Administrative Fellowship

The Administrative Fellowship began in 2003, graduating its first fellow in June of 2004.  This is a one year program and we have one spot available each year.  Prior graduates have had significant success and have taken on major administrative responsibilities in the Emergency Medicine world.   To date, a majority of administrative fellows have been graduates of CCHS residencies (EM or EM/IM).

Fellows function as fully credentialled attending physicians, but have a limited clinical commitment (roughly two shifts/week).  During their non-clinical time the fellow pursues what amounts to an apprenticeship in administrative emergency medicine.  The fellow becomes a full member of the ED management team, and is given a variety of committee assignments, projects, and other administrative work to do.  Teaching comes primarily 'on the job', and in the form of direct support as the fellow works through the various jobs at hand.  While a formal curriculum is suggested and numerous references are available, the actual work and direction of the fellow is highly flexible and can be individualized according to individual interests.  Nonetheless, it is expected that during the normal course of events the fellow will become familiar with all core administrative topics by years end.

This program is Directed by Dr. Reese, who is also Department Chair.

EMS Fellowship

The host institutions provide administrative and clerical support to the fellow(s) and fellowship director, including office space, research support, and information systems.  Physician teaching opportunities are widely available for the EMS fellow.  CCHS has an accredited emergency medicine residency program and helps sponsor the paramedic trainee program at Delaware Technical and Community College.  There is a written agreement with the statewide EMS agency that allows the fellow to gain experience in providing medical care and direction at the scenes of emergencies.  CCHS has a demonstrated track record of involvement and commitment to EMS at local, state, and national levels.  Lastly, there are ample opportunities for the EMS fellow to maintain clinical emergency medicine skills, but limits fellows clinical load to fewer than two shifts per week.

Emergency Ultrasound Fellowship

Full program details and application are available at www.eusfellowships.com.

The Emergency Ultrasound Fellowship Program at Christiana Care Health System received full Graduate Medical Education Committee approval in 2001.  Our fellowship program accepts two ABEM/AOBEM certified or eligible emergency physician per year.  Fellows receive training and education specific not only to basic and advanced applications, but also in emergency ultrasound program design, QA/QI, documentation, billing, and advanced educational presentation techniques.

The ultrasound fellowship and program is lead by Program Director Paul Sierzenski MD, RDMS and Associate Director Jason Nomura MD, RDMS.  Dr. Sierzenski has chaired the ACEP and SAEM Ultrasound Sections.  Both Dr. Sierzenski and Nomura have lectured nationally on Emergency Ultrasound with multiple publications in peer reviewed journals.

Our fellowship assists in both didactic and practical training of residents for the over 5,000 yearly ED ultrasounds that we now perform.  The fellowship and our faculty have contributed to EM US research and pioneered many ED US applications such as advanced procedural ultrasound, advanced cardiac evaluations, aortic dissection identification, vascular, tendon, and ocular ultrasounds.

The Emergency Ultrasound Fellowship at Christiana Care is but one facet of our active EM Ultrasound Program, but one that we are very proud of given its activities and success.  We welcome any questions you may have about our program.