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Department of Emergency Medicine

Global Emergency Medicine

Providing high-quality, culturally competent, emergency care, education, research, and leadership in resource-limited settings across the globe

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Global Emergency Medicine

Providing high-quality, culturally competent, emergency care, education, research, and leadership in resource-limited settings across the globe

The Division of Global Emergency Medicine (GEM) exists to advance high quality, equitable, and impactful emergency care education, research, and systems globally. The division engages residents, medical students, physician assistants, and fellows in global emergency medicine collaborations from institutions around the world.

The division provides education on global health issues as an integral part of the Emergency Medicine Residency program, Global Emergency Medicine Fellowship, medical school, graduate, and undergraduate curricula.

Faculty, residents, and fellows have participated in international educational, research, and relief activities in Rwanda, Kenya, Bangladesh, Nepal, Colombia, Haiti, Bahamas, Nicaragua, Fiji, Libya, Turkey, Ecuador, Ghana, Tanzania, and Uganda.

The division is proud to offer a two-year academic fellowship in global emergency medicine affiliated with The Warren Alpert Medical School and Brown's School of Public Health. More information about the fellowship is available on our Global EM Fellowship pages.

Global EM Overview

https://player.vimeo.com/video/957957748

Faculty/Fellows

Division Director

  • Adam Aluisio, MD, MSc

    Adam Aluisio, MD, MPH

    Director, Division of Global Emergency Medicine, Associate Professor, Emergency Medicine, Research Scholar
    Research Profile
  • Siraj Amanullah, MD, MPH

    Siraj Amanullah, MD, MPH

    Director, EM Residency Research & BAEMA Fellow Research Education, Professor, Emergency Medicine, Pediatrics, and Health Services Policy & Practice, Teaching Scholar
  • Meagan Barry, MD, PhD

    Meagan Barry, MD, PhD

    Research Coordinator, Division of Global EM, Assistant Professor, Emergency Medicine
  • Andy Beck, MD

    Andrew Beck, MD

    Assistant Professor, Emergency Medicine, Clinician Educator, Coordinator, Graduate Medical Education , Associate Coordinator, Rwanda Research & Development Fellowship
  • Stephanie Garbern, MD, MPH

    Stephanie Chow Garbern, MD, MPH, DTM&H

    Associate Division Director, Global Emergency Medicine, Carolan Fellowship Co-Director, Rwanda Research Fellowship, Division of Global EM, Assistant Professor, Emergency Medicine
  • Alicia Genisca, MD

    Alicia Genisca, MD

    Coordinator, Global PEM; Site Coordinator, Belize Project, Division of Global EM , Assistant Professor, Emergency Medicine & Pediatrics, Clinician Educator
  • Alison Hayward, MD, MPH

    Alison Hayward, MD, MPH

    Coordinator, Global EM Education, Associate Professor, Emergency Medicine, Teaching Scholar
  • Naz Karim, MD

    Naz Karim, MD, MSc, MHA, MPH

    Director, Global EM Fellowship, Associate Professor, Emergency Medicine, Teaching Scholar
  • Alexis Kearney, MD, MPH

    Alexis Kearney, MD, MPH

    Resident Coordinator, Ecuador Site Coordinator, Associate Professor, Emergency Medicine, Clinician Educator
  • Ramu Kharel, MD, MPH, CTropMed

    Ramu Kharel, MD, MPH, CTropMed

    Communications Coordinator, Division of Global EM; Nepal Site Coordinator, Division of Global EM, Assistant Professor, Emergency Medicine, Clinician Educator
  • woman smiling wearing a lab coat

    Oriane Longerstaey, MD

    Assistant Professor, Emergency Medicine, Clinician Educator, Student Internship Director, Division of Global EM
  • Kyle Denison Martin, DO, MA, MPH

    Kyle Denison Martin, DO, MA, MPH, DTM&H

    Associate Director, Global EM Fellowship, Associate Division Director, Division of Global Health, Assistant Professor, Clinician Educator, Rwanda Site Coordinator
  • Katelyn Moretti, MD, MSCTR

    Katelyn Moretti, MD, MSCTR

    Co-Lead, EM Journal Club; Climate Change and Healthcare Sustainability Program Coordinator, Assistant Professor, Emergency Medicine
  • Grace Wanjiku, MD, MPH

