1. Residencies & Fellowships

Simulation Fellowship at Mount Sinai Morningside and Mount Sinai West

The Mount Sinai Morningside and Mount Sinai West Emergency Medicine Simulation Fellowship provides advanced education in the dynamic field of simulation-based medical training. The one-year mentored fellowship trains fellows in simulation teaching curriculum and operational design, quality improvement, and simulation research paired with experiential opportunities to change actual medical practice. You will work closely with diverse faculty and leaders across a range of specialties at the Center for Advanced Medical Simulation at Mount Sinai West, a fully interdisciplinary medical simulation center. The Center is a major training site for residents and medical students, and you will work with junior trainees to provide both clinical and teamwork-based education on an ongoing basis throughout the year.

Fellows in the program receive independent and didactic training in the history and theoretical basis of simulation in medical education. You will assess operational needs and implement projects that improve safety and efficiency and reduce risk in the clinical environment. In addition to offering training to advance your clinical duties and professional skills, we train fellows in the instruction and programming of a variety of medical simulation technologies, including:

  • High-Fidelity Human Patient Simulators
  • Partial Task Simulators
  • Computerized Simulation Technologies
  • Virtual Reality Simulators
  • Simulation Audio-Visuals
  • Data Management System

Fellowship participants have the opportunity to join various educational and academic activities including leading training sessions at resident and medical student conferences nationally, developing curricula, and maintaining involvement in ongoing physician assistant, nursing, and off-service rotator training.

About the Fellowship

Fellows benefit from the multifaceted learning environment at the Center for Advanced Medical Simulation, which provides instruction and coaching for medical and allied health practitioners, from novice trainees to expert clinicians. We work with renowned physicians across the Department of Emergency Medicine, Internal Medicine, Critical Care, Anesthesiology, and Surgery. During your fellowship, you will be exposed to unique educational opportunities, including:

Medical Simulation Techniques

  • Learn to create and facilitate comprehensive interdepartmental and interdisciplinary medical simulation scenarios.
  • Educate learners by using high-fidelity and low-fidelity medical simulation, ultrasound-integrated simulation, standardized patient simulation, procedural simulation, and disaster code simulation.
  • Develop technical programming skills necessary to build and deliver real-time case scenario algorithms.
  • Utilize medical simulation to improve patient care, reduce medical errors, and promote patient safety.
  • Become proficient in managing a high-fidelity academic simulation center.
  • Develop networking relationships with leading experts as well as junior practitioners across the field of medical simulation.


  • Generate independent research questions and develop projects focused on operational design, patient safety, and quality improvement under the guidance of faculty mentors.
  • Successfully initiate, at minimum, one scholarly project during the fellowship and submit appropriate research for presentation and publication.
  • Attend a weekly meeting discussing important topics/articles in the field of medical simulation.

Interpersonal and Team-Based Learning

  • Develop effective interpersonal communication skills centered around high-risk scenarios.
  • Develop an understanding of specific words and strategies to provide leadership, crisis resource management, and conflict resolution.
  • Recognize barriers to communication and practice communication skills to establish a shared mental model.
  • Establish regular use of tools such as TeamSTEPPS to enhance teamwork and interpersonal communication to prevent medical errors.
  • Teach other physicians and learners effective communication and leadership skills using simulation-based education strategies.
  • Recognize and adapt strategies for teaching and communicating with physicians and patients of different socioeconomic backgrounds and cultures as well as varying degrees of medical literacy.

Systems-Based Practice

  • Demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care.
  • Use simulation to improve communication between intra- and interdisciplinary medical teams.
  • Participate in Quality Improvement Committees.
  • Recognize the importance of reducing medical errors and invoke strategies to achieve this goal.
  • Create simulation scenarios to test processes and identify system errors and latent safety threats.
  • Improve and implement operational designs.
  • Use simulation to enhance a culture of safety.

Compensation and Benefits

Fellows work clinically in the role of attending faculty and average 20 clinical hours per week (900 hours per year) in the Emergency Department at Mount Sinai Morningside and Mount Sinai West. Compensation includes a competitive salary and benefits.

In addition, $4,500 is provided per year, per fellow, for Continuing Medical Education and Center for Advanced Medical Simulation course reimbursement. Funding is available to offset costs of presenting accepted research abstracts and oral presentations, as well as for participation in specific simulation-related activities.

Applicants must have completed or expect to complete an Accreditation Council for Graduate Medical Education-approved residency program in emergency medicine and meet all credentialing and academic appointment requirements to be eligible for the fellowship.

Application requirements include:

  • Cover letter
  • Curriculum vitae
  • Two letters of recommendation

Applications must be submitted by October 1 in the year prior to the accepting year. We conduct interviews from October to November of that same year.

Please submit your application to Joshua McHugh, MD, at mchugh@mountsinai.org with the subject line “Simulation Fellowship Application.”