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The Global Emergency Medicine (GEM) Fellowship at Atrium Health's Carolinas Medical Center operates under the mission of capacity building for resilience and responding to international crisis with a focus on emergency care in low- and middle-income countries.

In partnership with healthcare facilities in Tanzania and Team Rubicon in the United States, our fellows:

  • Gain experience in emergency settings while responding to complex humanitarian emergencies and international disasters
  • Serve a diverse socioeconomic patient population
  • Build clinical skills while learning about developing emergency medicine systems
  • Have the opportunity to earn a master’s degree in public health

To apply or learn more, contact the fellowship program director Adeline Dozois, MD.

Fellowship Partners

Muhimbili National Hospital
Muhimbili University of Health and Allied Sciences

Since 2009, our partnership with the Muhimbili National Hospital (MNH) and the Muhimbili University of Health and Allied Sciences (MUHAS) has focused on emergency care and improving the capacity for research.

This collaboration has led to the development of the emergency medicine residency program at MUHAS. The residency program started in 2010 and graduated their first class of emergency medicine trained physicians in 2013. Staffed and run by locally trained emergency physicians and nurses, both the emergency department and the residency program are the first of their kind in Tanzania.

As of 2017, this collaboration has resulted in 21 scientific abstract presentations with 17 of those by a Tanzanian investigator. Research products also included eight full-length peer-reviewed publications, five of those with a Tanzanian first author and all with a Tanzanian second author.

Average 12 hours/week clinical responsibility over the academic year for 49 weeks with 2 weeks of vacation and 1 week of CME. The clinical responsibility will be blocked to allow for longer international experiences.

Team Rubicon

The Department of Emergency Medicine also partners with and provides medical direction to Team Rubicon, a nonprofit disaster response organization. Team Rubicon’s 80,000 volunteers, 70 percent of which are military veterans, respond to disaster areas in the United States and internationally. The combined skills of military veterans, first responders and emergency medical personnel enables Team Rubicon to respond quickly and efficiently.

Fellowship Duration and Curriculum

The GEM fellowship is a 12- or 24-month fellowship. The 24-month fellowship option offers a master's degree in public health from the University of North Carolina's Gillings School of Global Public Health.

Clinical Care

The fellow has an average of 12 hours per week of clinical responsibility over the academic year for 49 weeks with two weeks of vacation and one week of continuing medical education. The clinical responsibility is blocked to allow for longer international experiences.

Areas of educational focus include:

  • Travel and field medicine
  • Humanitarian relief
  • Disaster management
  • Emergency medicine systems and development
  • Public health
  • Program administration
  • Academic skills

Fellow Didactics will be on Tuesday when the fellow is in Charlotte.

Journal Clubs will be every three months and organized by the fellow.


  • Choice of: Humanitarian Emergencies in Large Populations (HELP) - Honolulu, HI, summer 2020 or Harvard Humanitarian Initiative Humanitarian Responsive Intensive course - Boston, MA, spring 2021
  • Global Health Intensive course at Atrium Health's Carolinas Medical Center - Charlotte, NC, fall 2020

Electives/International Experience

Electives allow fellows to gain experience in emergency settings, which include:

  • Two to three months with Muhimbili National Hospital Emergency Department, Dar es Salaam, Tanzania
  • Two-week disaster rotations with Team Rubicon, USA

Clinical Sites

Atrium Health's Carolinas Medical Center Main, Charlotte, North Carolina

Atrium Health's Carolinas Medical Center (CMC) is an 874-bed, community-based, tertiary care teaching hospital that serves as the only regional Level I trauma center, the state poison control center and is a tertiary referral center for Mecklenburg County and 16 surrounding counties in North and South Carolina.

Learn more about Atrium Health's Carolinas Medical Center.

Levine Children's Hospital, Charlotte, North Carolina

Residency programs exist in all specialties, including emergency medicine.

Learn more about Levine Children's Hospital.