    Grace Wanjiku, MD, MPH

    Ultrasound Coordinator, Global EM; Global EM Site Coordinator, Kenya, Assistant Professor, Emergency Medicine, Clinician Educator

Associate Faculty

  • Mark Brady, MD, MPH, MMSc, DTM&H

    Mark Brady, MD, MPH, MMSc, DTM&H

    Associate Professor, Emergency Medicine, Clinician Educator
  • Adam Levine, MD, MPH

    Adam Levine, MD, MPH, FACEP

    Professor, Emergency Medicine and Health Services, Policy & Practice, Research Scholar, Past Director, Division of Global Emergency Medicine, Global EM Bangladesh Site Coordinator

Adjunct Faculty

  • man wearing glasses with grey hair

    John Foggle, MD, MBA

  • man wearing a suit with a grey background

    Robert Partridge, MD

  • man wearing a green dress shirt against a grey background

    Noah Rosenberg, MD

  • smiling man wearing a button up shirt against a red background

    Craig Spencer, MD, MPH

Fellows

  • Agatha Offorjebe, MD

  • Giovanna Deluca, MD

  • Emma Cortes, DO

  • Sharmeen Jaffry, DO

Former Fellows

  • woman smiling wearing a lab coat

    Oriane Longerstaey, MD

  • Nidhi Kadakia, MD

    Nidhi Kadakia, MD

Resident Elective

Welcome to the Division of Global Emergency Medicine and the resident elective program for The Warren Alpert Medical School of Brown University residency in Emergency Medicine. Residents have multiple opportunities to learn about Global Health through the residency conference program, the division lecture series, and GEM specific journal clubs. Additionally, you may elect to pursue the following options: 

The Division currently has long-term relationships with hospitals Nicaragua, Rwanda, American Samoa, and Kenya. Each of these core sites has its own clinical, educational, and research objectives. To better understand the opportunities available at each of these sites please visit the Global Sites page. Residents who would like to pursue a global elective in countries other than the core sites are welcome to discuss elective opportunities with the Division of Global Emergency Medicine.

Resident learning and experiences include: medical care in resource limited settings, trauma and injury prevention topics, HIV related disease, tropical medicine, public health and nutrition, ultrasonography as a non-invasive imaging adjunct, EMS development, and medical education. 

Each participant will schedule both a pre-and post-travel consultation with Alexis Kearney, MD.  During your pre-travel consultation we will also discuss your elective reading list and help you design an academic product that will be submitted to the division after your elective. Funding for resident electives is provided by the Division of Global Emergency Medicine. 

Residents may also develop a 2-4 weeks elective with specific GEM Division faculty. During this time, residents will complete research on a specific global health topic.

Every Spring at Harvard, residents have also attended the Health Emergencies in Large Populations (HELP) Course organized by the International Committee of the Red Cross (ICRC) in collaboration with the World Health Organization (WHO). The Division of Global Emergency Medicine provides scholarships for these global health related training programs. Each of these training opportunities requires advanced planning and separate applications with important deadlines. Please visit their respective websites for further information.

Interested residents are encouraged to apply to join the Global Emergency Medicine Literature Review (GEMLR). Opportunities also exist for residents to participate in ongoing research projects and global curriculum development with our GEM faculty.  For more information visit our research section. Residents interested in the Brown Global Emergency Medicine Fellowship can obtain further information by visiting the Global Emergency Medicine Fellowship page.

For more information about developing a future career in Global Emergency Medicine visit the EMRA division of International Emergency Medicine.

Application Process

Please contact Alexis Kearney if you are interested in any of these opportunities during your residency. 

Fellowship

SAEM Fellowship Application

 

Global Emergency Medicine Fellowship

Info for Students

Bedside teaching by residents from the University Teaching Hospital of Kigali

Thank you for your interest. The application for this year is now open!

The Global Emergency Medicine (GEM) Division welcomes applications for student interns with a passion for health equity and an interest in a long-term career in global health to assist with ongoing and new projects. Undergraduate, medical and graduate students from Brown University and external institutions are welcome to apply for internship positions to support research, education, and media & communications projects within the GEM division. US-based and international applicants are welcome to apply.  Most projects will be conducted virtually or using hybrid (virtual and in-person) format.

