GSEP Postgraduate Emergency Medicine Advanced Practice Provider Fellowship Program

Program Description

GSEP, in concert with the Methodist Health Care System Department of Emergency Medicine, is offering a postgraduate program for Advanced Practice Providers (APP) interested in advanced training in emergency medicine. APPs will train with residency trained, board certified physicians and PA staff to provide the best emergency care possible.

Program Mission

The mission of the GSEP Postgraduate Emergency Medicine (EM) Advanced Practice Provider Fellowship Program is to produce post professional-level emergency medicine trained APPs to better serve the community and the APP profession by providing advanced care in emergency situations. This goal is met through producing graduates with expertise in evidenced based emergency medicine and competencies in advanced emergency procedures.


The vision of the GSEP Postgraduate EM-APP Fellowship Program is to maintain the highest standard of academic and clinical training for APPs while providing excellent health care for our patients and community.


  • Length of Program: 12 months
  • Class Size: 2-4

The GSEP Postgraduate EM-APP Fellowship Program is a twelve-month curriculum of 8 didactic sections and 13 clinical rotations. This includes over 2,000 clinical training hours and 300 plus hours of classroom instruction. The curriculum requirements are based on the ACGME 2013 Model of Clinical Practice of Emergency Medicine.

The EM model is divided into three focus components:

1) an assessment of patient acuity;

2) a description of the tasks that must be performed to provide appropriate emergency medical care; and

3) a listing of common conditions, symptoms, and disease presentations.

The EM Model represents essential information and skills necessary for the clinical practice of Emergency Medicine.

The didactic portion provides the technical foundation for further learning and development through emergency medicine lectures, conferences, and presentations. It is divided into 8 blocks of emergency medicine topics with reading assignments and monthly exams; multiple choice exams for the 8 didactic reading assignments. The didactic portion consists of the following:

  • Grand rounds, morning reports, simulation lab, trauma/radiology/EKG/M&M conferences, and participation in emergency medicine research.
  • Academic evaluation through rotation exams on required readings, midterm and final written/oral boards
  • Lectures to attendants of grand rounds.

The clinical rotations are designed to bridge the gap between theory and practice through one-on-one supervised hands-on training. To be effective, clinical rotations must be conducted in a true patient care environment. The EM-APP applies the principles and procedures learned during the didactic phase. It is imperative this hands-on experience be an integral part of the entire program rather than a separate, unrelated experience. Because the projected assignments for EM-APP will be in the outpatient setting, emergency and ambulatory care is emphasized.

The clinical curriculum consist of 8 emergency department rotations (1,200 clinical hours), 1 trauma surgery rotation (150 clinical hours), 2 pediatric rotations (300 clinical hours), 1 ICU rotation (150 clinical hours), 1 toxicology rotation (50 clinical hours), 1 ultrasound rotation.

Graded midterm and final written and oral boards are based on the standards set by the American Board of Emergency Medicine (ABEM). Further, this curriculum was selected by the American College of Emergency Physicians (ACEP) as the example for developing emergency medicine training for APPs. The emphasis on individual research and evidence-based practice, combined with the excellent clinical curriculum, make the residency unique and desirable.


Introduction to Emergency Medicine-Resuscitation, Shock, Anesthesia

Emergency Treatment of Orthopedic Injuries, Emergency Ultrasounds, and Emergency Radiology

Toxicology and Oral Maxillary Facial

Cardiovascular, Pulmonary, Hematology, Oncology, and Psychosocial Disorders

Gastrointestinal, Genitourinary, Obstetrics/Gynecology

Pediatrics, Non-Traumatic Musculoskeletal Disorders, Abuse/Assault

Emergency Wound Management, Environmental Injuries, Trauma

Infectious Disease, Endocrinology, Neurology


Practical Clinical Rotations

Adult Emergency Department (32 weeks)

Children’s Emergency Department (8 weeks)

MICU/CCU (4 weeks)

Toxicology (2 weeks)

Trauma Surgery (4 weeks)

Paid Vacation/ Research (2 weeks)



American College of Emergency Physicians



Advanced Trauma Life Support


  • Salary 45K/year
  • Medical Insurance
  • Malpractice Insurance
  • Reimbursement: ATLS, ACLS, PALS, BLS, DEA
  • CME: ACEP and other TBD
  • Uniform Stipend
  • Paid Vacation

** Please note that we are not currently accepting new applications. We will update this page when we reopen the application process. **


Application Requirements

  • Degree from accredited PA or FNP* program (by the start of training)
  • Current NCCPA or FNP* certification (by the start of training)
  • Texas state licensure/eligible (by the start of training)
  • Official PA/FNP* School Transcripts
  • Three professional letters of recommendation (if employed, one from current supervisor; if in school, one from PA/FNP* Program Director or program faculty).
  • Application
  • Personal statement
  • Curriculum Vitae
  • Personal interview
  • Application fee of $40 (made payable to GSEP Emergency Medicine)
 * please note that at this time our program can only accept applications form Physician Assistants and Family Nurse Practitioners


Please submit your application form, personal statement, CV, and application fee to:

GSEP EM-APP Fellowship Program
Attn: Admissions Committee
4204 Gardendale, Suite #312
San Antonio, TX 78229
Fax: 210-614-1722

Official PA or FNP* School transcripts and letters of recommendation should be sent directly from school/reference to GSEP.


Application Deadline is close of business August 31, 2019.

Fellowship start date is February 1, 2020.

  • Interviews to be arranged once all documentation has been received and reviewed by GSEP.
  • Graduation is 1 year from start date

Please do not hesitate to contact us with any questions:


Sean P. Therien, DSc, EMPA-C
EM-APP Training Program Director
Greater San Antonio Emergency Physicians


Liza P. Chopra, MD
Vice President
Chief Operating Officer
Physician Director of Advanced Practice Practitioners
Greater San Antonio Emergency Physicians