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Social Emergency Medicine-Population Health Fellowship
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Education & Training

The Fellowship is a two year program or one year if a MPH is obtained prior to start.

Clinical Work

  • 800 hours at UH Cleveland Medical Center and Community Hospitals, as needed
  • Academic Appointment: Clinical Instructor, Department of Emergency Medicine

Educational Curriculum

  • Department of Population and Quantitative Health Sciences
  • MPH program (2-year Fellowship Program)
  • If MPH is already obtained, other degrees could include:
    • Master of Science (MSc)
    • MBA: Weatherhead School of Management  

Core Rotations

UH Resources (2 or 4 weeks)

Community Health Engagement: Fellows will shadow the UH Community Health Workers (CHW) in the UH Cleveland Medical Center Emergency Department (ED), attend regular departmental meetings and administrative meetings with UH hospital leadership, complete CHW training modules, and attend any relevant regional/community meetings.

Social Work / Case Management (SW/CM): Shadow with ED and inpatient SW/CM to learn job responsibilities and basics of Patient Transition of Care.

Sexual Assault Nurse Examiner (SANE): Shadow with UH Cleveland Medical Center SANE nurse to learn basics of sexual assault and domestic violence exam, including law enforcement and legal aspects.

SANE training – learn how to conduct a sexual assault exam, either through shadowing (if patient allows) or simulation.

Community Engagement: Fellow will reach out to either Cuyahoga County Board of Health or Cleveland Department of Public Health for community engagement. They will learn the basic structure of local health departments and attend all staff and board meetings. By January of Year 1 of fellowship, the fellow will pick a division / topic of interest and create a longitudinal project based on a current community need.

Elective Rotations (pick 2 min)

  • Geographic Information Science (GISc): an introduction to GIS for health and social sciences
  • Clinical Operations: work to optimize emergency medicine workflow and electronic medical record (EMR) to identify and address SDoH in ED patient population
  • Disaster Medicine: Fellows will engage with the UH EMS Training and Disaster Preparedness Institute and attend one UH Emergency Management or System Disaster Committee meeting 
  • Opioid Use Disorder: Fellows will work with the toxicology / addiction medicine team, attend Bridge Clinic, shadow with THRIVE in both UH Cleveland Medical Center ED and community setting
  • Family Medicine: Fellow will learn about the primary care resources available within both University Hospitals and regionally, specifically local federally qualified health centers (FQHCs) including barriers to access (i.e. hours of operation, transportation, financial barriers)
  • Pediatric EM: WIC (Women, Infants, Children); Child Protective Services; Vaccine hesitancy
  • Legal Resources: Law School (Health Law, Public Interest Law, Financial integrity)
  • Violence Intervention: Shadow with the UH Cleveland Medical Center violence interrupters and key faculty and staff in the Department of Surgery/Trauma
  • LGBTQ+: Fellows will spend 2 weeks at the LGBT Community Center at Gordon Square in order to learn more about LGBT healthcare and SDoH

Deliverables

  1. MPH capstone project (community engagement) + thesis (scholarly activity)
  2. Scholarly activity (if not obtaining MPH degree)
  3. Didactic presentation – minimum 1 per quarter, pick from the following:
    • UH Cleveland Medical Center Department of Emergency Medicine Grand Rounds
    • University Hospitals other departmental Grand Rounds (Family Medicine, OB/GYN, Psychiatry, etc)
    • MetroHealth, Cleveland Clinic
    • Regional / Community presentation
  4. National conference presentation – abstract, poster, didactic, i.e. SAEM, ACEP, AAEM, APHA, CORD

Global Health Tract

  • Engage with Global Partners (Thailand, Iceland, IMC)
  • International Field work: Participate in Global Health Rotations, 5 months total during fellowship
  • MPHP 540 Global Health, Emergency Relief, and International Development: designed specifically for UH CMC/IMC Fellow
  • Immigrant, Refugee Health

Deliverable: sustainable Quality Improvement project or Publication

Community Engagement Tract

  • Local public health (Cuyahoga County Board of Public or Cleveland Department of Public Health)
  • Housing needs
  • Employment needs
  • Education and literacy
  • Financial insecurity
  • Personal safety (intimate partner violence, human trafficking, firearms, child abuse, elder abuse)
  • Food insecurity
  • LGBTQ+
  • Language
  • Immigration
  • Incarceration
  • Transportation needs
  • Federally Qualified Health Clinic (FQHC): free clinic
  • Bias training
  • Community innovation: partner with UH Ventures

Deliverable: sustainable Community Quality Improvement project or Publication