Interns are paired with a division mentor to work on one or more projects during their internship. Occasionally, interns may be assigned more than one mentor. The average time commitment varies depending on the project needs, however the average intern spends between 3-10 hours per month over the course of 6-12 months. Larger time commitments for more involved project duties can be arranged and will vary with the specifics of the project. In general, interns are unpaid volunteers, though occasionally there are opportunities for small stipends through Brown University or other sources. Also, the positions do not generally involve work abroad, except in rare cases in which interns have demonstrated a sustained commitment to a division project. Most interns will be able to gain authorship on at least one abstract or publication, and sometimes more, during their time volunteering as a division intern. 

Prior skills including experience conducting literature and systematic reviews, experience writing research papers or grant applications, knowledge of statistical or data management programs, and fluency in foreign languages are favorable among intern applicants.

Communications Team: We also seek students with an interest in media and communication to join our Communications Team to support content development for Global Emergency Medicine division projects including infographics, figures for publications, podcasting, and website design.

Important Note for Program in Liberal Medical Education (PLME) and first year Brown Warren Alpert Medical School students only:
The Global Health Initiative (GHI) is piloting a new research Mentor-Mentee Matching Program (include link here) for the 2024-2025 academic year for PLME and first-year Brown medical students interested in global health and/or infectious disease, with the ultimate goal of developing successful research proposals for internal and external funding opportunities. This is the recommended pathway for PLME and first-year Warren Alpert Medical school medical students to find a mentor in global health (including global emergency medicine) at Brown.

Medical students in Year 2-4, or those interested in independent research on a voluntary basis with the GEM division, are welcome to apply to the Global Emergency Medicine Division Student Intern Program.  

For more information about the GHI matching program, please visit the GHI website at: https://globalhealth.brown.edu/opportunities/mentor-matching-program

Deadline to apply: September 15, 2024. Notifications of acceptance will be sent by October 1, 2023.  Note: The division usually maintains a waitlist of qualified applicants, as student interest often exceeds the capacity of division faculty and fellow mentors. However, there are often new projects requiring intern support throughout the year.

Please contact the Internship Director Dr. Oriane Longerstaey, oriane_longerstaey@brown.edu, with further questions.

Please apply using the following link:

https://docs.google.com/forms/d/e/1FAIpQLSfq040T8Dng2-hCrpSKYk1PRYb9TuLjNH3PqR465cSAXgXk7g/viewform?usp=sf_link

Brown Emergency Medicine (BEM) Rwanda Research & Development Fellowship. 

We are very pleased to announce that applications are now being accepted for the Brown Emergency Medicine (BEM) Rwanda Research & Development Fellowship. This is an excellent opportunity for a motivated, adaptable individual with basic research and computer experience, exceptional initiative and interpersonal skills, and with an interest in global health and social justice, to help build emergency care research capacity at the University Teaching Hospital of Kigali in Rwanda. 

This is a full-time 10-12 month (flexible start date in late spring/early summer) position based in Kigali, Rwanda. Travel, visa, health insurance and living expenses are covered by the fellowship. Only one fellowship position is available each year. Past fellows have generally been medical students taking a gap year, and current or recent graduates of public health or a health-related graduate degree program. This fellowship is open to all applicants from Brown University and external institutions (including international applicants) who are currently enrolled in a medical or graduate degree program or are within one year of graduation.

Now in the ninth year of the fellowship program, we seek a motivated, adaptable individual with prior teaching and research experience, exceptional initiative and interpersonal skills, and with an interest in global health, education and social justice, to help support the University Teaching Hospital - Kigali (KUTH) emergency medicine residents' research education, and to continue to build emergency care research capacity in Rwanda. Fellows develop a wealth of practical experience working on real-world EM research projects, gain in-depth knowledge of the Rwandan healthcare system, and receive mentorship from KUTH and Brown University faculty.

