunities for networking and experience sharing.

Topics include:

• Patient simulation: history and context
• Operating a simulation program
• Teaching clinical thinking and skills
• Teaching teamwork and crisis resource management
• Developing debriefing skills
• Introducing behavioral and educational research paradigms
• Advancing simulation within one’s institution

III. Longitudinal Practicum in Medical Simulation

Fellows organize and administer a busy teaching service which manages over 1000 hours of dedicated instructional effort per year. Emphasis at the Medical School is placed on cognitive decision-making and critical thinking within the context of basic science learning; at the Hospital, emphasis is placed on advanced clinical skill performance and assessment. Feedback and oversight is provided by program Faculty.

IV. Advanced Academic Studies

Fellows interested in pursuing careers in academia will engage in dedicated curricular study through any one of a number of Certificate, Degree, or Individualized programs tailored to their particular background, interests, and goals. Such coursework typically includes instructional design and assessment, qualitative and quantitative methods, educational theory and practice. These fellows will work toward independent scholarly publication under faculty guidance. All Fellows may pursue a Certificate of Teaching and Learning with a concentration in healthcare simulation through the MGH Institute for Health Professions, an interdisciplinary graduate school for healthcare professionals.

Clinical Experience

ED Simulation Fellows will work approximately half-time clinically in the Mass General Emergency Department or an affiliated Emergency Department.

Research Experience

Simulation Fellows interested in academia will generate independent research questions and develop projects under the guidance of faculty mentors. As interested they can also participate in any one of a number of established simulation-based research efforts at Mas General and throughout the Harvard simulation community. A monthly Simulation Research and Education meeting, sponsored by the Center for Medical Simulation for the entire local simulation community, provides a regular forum for academic discussion and feedback.

How to Apply

Eligibility

The Mass General Medical Simulation Fellowship accepts graduates from ACGME-accredited residency programs, who must be board-eligible/board-certified in their clinical specialty.

Required materials

The following application materials should be sent electronically to our Simulation Fellowship Program:

• Formal letter of interest: including interest in pursuit of 1 or 2 years of training
• Current CV
• At least two letters of recommendation: one of which must be written by your residency program director

Annual Timeline

The annual application process begins on July 1 and all application materials are due by September 15.  Applicants will be notified by October 1 regarding the status of their application and the possibility of an interview.  Fellowship position offers are typically announced by early December for a July 1 start in the following year.