The Mount Sinai Health System Department of Emergency Medicine Healthcare Leadership Fellowship is a one-year fellowship designed to provide comprehensive training in emergency department (ED) leadership, operations, and management. The goal is to develop emergency physician’s skills to provide proficiency in clinical operations, quality improvement, service excellence, departmental leadership and financial management. Upon completion of the fellowship, the successful candidate will be prepared to assume a junior level ED administrative position and improve the quality and clinical operations of their chosen institution.
Program
The Mount Sinai Health System Department of Emergency Medicine is a consortium of Emergency Departments across the NYC Metropolitan area aimed at providing quality and innovative pediatric, adult and geriatric emergency care to the communities we serve. The mission of the Department of Emergency Medicine at Mount Sinai is to deliver exceptional, holistic care that is innovative, efficient, and patient centered. We lead impactful scientific research, training, and education to prepare the next generation of health care leaders to serve our diverse communities with compassion. We offer three of the leading training programs in Emergency Medicine, with a reputation for excellence and innovation. The Department of Emergency Medicine consists of more than seven Mount Sinai hospital-based emergency departments as well as clinical and academic affiliations.
The Health Care Leadership fellowship is structured to provide in depth exposure to multiple aspects of ED leadership and management through didactics, hands on immersive exposure to local hospital and system operations, national conference attendance, committee membership, QI projects and practicum work.
The fellow will be a fully participating member of the ED management and leadership team. They will work directly on ED committees and have a significant role in multiple quality and operational projects, including those where they are tasked to lead meaningful change in the department. As a member of the ED management team, the fellow will become proficient in issues related to clinical operations, patient safety, education, information technology development, and quality improvement. Supervision, guidance, and mentorship will be provided by the fellowship director and administrative leadership team. Upon completion of the fellowship, the graduate will be prepared to work effectively within and across departments to enhance patient safety, navigate patient experience, develop strategic models and solve operational issues. They will gain the ability to be an effective leader in any type of Emergency Department with confidence.
Fellow(s) are considered attending faculty and are expected to work clinically at a designated MSHS emergency department(s), most often Mount Sinai Morningside and Mount Sinai West. Compensation for the fellow includes a competitive salary based on half-time attending status. CME funds will be provided to the fellow. In addition to fellowship-related activities, the clinical duties allow for enhancement of professional skills as an academic attending physician working at one of our two residency sites.
The administration fellowship is not an ACGME accredited fellowship.
Length:
One academic year (July 1st – June 30th)
Positions:
1-2 fellow(s) per year
Clinical Schedule:
The fellow will work as a fully credentialed attending physician working 900 clinical hours for the year.
Application Requirements:
Applicants should be residency trained in EM or Pediatric EM at board-certified or board-eligible status.
How to Apply:
- Cover letter; curriculum vitae; three letters of recommendation.
- Deadline: October 1st (year prior to accepting academic year)
- Interviews: Mid October (year prior to accepting academic year)
- Note: Due to program requirements, we do not offer visa sponsorship.
Curriculum
Didactics
The fellow will have dedicated sessions taught by a member of the ED leadership, residency, nursing or hospital administration team. Lectures or individual meetings will typically occur on regular intervals but may vary based on the fellow’s clinical schedule and lecturer availability. In addition, the fellow may have the opportunity to join asynchronous lectures such as recorded sessions from national meetings.
Practicum
At the core of the fellowship is structured meaningful area of focus in which the fellow, with appropriate supervision, will design, develop and implement one major process, quality or safety project. This project will be structured to include data collection and analysis, with the expectation that it will culminate in a national abstract presentation or peer-reviewed publication. They will be encouraged to further participate in one of a number of established administrative-based research efforts across the system.
A minimum of one scholarly project should be successfully initiated and submitted for presentation during the 1-year fellowship.
The fellow and fellowship director will review fellow’s interests and development to identify project proposals that support future professional aspirations. The practicum should allow the fellow to assume primary responsibility of data collection/ analysis of a reported metric.
MSHS Fellowship Core Curriculum
The Mount Sinai Health System Department of Emergency Medicine offers fellowships in a variety of clinical areas. A full list can be found through the website. Each fellowship has its own dedicated faculty and program requirements. However, to help foster the development of all Emergency Medicine fellows within the Mount Sinai Health System, a Core EM Fellow Curriculum has been devised. Fellows in all above fellowships will take an active part in the curriculum by being both learners and educators in collaboration with faculty mentors. Fellows will also participate in the MSHS Emergency Medicine Fellows Research Methodology Lecture Series. The annual lecture series is an opportunity for fellows/residents to acquire knowledge and skills that will assist them in their research endeavors.
National Conferences
The fellow is expected to attend the following meetings that will be funded by the department.
- ACEP ED Directors Academy: Leadership Essentials Course (ACEP Accelerate): Jan 19-23 San Diego, CA
- NYACEP Director’s Forum (One-day course held at NYAM)- May 2026, date TBD
Depending on the fellow’s project and ongoing interest, funding may be provided for participation in other recommended conferences.
- ACEPCoding & Reimbursement Webinar
Certifications:
The fellow will be given the opportunity to obtain their Lean Green level certification. Participation in departmental kaizen events is strongly recommended.
Textbook:
- Strauss and Mayer’s Emergency Department Management, 2021
- The Definitive Guide to Emergency Department Operational Improvement, Crane and Noon, 2009.
- Innovations In Emergency Department Management 2024. Podcast Series