Responsibilities
  • Live in Kigali, Rwanda for 10-12 months (compensation is sufficient to cover travel costs, visa, living expenses, and health insurance over the duration of the fellowship)
  • Coordinate and contribute to research projects led by Rwandan and international emergency medicine residents and faculty
  • Deliver basic research and computer skills seminars to KUTH residents, including basics of how to use programs such as Microsoft Excel, PowerPoint, statistical programs (EpiInfo, STATA, R, etc.)
  • Assist researchers in study design and utilizing expert consultation at partnering institutions as needed
Qualifications
  • Degree: Bachelor's degree with at least one year of medical or public health training. Recipients of a graduate degree in public health (Master's in Epidemiology, Master's in Public Health, etc.) will receive preference.
  • Language: Applicant must be proficient in written and spoken English. Some French, Swahili or Kinyarwanda is helpful but not necessary.
Skills
Teaching: Successful applicants should have prior teaching experience and a strong motivation for encouarging others' interest in research. Prior experience teaching research skills (such as basic research design and methodology, statistical analysis) are highly recommended
  • Research: Successful applicants will have background in quantitative research methodology such as prior coursework in statistical methods and/or practical research experience. Working knowledge of at least one major statistical program (STATA, SPSS, R, Epi Info) is highly recommended. Experience with formal literature and systematic review and manuscript writing for scientific publications are desirable.
  • Computer: Successful applicants should have excellent general computer skills and be able to use and teach basic functions of common applications as well as the ability to troubleshoot problems. Specific technical skills and coding experience is not expected.
  • Interpersonal and Communication: Applicants must demonstrate excellent communication and interpersonal skills, strong writing ability, cultural competency, humility, patience, and persistence.
 
To apply: Please submit the following application materials by January 15, 2025.
  • Completed application. Application link: forms.gle/N1hMyp2GfjrmX7g4A
  • Cover letter detailing your motivation for seeking the position and relevant experience
  • CV/Resume
  • 2 letters of support (including one from a research or global health supervisor).
    • Link to submit letters of recommendation: forms.gle/R4uRW1uT9hxrfL6p9
The position will begin in Summer of 2025 and end in Summer 2026 (exact dates are flexible). Potentially qualified applicants will be contacted by email to schedule an interview. A Rwandan visa will be required and will be supported by the fellowship. Only one fellowship position is available per year. This fellowship is open to all applicants from Brown University and external institutions in the United States who meet the application criteria.
 
For questions about the fellowship please contact Dr. Kyle Denison Martin at kyle_martin@brown.edu

Other Opportunities

** Stay posted for upcoming opportunities in the division **

For inquiries regarding division research projects please contact the division Research Coordinator Dr. Meagan Barry at meagan_barry@brown.edu.

Research

Current Research Projects

Current emergency and acute care research in resource-limited settings include:

  • Rwanda: analysis of prehospital and in-hospital venues with foci on epidemiological characteristics, resource utilization, impacts of EM training and process measures and outcomes.
  • Kenya: incorporates EM training in Nairobi at the Aga Khan University and the role of ultrasound and trauma training in acute care provision in urban and semi-urban settings
  • Nepal: Developing emergency care capacity through various projects including assessing emergency care at hospital levels, establishment of the first institution based poison information center in partnership with a local NGO and an academic institution (TUTH), and evaluating trauma care. programs delivered by community health workers in rural Nepal.
  • Bangladesh: serves as the primary research site for active projects which aim to improve the identification and treatment of pediatric infectious diseases. Current studies including an R01 developing mobile health (mHealth) tools for dehydration assessment in diarrhea and and R21 developing a wearable devices-linked machine learning platform for sepsis prediction in children.
  • Ebola Virus Disease research using outbreak data from the recent outbreaks in the Democratic Republic of the Congo as well as from the 2014-2016 outbreak in West Africa. Studies have focused on patient characteristics and outcomes, prediction models, use of novel technologies in clinical care and impacts of supportive and adjuvant treatments.  

Global Sites

Our teams are making positive strides across the globe. Here are some of the countries where we're doing work.

The Division of Global Emergency Medicine at Brown University collaborates with multiple partners in Rwanda, including Healthy People Rwanda (HPR), Service d’Aide Médicale d’Urgence (SAMU), the Rwanda Emergency Care Association (RECA), and the University of Rwanda. The division also has a longstanding connection with the Emergency Medicine & Critical Care (EMCC) Master of Medicine (MMed) training program at University Teaching Hospital - Kigali (KUTH), the first emergency medicine residency program in Rwanda, which it helped launch in 2014. The division houses the Tina and Richard V. Carolan Rwanda Research Fellowship, which aims to bolster research capacity amongst trainees and faculty at KUTH. Faculty, residents, and fellows within the division participate in a variety of projects focused on education, program development, capacity building, and research.  Current efforts include teaching the World Health Organization (WHO) course on Basic Emergency Care (BEC), strengthening trauma care at district hospitals, and research studies on eHealth, pre-hospital medicine, and critical care. 

