Inclusion - Harvard Affiliated Emergency Medicine ResidencyHarvard Affiliated Emergency Medicine Residency

Practicing emergency medicine at HAEMR means caring for all members of society and striving for equitable health care. We are on the front lines of public health and violence that disproportionately affect different members of our community. We commit to advancing awareness of disparities in care and creating a clinical and educational environment that highlights inequities and promotes programming and pathways to mitigate these.

Our program offers exemplary clinical training, extensive 1-on-1 mentorship, institutional resources and academic opportunities that allow us to dream big. As a program, we believe and embrace the idea that training resident physicians from all backgrounds drives excellence, inclusion is imperative and a sense of belonging allows residents to bring their authentic selves to our program and hospitals. A fully representative resident body allows trainees to learn from each other’s lived experiences and cultivates an inclusive environment for our program, patients and colleagues. We are committed to providing a training experience that embraces inclusion and to increasing representation of residents from varied backgrounds reflective of the patients we serve. We believe that this will help mitigate disparities in healthcare and allow the development of deeper empathy, understanding and respect for the communities we serve around our hospitals.

HAEMR ROOTS

HAEMR ROOTS is a resident-driven initiative that strives to create an academic and cultural environment where everyone can thrive. Our residency thrives on creating a welcoming environment for individuals from all backgrounds. We celebrate and highlight the life experiences that make each of our residents unique.

Each year during the application season we:

Create the annual HAEMR ROOTS Booklet, highlighting the unique and varied life experiences of our residents and faculty.
Connect applicants with residents during the application process and field specific requests from applicants.
Elicit feedback at the end of the interview season about applicants’ experiences and our community.

Don’t hesitate to reach out to the HAEMR Roots Chairs, Sean Brown (sbrown100@mgb.org), PGY3, and Patricia Hernandez (phernandez9@mgb.org), PGY3.

HAEMR Mentorship Collaborative

The MGH and BWH Departments of Emergency Medicine support and promote the success of our residents. Through collaboration, we sponsor events throughout the year devoted to the formation of mentorship relationships and discussion of shared experiences. Events are open to all members of our program and work to identify and address the challenges of working in emergency medicine, including those that may be experienced more by some demographics. Through community, the expansive and varied backgrounds of our trainees and faculty can come together to offer mentorship and camaraderie as we all attempt to balance the imperatives of our professional and personal pursuits.

Please reach out to our current chairs with any questions:

Jamie Aron, PGY-3: jaron@mgh.harvard.edu

Caitlin Craft-Hacherl, PGY-3: ccraft-hacherl@mgh.harvard.edu

Lindsay Walsh, PGY-3: lvwalsh@mgb.org

Social EM

The Social Emergency Medicine Interest Academy is a group of residents committed to social justice and health equity in emergency medicine and the integration of this into our didactic programming and clinical practice.

Recent projects have included advocacy to provide suboxone from the ED to patients with opioid use disorder and creating pathways for safe discharge of homeless patients. We recently worked with our ED pharmacist, Bryan Hayes, PharmD (@PharmERToxGuy), and the MGH ED Pharmacy, on an initiative to provide free prepackaged “to-go” medications to uninsured, homeless, and otherwise socially vulnerable patients with infections that can be treated on an outpatient basis.

We also launched a Health Equity Curriculum, which included the events below. See our virtual SAEM presentation for more details about the curriculum.

Recent Publications

Molina M, Chary A, Baugh JJ, Ludy S, Ginart P, Dadabhoy FZ, Samuels-Kalow ME, Slutzman JE, Raja A, Hayes B. To-Go Medications as a Means to Treat Discharged Emergency Department Patients during COVID-19. American Journal of Emergency Medicine, 2020 Jun 1:S0735-6757(20)30461-7.

Molina M, Landry A, Chary A, Burnett-Bowie S. Addressing the Elephant in the Room: Microaggressions in Medicine. Annals of Emergency Medicine, 2020.

Im D, Chary A, Condella A, Vongsachang H, Carlson L, Vogel L, Martin A, Kunzler N, Weiner S, Samuels-Kalow M. Emergency department clinicians’ attitudes towards opioid use disorder and emergency department-initiated buprenorphine treatment: a mixed-methods study. Western Journal of Emergency Medicine, 2020;21(2):1-11. PMID: 32191184

Resources

Algorithm for Unbiased De-escalation of Agitated Patients in the ED
by Anita Chary, Farah Dadabhoy, Melanie Molina, and Emily Cleveland

Front-Line Indigenous Partnership (FLIP)

The Front-Line Indigenous Partnership (FLIP) is a HAEMR-affiliated program that works to improve indigenous healthcare, serve healthcare providers working with indigenous populations, and increase indigenous representation in healthcare. As a HAEMR resident, you can complete clinical rotations to Tséhootsooí Medical Center (TMC) in Flagstaff, Arizona, Gallup Indian Medical Center in Gallup, New Mexico, and/or San Carlos Apache Healthcare in Peridot Arizona during your elective time. These sites offer a unique environment to learn about the Indian Health Service (IHS) and Tribal Healthcare systems, while also honing your clinical skills in a different clinical context. HAEMR grads have gone on to serve in leadership positions at IHS sites across the country. FLIP will connect interested residents with alumni to learn more about this career path. Individuals interested in medical education can also serve as mentors in the Ohiyesa Premedical Program and/or the Saint Michaels Indian School Premedical Society among others, designed to encourage Indigenous youth interested in healthcare and increase their representation in medical schools and other healthcare professions around the country. Launched in 2021, FLIP continues to grow and expand, seeking leadership and input from motivated residents. We would love to have you join us! Residents are encouraged to partner with this program for opportunities in education, research, and leadership. Please visit www.the-flip.org or reach out to flip@partners.org to learn more.

Institutional Support

As an organization, Mass General Brigham is committed to providing a supportive environment for our trainees and patients. These missions are driven at the institutional level by the Centers for Diversity and Inclusion and Mass General and Brigham and Women’s Hospital.

Visiting Clerkship Program (VCP)

The Visiting Clerkship Program (VCP), sponsored by the Minority Faculty Development Program of the Harvard Medical School (HMS) Office for Diversity Inclusion and Community Partnership, provides support (via financial assistance for transportation and housing) for fourth-year and qualified third-year medical students from groups underrepresented in medicine (African-American, Hispanic/Latinx, Pacific Islander, and American Indian/Alaska Native) to gain clinical exposure within any Harvard affiliated department in the form of a month-long clerkship.

We, at the Harvard Affiliated Emergency Medicine Residency (HAEMR), are proud supporters of the VCP. We believe the resident body should reflect the diversity of the patients we serve. This is especially important in the emergency department, where we are often the providers for the most vulnerable and underserved populations. To that end, once accepted to VCP, you will receive a minority resident mentor, who will help acclimate you to Boston, the emergency department, and the residency. You will also be guaranteed a meeting with an assistant program director and/or the residency program director.

So come and join us! We would love to have you!

For more information and to apply, visit this site or email: vcp_hpsp@hms.harvard.edu. In addition to completing the VCP application, please apply for the HMS MGB EM clerkship on VSLO and email clerkship directors Dr. Kathleen Wittels (kwittels@bwh.harvard.edu) and Dr. Calvin Huang (ckhuang@mgh.harvard.edu) to let them know of your interest.