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The Role of 3+1:

We are a 3-year residency program, but offer an optional fourth year after graduation in a junior attending role. 

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The Academic Junior Attending Year (Fourth Year) is an opportunity for graduates of the BIDMC HAEMR program to remain in the Emergency Department for a year after graduation, in a unique role that combines clinical responsibilities with further training in a specialized area of academic or professional interest. This position is guaranteed for any graduating resident who wishes to take advantage of this program.

 

Participants in the fourth year work clinically as attendings in the emergency department at BIDMC and our affiliated hospitals, which provides an opportunity for growth and development as a new attending. Fourth year's work a slightly reduced clinical schedule to allow for protected time to complete an individual academic or administrative project of their choice. This may include formal fellowship training, pursuit of an advanced degree (e.g., a one-year Master's in Public Health through the Harvard T.H. Chan School of Public Health), or implementation of a self-designed program. On average, 25% of the graduating class chooses to stay on for this junior attending year.

Example projects:

  • Basic Science/Clinical research

  • CDC Epidemic Intelligence Service

  • Climate Change and Population Health Fellowship

  • EMS Fellowship (ACGME)

  • Emergency Ultrasound Fellowship (ACGME)

  • Emergency cardiology

  • Global Health and International Emergency Medicine

  • Healthcare quality research

  • Informatics Fellowship (ACGME)

  • MIT Biotech Research

  • MPH in statistics and epidemiology

  • MPH-Harvard T.H. Chan School of Public Health

  • Medical Education Fellowship (SAEM-accredited)

  • Minority Health Policy

  • Operations/Administrative Fellowship

  • Palliative Care Fellowship

  • Simulation

  • Sports Medicine Fellowship (BCH)

  • Toxicology Fellowship (BCH)

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