The Division of Global Emergency Medicine at Brown University collaborates with multiple partners and institutions in Kenya including the University of Nairobi, Aga Khan University, Kenyatta National Hospital,  Moi Teaching and Referral Hospital and many more. The work in Kenya spans education, programmatic development and research with focus areas pertaining to the advancement of emergency medicine in Point-of-Care Ultrasound, HIV, injury care, substance use disorders and health policy.  Additionally, the Division supports trainees in coordinating and completing clinical rotations at partnering health facilities in Kenya for bidirectional learning. Ongoing and prior projects have been supported by domestic mechanisms in Kenya, philanthropic foundations and through grants from the National Institutes of Health.

Our division’s ongoing projects in Uganda are public health based, focused on education and prevention for medical issues occurring in rural village communities. In partnership with the nonprofit organization Uganda Village Project, this work utilizes teams of community health workers to promote sanitation and the safe water chain from the water source to the drinking cup. Related projects have included school-based education programs, construction of hand-dug shallow wells and deep boreholes as protected community water sources, formation of water user committees for oversight of safe water provision, and conducting household to household sanitation campaigns encouraging the construction of latrines, plate stands, and handwashing devices called "tippy taps." Research opportunities have also included projects focused on supporting women suffering from obstetric fistula to undergo surgical repair, and income generating projects for reintegration into communities.

The Division of Global Emergency Medicine at Brown University collaborates with Nyaya Health Nepal (NHN), which is a  non-profit organization that runs Bayalpata Hospital (BH in rural Nepal. Bayalpata Hospital is a hospital with an integrated health care system l providing free care to the remotest part of Nepal in the far-west. Brown GEM started a partnership with NHN and BH in 2022 with a focus of creating bilateral educational experiences, and conducting research and programming to improve emergency care in rural Nepal. Through this partnership, residents, fellows, and students have an opportunity for clinical and/or research only rotation and work closely with BH and their large network of Community Health Workers on various projects aimed at improving care in rural Nepal. The staff at BH joins the Brown GEM monthly educational rounds, and offers tremendous learning experience for learners at Brown. This is a new partnership with a potential for a wide variety of educational and research opportunities, and an opportunity to pave the way for emergency care in rural parts of Nepal. Current projects focus on trauma care and use of ultrasound for therapeutics and diagnostics.

The Division of Global Emergency Medicine at Brown University collaborates with two non-governmental organizations in Bangladesh. The first is the International Center for Diarrheal Disease Research, Bangladesh (icddr,b) in Dhaka, one of the premier research institutes in the global south and famous for conducting the first trials of Oral Rehydration Solution (ORS), which has saved the lives of more than 50 million children over the past 50 years. We have ongoing research studies at icddr,b funded by the NIH related to the development of new mobile health (mHealth) tools to help frontline providers better manage pediatric sepsis, cholera, and other epidemic diarrheal diseases. We also have a close collaboration with Health and Education for All (HAEFA), a Bangladeshi-based non-profit organization responding to the needs of Rohingya refugees living in Cox’s Bazaar Bangladesh. HAEFA has ongoing programs focused on vaccination, food security, mental health, cervical cancer screening, and the development of an improved electronic medical records system within some of the largest refugee camps in the world.

Our work in Belize, in collaboration with the Ministry of Health of Belize and the Karl Heusner Memorial Hospital, focuses on improving emergency care countrywide. Current projects center on healthcare capacity building for frontline providers with the goal of improving patient care and provider comfort with emergency care through established curricula such as the World Health Organization’s Basic Emergency Care and Emergency Triage Assessment and Treatment courses. Additionally, we have created a Pediatric Emergency Medicine curriculum for low-resourced settings that was piloted in Belize. Projects are supported by various internal grants as well as numerous charitable organizations.

The Division of Global Emergency Medicine at Brown University has a longitudinal relationship with emergency medicine physicians in Ecuador through the ACEP Ambassadors Program. Prior collaborative research projects have focused on the development of emergency medicine as a specialty in Ecuador and documenting emergency department capacities and capabilities in Quito, Ecuador. In 2019, emergency medicine physicians from the United States and Ecuador organized a two-day conference examining the future of emergency medicine in Ecuador. Ongoing clinical opportunities are available in Quito, Ecuador for trainees and fellows who have a strong command of Spanish. Future research opportunities may center around EMS or stroke care in Ecuador.

