Brigham and Women's Hospital:

The base hospital for HAEMR, Brigham and Women's Hospital (BWH) is located immediately adjacent to the Harvard Medical School campus in the Longwood Medical Area. BWH, a 719-bed hospital, is a major teaching affiliate of Harvard Medical School and a founding member of Partners HealthCare System. Internationally recognized as a leading academic health care institution, BWH is committed to excellence in patient care, medical research, and the training and education of health care professionals. BWH is a respected leader in tertiary and quaternary care and is a Level I Trauma and Burn Center. BWH has consistently been named one of the country's top ten hospitals by U.S. News and World Report.

Brigham and Women's Hospital is home to one of the most powerful Biomedical Research Institutes in the world. Over 500 scientists and $240 million in research grants are committed to bringing the latest advances in medical care and basic science to the BWH. Over the last ten years, BWH has been either the largest or second-largest non-university recipient of research funding from the National Institutes of Health.

The Emergency Department at Brigham and Womenās Hospital is a state-of-the-art facility designed by emergency physicians from the ground up to meet the needs of a high-volume, tertiary-care patient population. The ED serves an average of 56,000 patients per year, from throughout the city of Boston, the state of Massachusetts, and the world. The ED offers some of the most advanced technologic and therapeutic modalities available in emergency medicine, including bedside ultrasound, a new-generation multi-detector helical CT; a highly sophisticated advanced airway management system, including fiberoptic intubating scopes; and a filmless digital radiology system. The ED is also home to a state-of-the-art, nationally recognized patient-tracking and order entry system, which was developed by BWH emergency physicians.

The 39-bed ED contains a 12-bed Urgent Care Unit, a 13-bed Acute Care Unit, including two resuscitation bays, and a 4-bed Fast Track Unit. A 9-bed Observation Unit, designed and operated by emergency physicians and residents, supports patients who require prolonged observation to determine appropriate disposition, or who would benefit from a short period of intensive therapy to allow for discharge. The observation facility provides residents with first-hand exposure to this rapidly developing area of emergency medicine. The EDās 4-bed Acute Heart/Stroke Unit is scheduled for completion in 2003. This unit will employ the latest in bedside testing and diagnostics and streamlined care pathways.

Massachusetts General Hospital:

The Massachusetts General Hospital (MGH), incorporated in 1811, is the third oldest voluntary, not-for-profit hospital in the United States and the oldest in New England. It has a bed capacity of approximately 900, and more than 37,000 patients are admitted every year. The Massachusetts General Hospital is the original teaching hospital of Harvard Medical School.

The MGH Emergency Department cares for approximately 76,000 patients per year, and about 25% of Emergency Department patients are admitted to the hospital. It contains an Acute Unit of 10 beds, which includes 4 shock-trauma resuscitation rooms, 2 burn resuscitation rooms and 4 cardiac acute care beds. The Major Multipurpose area has 16 bays for acute adult illness. In addition, there is a 4-bed Pediatric Unit and a 10-bed Minor Surgery Unit for walk-in patients. A 7 bed Rapid Diagnostic Unit (RDU) serves patients with single system acute illness. The MGH also has an Acute Psychiatry Service (APS) to serve a diverse population in treating all manner of psychiatric emergencies. The Emergency Radiology Suite is also located within the Emergency Department, incorporating 3 radiology exam rooms, an ultrasound suite, two dedicated multi-detector helical CT scanners and a dedicated ED MRI. All ED radiologic images are handled electronically and can be accessed within the clinical areas by computer. Augmenting the radiology department are two portable bedside ultrasound devices under the control of the Department of Emergency Medicine, routinely used for trauma and acute resuscitations. The Emergency Department also provides access to the hyperbaric chamber, which is located in the Massachusetts Eye and Ear Infirmary, and several attendings in the MGH ED are certified to provide Hyperbaric Medicine treatment. A full-weather heliport on the roof of the Blake Building allows two helicopters to access the institution simultaneously.

