International Emergency Medicine

Fellowship Program

International Emergency Medicine Fellowship opportunities are offered through the Department of Emergency Medicine at North Shore-LIJ Health System in New York. We provide a comprehensive one or two year fellowship program.

The International Emergency Medicine Fellowship at North Shore-LIJ is designed to give emergency medicine physicians the ability to develop training programs internationally. Fellows will have half of their time available for funded travel to work on projects, allowing ample time to network, lecture, and conduct research while completing projects. Fellows will receive a salary that is among the highest in the country for any international emergency medicine fellowship. In the two year track, fellows complete a Masters in Public Health.

Meeting a Growing Worldwide Need

International Emergency Medicine is a rapidly growing and important subspecialty within Emergency Medicine. In the United States, Emergency Medicine is a relatively new specialty. The scope of knowledge of EM physicians spans both medical and surgical areas of expertise and requires knowledge of EMS systems, disaster preparation, mass casualties, and the handling of epidemics and pandemics. Due to a growing worldwide need for International Emergency Medicine Fellowship-trained physicians, North Shore-LIJ has been a pioneer in the development of much needed training programs that develop physicians specialized in all fields to treat acutely ill patients.

This skill set has recently been recognized internationally as vital for patient care and necessary to ensure emergency department patients receive timely and thorough attention. Many EM physicians have traveled long distances to teach medical professionals in developing nations the emergency skills that have evolved here in the United States. As a result of our pioneering efforts, a number of International Emergency Medicine Fellowship opportunities have developed.

Creation of Emergency Medicine Training Programs Worldwide

Our International Emergency Medicine Fellowship work includes creating emergency medicine training programs in India. Currently, we direct a three-year Masters in Emergency Medicine training program in Durgapur, West Bengal. Here, we are training a group of physicians to become Emergency Medicine doctors, as well as training academicians to teach future EM physicians. As part of their fellowship, physicians learn:

  • the skills of an emergency physician
  • important organizational and system skills to develop and train emergency medicine physicians in the underdeveloped regions where they will work

In Oaxaca, Mexico, our International Emergency Medicine Fellowship work involves EMT training and disaster preparedness. Interested locals learn the skills necessary to provide pre-hospital care.
Fellows will have the opportunity to work on the projects in India and Mexico during the fellowship. They will also be encouraged to develop their own projects. In addition, fellows will work part time as attending physicians in the United States and have teaching responsibilities for residents and medical students.

International Emergency Medicine Fellowship Overview

As a leading health care provider, the Emergency Department of North Shore-LIJ is committed to improving global health. We improve patient care and promote physician excellence through education and international collaboration. Our international emergency medicine programs:

  • Enhance the quality of international emergency medical care and contribute to the improved health of the global community
  • Raise global public awareness of the scope of emergency medical services
  • Enhance and optimize emergency disaster preparedness and response globally

The Need for International Emergency Medical Care

In recent years, urbanization, aging, economic changes, and worsening health system problems have led to an increased awareness and need for emergency medical care throughout the world. Many of the countries in the early stages of developing Emergency Medicine as a specialty are reaching out for guidance for more mature systems.

For over 15 years, pioneering emergency medicine specialists at North Shore-LIJ have had significant impact on the growth of International Emergency Medicine. Our physicians have been successful in assisting the development of emergency healthcare systems, curriculum, faculty training, and residency education internationally.

We support the promotion of international distance learning and the establishment of clinical rotations here in the United States and abroad. We also participate in the development of international emergency medicine fellowships and coordinate and conduct international research projects.

International Emergency Medicine Involvement

  • International conferences – North Shore-LIJ has sponsored more than 14 international conferences over the past 10 years in New York City, India, and the Caribbean. We are the organizers and sponsors of the annual New York Symposium for International Emergency Medicine, and will host the 10th annual Symposium in August 2013.
  • Resident international rotations – These rotations are supported by North Shore-LIJ’s Department of Emergency Medicine. Residents travel to over 20 countries for two to six weeks. Their roles range from providing medical care in rural areas to development of systems in regional Emergency Medical Services (EMS) and emergency departments.
  • Resident, student, and attending rotations in the United States – Over the past decade, students and clinicians from other countries such as Argentina, Barbados, India, United Kingdom, Germany, and Australia have spent time in our Emergency Department learning departmental processes.
  • International projects – Numerous projects have led to research opportunities and publications. These projects have led to collaboration with the development of future prospective trials.

Applying for International Emergency Medicine Fellowship

The North Shore-LIJ International Emergency Medicine Fellowship program currently accepts one to two fellows per year. Fellow’s salaries are among the most competitive in the country. Clinical responsibilities in the Emergency Department are less than 18 hours per week.

