GSEP Postgraduate Emergency Medicine Advanced Practice Provider Fellowship Program- copy

Program Description

GSEP, in concert with the Methodist Health Care System Department of Emergency Medicine, is offering a postgraduate program for Advanced Practice Providers (APPs) interested in advanced training in emergency medicine.

GSEP is an independent, democratic professional association made up of 50+ Emergency Physicians and 20+ APPs serving six hospitals in San Antonio, Texas: Methodist Hospital, Methodist Children’s Hospital, Methodist Boerne Medical Center, Methodist Specialty and Transplant Hospital, Methodist Stone Oak Hospital, and Metropolitan Methodist Emergency Center at the Quarry.

APPs will train with residency trained, board certified physicians and EM-APP staff to provide the best emergency care possible.

Program Mission

The mission of the GSEP Postgraduate Emergency Medicine Advanced Practice Provider (EM-APP) 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: 18 months
  • Class Size: 1-2

The GSEP EM-APP program is an 18-month curriculum of 9 didactic sections and 19 clinical rotations. This includes over 3,000 clinical training hours and 500 plus hours of classroom instruction. The curriculum requirements are based on the ACGME 2016 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 medical knowledge, patient care, and procedural skills.

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 9 blocks of emergency medicine topics with reading assignments and monthly exams; multiple choice exams for the 9 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 12 Emergency Department rotations (1,800 clinical hours), 1 Trauma Surgery rotation (200 clinical hours), 1 Trauma ICU rotation (200 hours) 2 Children’s Emergency Department rotations (300 clinical hours), 1 Medical ICU rotation (200 clinical hours), 1 CVICU rotation (200 clinical hours), 1 Toxicology rotation (100 clinical hours), 1 Radiology (100 clinical hours), and 1 Emergency ultrasound rotation (200 clinical hours).

Graded midterm and final 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.

Complete 18 Month Curriculum


GSEP Postgraduate EM-APP Fellowship Program


  • 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
  • Dermatology, Psychosocial Emergencies, Special Situations


Practical Clinical Rotations

  • Adult Emergency Department (48 weeks)
  • Children’s Emergency Department (8 weeks)
  • MICU (4 weeks)
  • CVICU (4 weeks)
  • Trauma Surgery (4 weeks)
  • TICU (4 weeks)
  • Radiology (2 weeks)
  • Toxicology (2 weeks)
  • Ultrasound (4 weeks)
  • Paid Vacation/ Research (3 weeks)



  • American College of Emergency Physicians
  • Society of Emergency Medicine Physician Assistants
  • Rebellion in Emergency Medicine
  • American Academy of Emergency Medicine



Advanced Trauma Life Support

  • Benefits: Salary 45 K/year
  • Medical Insurance
  • Malpractice Insurance
  • Reimbursement: ATLS, ACLS, PALS, BLS, DEA
  • CME: ACEP, AAEM, SEMPA, Rebellion in EM
  • Uniform Stipend
  • Paid Vacation

Until further notice, we are currently not accepting applications.

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