The Division of Global Emergency Medicine at Brown University along with the Department of Emergency Medicine at Yale University are collaborating with the National Institute of Health in Armenia for the United Armenian Emergency Medicine Residency Program. This program is the first in the country to formally train emergency physicians. There are 14 residents from 7 different hospital-based emergency departments across Armenia. This partnership started in 2023 with the goal of strengthening emergency care capacity in the country. Long term goals include the creation of sustainable emergency medicine residency programs in Armenia, and expanding bidirectional research and educational opportunities for medical students, residents and faculty

Global EM Student Internship

The Global Emergency Medicine (GEM) Division welcomes applications for student interns with a passion for health equity and an interest in a long-term career in global health to assist with ongoing and new projects. Undergraduate, medical and graduate students from Brown University and external institutions are welcome to apply for internship positions to support research, education, and media & communications projects within the GEM division. US-based and international applicants are welcome to apply.  Most projects will be conducted virtually or using hybrid (virtual and in-person) format.

Interns are paired with a division mentor to work on one or more projects during their internship. Occasionally, interns may be assigned more than one mentor. The average time commitment varies depending on the project needs, however the average intern spends between 3-10 hours per month over the course of 6-12 months. Larger time commitments for more involved project duties can be arranged and will vary with the specifics of the project. In general, interns are unpaid volunteers, though occasionally there are opportunities for small stipends through Brown University or other sources. Also, the positions do not generally involve work abroad, except in rare cases in which interns have demonstrated a sustained commitment to a division project. Most interns will be able to gain authorship on at least one abstract or publication, and sometimes more, during their time volunteering as a division intern. 

Prior skills including experience conducting literature and systematic reviews, experience writing research papers or grant applications, knowledge of statistical or data management programs, and fluency in foreign languages are favorable among intern applicants.

Communications Team: We also seek students with an interest in media and communication to join our Communications Team to support content development for Global Emergency Medicine division projects including infographics, figures for publications, podcasting, and website design.

Important Note for Program in Liberal Medical Education (PLME) and first year Brown Warren Alpert Medical School students only:
The Global Health Initiative (GHI) is piloting a new research Mentor-Mentee Matching Program (include link here) for the 2024-2025 academic year for PLME and first-year Brown medical students interested in global health and/or infectious disease, with the ultimate goal of developing successful research proposals for internal and external funding opportunities. This is the recommended pathway for PLME and first-year Warren Alpert Medical school medical students to find a mentor in global health (including global emergency medicine) at Brown.

Medical students in Year 2-4, or those interested in independent research on a voluntary basis with the GEM division, are welcome to apply to the Global Emergency Medicine Division Student Intern Program.  

For more information about the GHI matching program, please visit the GHI website at: https://globalhealth.brown.edu/opportunities/mentor-matching-program

Deadline to apply: September 15, 2024. Notifications of acceptance will be sent by October 1, 2023.  Note: The division usually maintains a waitlist of qualified applicants, as student interest often exceeds the capacity of division faculty and fellow mentors. However, there are often new projects requiring intern support throughout the year.

Please contact the Internship Director Dr. Oriane Longerstaey, oriane_longerstaey@brown.edu, with further questions.

Apply Now!

 

Resources

Click on the following links for further Global Emergency Medicine related resources:

  • Center for Human Rights and Humanitarian Studies
  • Global Emergency Medicine Literature Review (GEMLR)
  • Global Emergency Medicine Academy (GEMA)
  • ACEP Section on International Emergency Medicine
  • International Federation for Emergency Medicine (IFEM)
  • African Federation for Emergency Medicine  (AFEM)

Current fellows can access their academic portal on Canvas by clicking here. 

Covid-19 Resources

Please see our video tutorials below:

  • COVID-19 Swab
  • COVID-19 Hand Hygiene
  • COVID-19 PPE Reusable
  • COVID-19 Patient Simulation
  • COVID-19 Social Distancing
  • COVID-19 PPE Disposable
  • COVID-19 MgmtResFailure

Social Media Links

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