Applicants must have satisfactorily completed residency training at an ACGME accredited emergency medicine program and demonstrate a strong interest in International Emergency Medicine.

For further inquiries, or to apply to the International Emergency Medicine Fellowship Program, interested individuals should send a cover letter, CV, and three reference letters to the International Emergency Medicine Fellowship Director, John Acerra, MD, MPH, or apply online at www.iemfellowships.com.


International Emergency Medicine Faculty

John Acerra, MD, MPH, FACEP
Director, International Emergency Medicine Fellowship Program
270-05 76th Avenue
New Hyde Park, NY 11040
(718) 470-7501

Dario Gonzalez, MD, FACEP
International Emergency Medicine, Pre-Hospital Care

International Emergency Medicine Research and Publications

  1. Alagappan K, Cherukuri K, Narang V, Kwiatkowski T, Rajagopalan A. The early development of emergency medicine in Chennai (Madras), India, a case study. Annals of Emergency Medicine. 1998, 32:604-07.
  2. Van Der Vlugt T, Alagappan K. Congratulations to the First Emergency Medicine Graduating Class, Chennai, India! Newsletter from the American College of Emergency Physicians. Section of International Emergency Medicine. April 2000: Vol. 2, Issue 2.
  3. Alagappan K. Emergency Medicine in India for the 21st Century. Section News – Section of International Emergency Medicine. Aug. 2001. Vol. 3, No. 3, Page 3.
  4. Mahadevan S, Alagappan K. Second Meeting of the American Academy for EM in India (AAEMI) a Great Success. Section News – Section of International Emergency Medicine. Aug. 2001. Vol. 3, No. 3, Page 2.
  5. Miller I, Alagappan K, Pai M, Van der Vlugt T, Doraisamy D, Rajagopalan A. Recognizing emergency medicine in India. The National Medical Journal of India. 2001, 14;5:325-328.
  6. Alagappan K, Holliman J, History of International Emergency Medicine, Emergency Medicine Clinics, Feb. 2005 Vol. 23:1-10
  7. Dib J, Naderi S, Sheridan I, Alagappan K. The Dutch EMS system. Journal of Emergency Medicine Vol. 30, # 1 pp.111-115, 2006.
  8. Chan YF, Alagappan K, Gandhi A, Donovan C, Tewari M, Zaets S. Disaster Management Following the Chi-Chi Earthquake in Taiwan. Prehospital Disaster Med. June 2006; 21(3):196-202.
  9. Alagappan K, Welcome from the Chair. Newsletter from the American College of Emergency Physicians. Section of International Emergency Medicine, Vol. 8, No. 1, Jan. 2006.
  10. Alagappan K, Jensen S, Tetanos: Una Revision General. Revista Argentina de Emergencias. Abril 2006 Page- 6-11.
  11. Sheridan I, Alagappan K, Language and Cultural Support in the Provision of Emergency Medical Care, Emergency Medicine and Critical Care Review 2006-Dec. 2006
  12. Sheridan I, Alagappan K, Language and Cultural Support in the Provision of Emergency Medical Care, Emergency Medicine and Critical Care Review 2006 – Dec 2006
  13. Alagappan K, Schafermeyer R, Holliman CJ, Iserson K, Sheridan I, Kapur GB, Thomas T, Smith J,Bayram J, International Emergency Medicine and the Role for Academic Emergency Medicine, Vol. 14:451-456, 2007
  14. Osborn TO, Alagappan K, Emlet L, Huang DT, Holliman CJ, Sethuraman K, Zimmerman JL. The Patient Care Continuum. From the emergency department to the intensive care unit. 25 Years of progress and innovation in intensive care medicine. 2008. European Society of Intensive Care Medicine p 189-197
  15. Sarlin E, Alagappan K, Development of International EMS. EMS:A Practical Global Guidebook. First edition. Tintanelli, Holliman and Cameron. 2010
  16. Alagappan K and Colombo P- EMS Publications: EMS India - 15th Issue- Body Fluid Exposures in the Health Care Worker
  17. Chan YF, Alagappan K , Kwon R, Martin M, Interpreter services in the emergency department ; J. Emerg Med., Volume 38, Issue No. 2, Feb 2010
  18. Haar RJ, Naderi S, Acerra JR, Mathias M, Alagappan K. The livelihoods of Haitian healthcare providers after the January 2010 earthquake: a pilot study of the economic and quality-of-life impact of emergency relief. International Journal of Emergency Medicine. 2012 March; 5:13.
  19. Naderi S, Sud P, Acerra J, Pardo S, D’Amore JZ, et al. (2012) The Use of Gastric Lavage in India for Poisoned Patients. J Clinic Toxicol 2:118.