When help is miles, or days, away, you should know how to treat altitude illness, cold- and heat-related illness, trauma, wild animal attacks, and other illnesses and injuries sustained in the wild. As a fellow in our wilderness medicine program, you will learn and be prepared to administer care for a number of conditions and illnesses with limited supplies, often in extreme environments.  

You will gain experience in emergency wilderness medicine, including pre-hospital, disaster, and international medicine—all while traveling to exotic locations such as Guatemala, Greenland, Africa, Nepal, or other extreme locales. 

Through educational meetings, lectures, conferences, field work, travel, and clinical shifts in a busy Level-I Adult/Level-II Pediatric Trauma Center, fellows will graduate with the knowledge, skills, and leadership abilities required to manage emergency medical care in any environment.

Fellows have the opportunity to complete their Diploma in Mountain Medicine through the WMS, volunteer with the Himalayan Rescue Association, teach Advanced Wilderness Life Support, or spend time delving into any topic they choose, all the while attending monthly core content and skills sessions taught by Baystate Wilderness faculty.

Fellowship Director:

Leah Manchester, MD, FAWM, DiMM

We help residents develop the mastery of sophisticated applications in thoracic, vascular, critical care ultrasound, and advanced echocardiography, including the use of them in undifferentiated hypotension, respiratory distress and cardiac arrest.

Fellows will give frequent lectures to residents, medical students, and faculty during the year, building a large digital teaching database of ultrasound images. In addition, fellows have an opportunity to travel and lecture both nationally and internationally. 

Fellowship Directors:

Norah McIntyre, MD
Jeff Dan, MD

Our one-year fellowship is designed to prepare physicians for a future as Physician Educators with all the tools necessary to lead in both Academic and Community settings.  Educational and training opportunities include CCC, curriculum committee, recruitment and interview committees, as well as mastery of didactic, curricular development, assessment and bedside educator skills.  

We allow for flexibility in the fellowship experiences, offering specific tracks in Undergraduate Medical Education, Graduate Medical Education, Simulation, and Wellness. 

Fellows have the opportunity to travel to ACEP, CORD, and SAEM, as well as International Medical Education Conferences.

Fellowship Directors:

Ryan Clark, DO, MSEd

Ashley Deutsch, MD

Current Fellow: Julianne Earle, DO

Former Baystate EM Chief Resident and 2024 Graduate

Concentration(s): Simulation, Medical student recruitment and education, EMS

Our curriculum includes understanding and addressing the stressors of the profession, barriers to departmental and systemic change and opportunities to participate in a hospital-wide Wellness Council.

Current literature points out the need for systemic and cultural change that can only be successful when embraced at the administrative level. Our Emergency Medicine Leadership in Wellness fellowship is designed to focus on the relationship between physicians and organizational leadership. 

Fellowship Director:

Zach Testo, MD

You will train in the region’s only Pediatric ED—Sadowsky Family Pediatric Emergency Department—which includes 18 pedi beds and a designated pediatric trauma bay. With approximately 31,000 pediatric visits per year, you will see a vast range of clinical pathology.

Our fellows and residents are supervised in our pediatric emergency department by Board-certified/Board-eligible PEM faculty, including one faculty member who is also a board-certified toxicologist. 

Faculty from Baystate Children's Hospital supervise fellows on additional rotations in pediatric intensive care, neonatal resuscitation, pediatric anesthesia, pediatric radiology, and abuse evaluation. Elective time is also available with faculty from other pediatric subspecialties.

Fellowship Director:

Blake Spirko, MD

Dorka Jimenez-Almonte, MD

Join us for a mentored experience and the didactics necessary to become successful independent investigators and future leaders in academic emergency medicine. We accept one or two fellows per year for this 2-year fellowship. 

The Department of Emergency Medicine has a robust clinical, basic, and health services science research infrastructure in place. 

Current areas of expertise include (but are not limited to) randomized controlled trials, community-engaged participatory research, qualitative methods, implementation science, health services research, health equity, shared decision-making and patient experience, addiction medicine and substance use disorder, and pulmonary embolism. 

Fellowship Co-Directors:

Lauren Westafer, DO, MPH, MS

Elizabeth Schoenfeld, MD, MS

The Emergency Medicine Administrative Fellowship at Baystate Medical Center is a one- to two-year program designed for graduates of emergency medicine residency who have a specific interest in the leadership and administration of an emergency medicine department. 

During the fellowship, participants will engage in a comprehensive curriculum that includes both practical and theoretical components, immersed in a mentored experience, working alongside experienced emergency medicine faculty. 

This includes didactic sessions that cover a wide range of topics essential for effective department management and leadership. 

Key areas of focus include quality improvement, finance, billing and coding, health policy, risk management, and operations. Participants will have opportunities to engage in research projects, present at national conferences, and publish in peer-reviewed journals

Fellowship Director:

Seth Gemme, MD

1 or 2 year program

This one- or two-year fellowship prepares physicians with the tools needed to be leaders in health equity, focusing on understanding and reducing health disparities through recognition and exploration of the complex social factors that affect our patients’ daily lives and impact their health. It offers opportunities in areas such as advocacy, research, community engagement, quality improvement projects, and education. 

Our region is home to some of the worst Area Deprivation Indices (a measure of disadvantage) in the country (several counties below the 10th percentile nationally) and our patients present with multiple medical and social comorbidities. 

Health equity fellows have the opportunity to teach residents and medical students both clinically and in didactics as well as fourth year medical students in a health equity clerkship. Additional ongoing projects include: harm reduction for patients with substance use disorder; improving access to reproductive health in the EM; improvement in clinical care for patients with sickle cell disorder and best practice guidelines for patients who are incarcerated. 

Fellowship Co-Directors:  

Vanna Albert, MD, MBA

Nadia Villarroel, MD

1 year program

The EMS fellowship is a one year program designed to provide fellows with the key building blocks to pursue a career directing pre-hospital care. 

We aim to bring a higher level of care to the prehospital setting and build system leaders who are proficient in providing medical direction outside the walls of the hospital through partnerships with our EMS agencies and clinicians. 

Baystate Health is affiliated with 17 ALS agencies, 9 BLS agencies, 27 First Responder agencies, 7 Emergency Medical Dispatch centers, and 1 EMT Program.  We partner with AMR and operate our CAMTS-accredited Critical Care Ground Transport Program for adult and pediatric patients. We also partner with Hartford HealthCare/LifeStar for air medical transport.

Our fellows teach and train with regional tactical, search and rescue, marine/dive, and technical rescue teams. The fellows also have access to the Baystate Health-owned EMS physician vehicle. 

Fellowship Director

Kenneth Knowles, MD

Link: https://www.prehospitaldisastermedicine.org/ 

Current Fellow: Colton Conrad, MD

Former Baystate EM Chief Resident and 2024 Graduate