The MGH is a Level I Trauma Center, a Level I Pediatric Trauma Center and a Level I Burn Center - the only hospital in the United States to hold all three designations simultaneously. As one of the busiest Level I Trauma Centers in Massachusetts, the MGH provides residents with superb experience in managing trauma victims. In addition, experience in Pediatric Emergency Medicine complements the rotations at Children's Hospital and Mount Auburn Hospital. MGH also acts as an internationally recognized tertiary referral center and local city hospital for many Bostonians and North Shore residents.

MGH is a world-renowned research institution and has been named in the top three hospitals in the United States by US News and World Report for the past several years.

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Mount Auburn Hospital:

Mount Auburn Hospital is a 250-bed Harvard Medical School community teaching hospital. Mount Auburn is located in the heart of Cambridge, on the Charles River just outside Harvard Square. It serves Cambridge and the surrounding communities. Mount Auburn is regarded by its neighbors and the medical community as a high-quality, responsive health-care and teaching institution. It has a medical staff of more than 500 doctors.

The Emergency Department is a full, independent hospital department and sees 29,000 patients each year. An additional 16,000 lower acuity patients are seen in the walk-in clinic. Patients of all ages and medical conditions are triaged by the same mechanism and are seen in the emergency department or the fast-track area, both of which are under the supervision and control of emergency medicine physicians. Documentation is supported by an innovative, computerized medical record.

Mount Auburn Hospital provides residents with experience in a state-of-the-art community hospital that serves as the base for a large suburban pre-hospital system.

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Boston Children's Hospital:

Long distinguished as one of the largest pediatric medical center in the United States, Boston Children's Hospital is a comprehensive, multi-faceted institution located next to Brigham and Women's Hospital and Harvard Medical School. It is the home institution for the largest pediatric emergency medicine fellowships in the nation and is a highly regarded program.

The Emergency Department at Boston Children's Hospital cares for non-critical walk-in emergency cases, as well as more serious surgical and medical emergencies that arrive from throughout New England and beyond, by air or ground ambulances.

There are approximately 55,000 emergency department visits each year. Of this number, 15 percent are admitted to the hospital and 1 percent are admitted to intensive care units.

Boston Children's Hospital strives to be a leading source of research and discovery, seeking new approaches to the prevention, diagnosis, and treatment of childhood diseases, and to educate the next generation of leaders in child healthcare.

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Massachusetts Eye and Ear Infirmary:

For more than 177 years, the Massachusetts Eye and Ear Infirmary has been a leading referral center for the care of patients with acute ophthalmic (Eye) and otolaryngologic (ENT) problems, including eye and facial trauma. The infirmary is the region's only medical facility devoted to providing comprehensive emergency care to patients with disorders of the eye, ear, nose and throat, 24 hours a day, seven days a week. There are approximately 27,000 emergency department visits annually.

The Infirmary, which has three hyperbaric oxygen chambers, is the only medical facility in eastern Massachusetts with Hyperbaric Medicine services. The Massachusetts Eye and Ear Infirmary is designated by the National Eye Trauma System as one of New England's two eye trauma centers. The Infirmary's Emergency Department also works in conjunction with the Massachusetts General Hospital's Emergency Department to provide comprehensive treatment for patients with multiple medical problems.

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Harvard Medical School:

Emergency Medicine is a free-standing division that reports directly to the dean of Harvard Medical School. The medical school offers widespread commitment to this academic unit and acknowledges Emergency Medicine as a unique specialty with components vital to a comprehensive educational program.

The Harvard Division of Emergency Medicine coordinates patient care, educational, and research activities in the specialty of emergency medicine and incorporates the world-class resources of the affiliated institutions in bringing excellence to each of these areas. One of the most critical activities for the division is its advisory function to emergency medicine residency and fellowship training programs.

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Institute for International Emergency Medicine and Health

The Institute for International Emergency Medicine and Health (IEMH) is one of the fellowship opportunities offered through the Division of Emergency Medicine. IEMH fellows have the opportunity to earn a Masters in Public Health from the Harvard School of Public Health. HAEMR residents have already served in important roles in Africa and the Middle East through IEMH.

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