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Division of Global Emergency Medicine




The Division of Global Emergency Medicine (GEM) seeks to improve emergency care and education across the world through an ethical, collaborative, and multidisciplinary approach focused on education, research, and policyDrawing on its faculty's experience and expertise, the Division focuses on emergency care capacity building, disaster and humanitarian response, human rights, and forced migration.  



Resident Area of Educational Distinction

Resident Global Health Area of Educational Distinction (AED) – An inter-departmental Global Health Residency Emphasis was formed in the fall of 2019 to provide a longitudinal global health curriculum throughout residency. The curriculum is a collaboration between the Departments of Anesthesia, Emergency Medicine, Internal Medicine, Obstetrics and Gynecology, and Surgery. With the foundations of longitudinal curriculum previously developed, the Division will launch a Global Emergency Medicine AED starting Academic Year 2024/2025. The AED will provide longitudinal education to residents interested in pursuing global health careers with focused didactic sessions, training simulations, and resident project support. This program fosters the skills necessary for residents to do effective and ethical global health work while preparing those interested to apply for fellowships in Global Emergency Medicine or Disaster Medicine. 

Short Term Global Health Experiences

Drawing on the professional networks of its faculty members, the Division works with residents to identify international electives. In this capacity, the faculty ensure an ethical, impactful, and safe experience. Global Health Academic Concentration (GHAC) medical students, EM residents, PEM fellows, and EMS fellows can experience global emergency medicine electives in sites with longstanding emergency medicine capacity-building partnerships.

International Disaster Response Elective

Dr. Noste offers a resident elective in International Disaster Response, which provides an overview of humanitarian aid and international disaster response mechanisms. Each year, approximately 4-6 EM residents enroll in the international disaster response elective.

Global Emergency Medicine Ultrasound

The Division of Ultrasound has a long history of engaging in the development of point-of-care-ultrasound (POCUS) education throughout the world with recent ultrasound courses held in Ecuador, Ghana, Mexico, Mozambique, and Peru.

School of Public Health

Division faculty actively collaborate with UC San Diego School of Public Health. Dr. Bruno teaches a course, Public Health and Humanitarian Response, at the School. This class is open to all UC students and residents.

Emergency Care Capacity Building Through Educational Partnership Initiatives

GEM Division faculty have extensive experience in a partnership-based approach to emergency care capacity building.  The GEM Division provides educational technical expertise in curriculum development, program implementation, and monitoring and evaluation.  Partnership-based GEM projects ensure ethical, contextual, and sustainable programs are undertaken with global partners. Dr. Noste has been involved with developing EMS capacity in Tanzania and has experience consulting on the development of effective disaster response capacity in the low resource settings. Dr. Bruno works on training initiatives along the Thai-Burmese Border. Dr. Mills has experience developing longitudinal emergency and trauma care systems strengthening partnership-based programs in humanitarian and development contexts around the world.


Partnership-based programs improve coordination, implementation, educational opportunities, and sustainability of global health work.  The GEM Division seeks to coordinate collaborative efforts across academic institutions at UC San Diego, regionally, nationally, and internationally.  The Division also seeks to provide technical expertise as an implementation partner for local and international organizations working within the global health arena.


Academic Partners

UC San Diego

  • UCSD EM Ultrasound Division
  • UCSD EM EMS Division
  • Division of Pediatric Emergency Medicine
  • Division of Infectious Diseases and Global Public Health
  • Department of Anesthesia
  • Department of Obstetrics and Gynecology
  • Department of Surgery
  • Global Center on Climate Change, Water, Energy, Food, and Health Systems
  • UCSD School of Public Health
  • UCSD Radiation Oncology Dept. Center for Health Equity Education & Research (CHEER)

Non-UCSD Collaborations

  • UC Disaster Resilience Network
  • Harvard Humanitarian Initiative
  • François-Xavier Bagnoud (FXB) Center for Health and Human Rights at Harvard University
  • Boston Children’s Global Health Program
  • Southern California Global EM Consortium


Global EM