Fellowship Information

Fellowship Information

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The Carilion Clinic Emergency Department would like to offer a post-graduate Advanced Practice Fellowship Program for Physician Assistants (PAs) and Nurse Practitioners (NPs) in Emergency Medicine (EM) to those seeking advanced training and experience in the field of EM. This unique, intensive program will build upon the strength of our highly successful PA and NP EM practice already in place, combined with the largest and most effective emergency medicine physician practice in southwest Virginia. The fellowship will be a complement to the Carilion Clinic - Virginia Tech Carilion Emergency Medicine Residency program, as NP and PA fellows will benefit from didactic and clinical experiences that mirror EM physician residency training.

Graduates of this one-year fellowship program will possess substantial skills, knowledge, and competencies required in the field of emergency medicine as the PA and NP professions continue to be ranked among the fastest growing career opportunities.

Fellows accepted into the program will be full-time employees of Carilion Clinic and eligible for full medical, dental, and disability benefits. They will also retain GME benefits of other fellows such as ACLS/ATLS/PALS/FCCS/AWLS certifications, subsidized healthcare, scrubs, lab coats, moving expenses, Blackberries, CME budget.


  • To educate and train highly motivated NPs and PAs in the challenging and diverse knowledge base and procedural skills required for excellence in clinical practice in emergency medicine.
  • To prepare NPs and PAs for a career in emergency medicine as competent, highly functional members of the emergency healthcare team.
  • To provide NPs and PAs with further education, specialized clinical and professional experience that distinguishes them from non-specialty trained NPs and PAs.
  • To retain extremely focused and well trained NPs and PAs as strong clinicians and employees of Carilion Clinic who are interested in academics and higher learning.


This dynamic program includes didactic instruction and clinical training components that two fellows will complete over 12 months. Orientation will be approximately six weeks long (EPIC, credentialing, etc).

Clinical Rotations

  • Emergency Medicine
  • Opthalmology
  • EMS/Air Transport
  • Anesthesia
  • Cardiology
  • Rural Emergency Medicine
  • Peds EM
  • Critical Care Medicine/ICU
  • Internal Medicine/ICU
  • Orthopaedics
  • Trauma
  • Vacation – 3 weeks paid

Note: Fellows will also be sent to attend an ultrasound course during their fellowship.

Clinical time will be spent in various departments of Carilion Clinic, under the supervision and direction of Carilion faculty. Fellows will provide direct patient care managing non-emergent patients, and will be directly supervised during the care of higher acuity and emergent patients. They will be working alongside other residents, NPs and PAs, attendings in all sections of the emergency department, including the Rapid Care Unit, Main Side, Trauma/Overflow, and Pediatric ED. They will also take call on off service rotations such as orthopedics, trauma, etc.

Didactics include, but are not limited to:

  • Weekly emergency department education conference
  • Morbidity and mortality conference
  • Journal club
  • Case based simulation
  • Procedure simulation
  • Certification courses: Fellows will become certified in ACLS, PALS and ATLS.
  • Ultrasound: Every fellow will complete an emergency ultrasound course which combines traditional didactics with hands-on ultrasound experience.

The didactic portion begins with a month of orientation and skills workshops designed to provide introductory emergency medicine foundation for advanced education. Fellows will attend lectures that cover the core curriculum for emergency medicine (cardiovascular, critical care, trauma, infectious disease, pulmonary, gastrointestinal, hematologic, endocrine, HEENT, ob/gyn, renal/GU, pediatrics, neurology, dermatology, toxicology), and also conduct a research project or publishable case study.


Application Deadline: September 1

Interviews are held in October and November.

To apply, please submit the following items:

  • Transcripts from Undergraduate and PA/NP program
  • Three letters of recommendation
  • Certification by PA or NP accrediting agency (if available)
  • CV including recreational and community service activities
  • Personal Statement: Discuss anticipated strengths that you bring to the fellowship as well as professional knowledge, skill and or behavior that you wish to enhance.

Application packets should be sent to:

Carilion Clinic Advanced Practice Clinician Fellowship in Emergency Medicine
P.O. box 13367
Roanoke, VA 24033
You may also submit them electronically to jrhowell@carilionclinic.org.

Admission Requirements

The Fellowship begins in February and is 12 months in duration.

Graduation from an accredited PA/NP program, with preference given to master's degree candidates. To be competitive, applicants should have graduated with a minimum of 3.0 grade point average in their program. Academic performance will be considered in the selection process. Certified (or certification eligible) PA or NP in good standing. Completed applications will include personal statement, curriculum vitae, transcripts, and three letters of recommendation.