Emergency Department

The emergency department at Atrium Health's Carolinas Medical Center manages over 115,000 patients each year, or about 300 to 320 patients per day. We serve a diverse socioeconomic patient population while providing a wide range of patient care opportunities, including medical, surgical/traumatic, pediatric, obstetrical-gynecological, psychiatric and toxicological.

Patients are triaged to one of these four areas based on the acuity of illness:

  • Major treatment
  • Diagnostic center
  • Ambulatory emergency center
  • Children’s emergency department

The children's emergency department is the first in the region to offer 24-hour emergency care for children in a family-centered environment. Two to four board-certified emergency medicine faculty members are present in the open areas 24 hours a day. Within the department is a satellite radiology suite.

CMC GEM fellows will be classified as junior emergency medicine faculty and will work clinical shifts in the CMC emergency department as the attending physician. They will be responsible for the delivery of clinical patient care, including the supervision and education of CMC residents and advanced care providers as well as University of North Carolina School of Medicine students.

Emergency Medicine Department, Muhimbili National Hospital, Dar es Salaam, Tanzania

The emergency department manages about 50 to 200 patients per day, 20 percent of them being pediatric patients. Specialty clinics attend to about 1,000 patients a day, and the hospital has a bed capacity of 1,500 patients. All specialties are available at the MNH campus, including medical, surgical, cardiovascular, trauma, pediatrics and psychiatry.

Fellows wishing to treat patients will become licensed to practice medicine in Tanzania, provided by the Medical Council of Tanzania. The emergency medicine department at MNH has 10 faculty members specializing in emergency medicine who are available to provide mentorship.

Team Rubicon, USA

David Callaway, MD, serves as the Chief Medical Officer and Medical Director for Team Rubicon (TR). In June 2018, Team Rubicon became the first US-based NGO to become certified as an Emergency Medical Team, Type I Mobile by the World Health Organization (WHO). Previous international disaster responses include:

  • Operation Macuti Light, Dondo District, Mozambique, March 23, 2018 – Ongoing
    • TR deployed a team of volunteers to provide mobile medical services to communities affected by Cyclone Idai.
  • Operation Latte Stone, Northern Mariana Islands, April 25, 2015 – May 22, 2015
    • TR launched a medical aid operation in response to Super Typhoon Yutu, where volunteers provided medical services and helped train local residents in disaster response skills to build more resilient communities.
  • Operation Tenzing, Kathmandu Nepal, April 25, 2015 – May 22, 2015
    • TR deployed a medical team to aid the Nepalese people.
  • Operation Condor Flight, Ecuador, April 21, 2016 – May 1, 2016
    • TR deployed a damage assessment and mobile medical team to support those affected by the 7.8 magnitude earthquake that struck the country’s central coast. 
  • Operation Hermes, Northern Greece, May 22, 2016 – January 31, 2017
    • TR’s longest medical operation was to provide primary medical care at a clinic in Northern Greece to help alleviate suffering and prevent further injury to Syrian and Iraqi refugees. Drs. Callaway and Noste served as medical directors throughout the operation and developed patient care protocols and procedures for the extended medical operation.
  • Hurricane Maria, Dominica, September 26, 2017
    • TR was requested to send an Emergency Medical Team, Type 1 Mobile to Dominica by the Pan American Health Organization (PAHO).
  • Operation Macuti Light, Dondo District, Mozambique, March 23, 2018 – Ongoing
    • TR deployed a volunteer team to provide mobile medical services to communities affected by Cyclone Idai.

2020 - 2021 Application

To apply, please email a copy of the following documents to Adeline Dozois, fellowship director, and CC Mary Fiorillo, fellowship administrator.

  • CV
  • Personal statement including interest in our program, experience and goals
  • Two letters of reference (including one from residency program director)

Global Emergency Medicine Contact Information

Department of Emergency Medicine
1000 Blythe Blvd.
Medicine education building, third floor
Charlotte, NC 28203
Phone: 704-355-9360
Fax: 704-355-7047
Email: Adeline Dozois (Fellowship Director)
CC: Mary Fiorillo (Fellowship Administrator)