Global Emergency Care

"The  goal of the Global Emergency Care Track is to train residents in the clinical and administrative complexities of health care delivery, research and ED operational change within a global context"

- Accommodated Residents: 2 per director

- Combination track? Yes

- Institutions: JHH, JHI, African Federation of Emergency Medicine 

Major Objectives

To gain experience in the administrative, business and operational aspects of Emergency Medicine in a global context.   

  • To participate in meetings and conference calls pertaining to operational changes within the JHI partner EDs including administration, financial, task force, workflow, resident education, disaster planning and quality improvement in partner hospitals.

  • To understand methods of business assessment and process improvement in the emergency department within an international setting.

  • To understand the political, financial and operational environment of hospital administration within unique funding and administrative contexts (Johns Hopkins International).      


To gain understanding of the current issues and challenges in developing acute care systems within a global context.

  • To experience the provision of acute care services within the global context. 

    • To understand how differences in culture and current health systems infrastructure impact the development of acute care systems.

    • To demonstrate the ability to adequately communicate department operational strategies in a culturally unique environment.

To understand the complexities of data collection and analysis for operational change in global emergency services.

  • To design a project to evaluate emergency services in a global context.

  • To understand how research on acute care provision has the potential to impact the development of emergency services in a global context.


Americas and WHO

Asia and Eastern Europe

Dr. Bhakti Hansoti 

South Africa 

  • ED-based HIV testing & Implementation science

  • Clinical research on sepsis in low resource settings

West Africa

  • USAID funded Ending-AIDS in West Africa (EAWA) Project, training implementation for key

  • populations

Dr. Amelia Pousson

West Africa

  • Opportunities to support ongoing education programs for emergency medicine residents and general
    practitioners working in emergency medicine across India and in Kigali, Rwanda.

  • Opportunities to work on research related to curriculum development and evaluation in residency training
    programs in resource-constrained settings

  • Networking to provide links to ongoing NGO-led work that provides ultrasound-focused and midlevel-training/systems-development focused project work in emergency care in resource-limited setting

Dr. Junaid Razzak


  • Emergency and Disaster Response System Evaluation project based in Nigeria funded by ELRHA/Wellcome Trust

Dr. Bhakti Hansoti

  • Washington DC, USAID funded training award, for global health technical professionals, activities include development of training curriculum, global health competencies and mentorship models for participants in the US and abroad.

Dr. Nicholas Risko 

  • Health Systems, Global Health Policy, Human Rights perspectives on EM development

  • Health Economics and Cost-effectiveness evaluations

  • EM development in Portuguese speaking countries

  • Opportunities to support work by the World Health Organization, including implementation of WHO educational and process tools.

Dr. Junaid Razzak 


  • Emergency and Disaster Response System Evaluation project based in Honduras funded by ELRHA/Wellcome Trust

Dr. Junaid Razzak

Pakistan and Afghanistian

  • Emergency and Disaster Response System Evaluation project based in Pakistan and Public health and emergency care response to Heat Waves based in Pakistan funded byELRHA/Wellcome Trust

  • Capacity building in emergency care research in Afghanistan and Pakistan funded by the NIH. Opportunity
    for involvement in multiple ongoing projects

  • Improving Care of Hypertension urgency and emergency based in Pakistan funded by the NIH

Eastern Europe

  • Developing Mass Casualty Incident Management course in Eastern Europe funded by the World Health
    3. Development of Emergency Care Leadership Course for Low Resource Settings – work in progress
    4. Pediatric emergency care leadership course being developed with the University of Maryland for LMICs –
    pilot to be conducted in 2019

Dr. Kamna Balhara


  • Development and support of educational programs for interdisciplinary emergency medicine practitioners in Kathmandu, Nepal

  • Development and evaluation of in-person and asynchronous, distance-learning curricula for residency
    training and program building

  • Quality improvement, patient safety, and ED operations in global settings


Your Mentors 

Junaid Razzak MBBS, PhD



Kamna Balhara MD, MA

Assistant Professor 


Bhakti Hansoti MBChB, MPH, PhD

Assoc. Professor 


Amelia Pousson MD, MPH

Assistant Professor 


Nicholas Risko MD, MHS

Assistant Professor 


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