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Global Health and international emergency medicine Fellowship Program


The Department of Emergency Medicine at Palmetto Health Richland is dedicated to improving access to care in areas of the world where many people still struggle for the most basic healthcare services. Nearly all Palmetto Helath Emergency Medicine residents are involved in a global health project or elective at some time during their residency training.  

The purpose of the International Emergency Medicine and Global Health Fellowship is to equip emergency medicine physicians interested in pursuing global health as a career with the skills and knowledge necessary to successfully develop global health programming and conduct research in resource limited settings.  


Fellowship details

The International Emergency Medicine (IEM) Fellowship will provide fellows with formal training in public health, research methods, and tropical medicine in addition to ample time in the field for hands on experience.  With faculty mentorship, fellows will have the opportunity to work with a variety of non-governmental organizations (NGOs) to develop their own interests into a sustainable project.  Fellows will work as attending physicians in the Palmetto Health Emergency Department supervising residents in addition to fieldwork and the pursuit of a Masters level degree in public health, research, or infectious disease. 

Length of Training

The fellowship will be completed over two years in conjunction with a Master's degree from London School of Hygiene and Tropical Medicine by distance learning.  The fellowship may be completed in one year for applicants who already have a Master's level degree.

Applicant Qualifications

All applicants must have graduated from an ACGME accredited emergency medicine residency and be board-eligible or board-certified with the American Board of Emergency Medicine. In addition, the applicant must qualify for South Carolina Medical Licensure. Applicants should apply through the International Emergency Medicine Fellowship Consortium (www.iemfellowships.com).  Please submit a letter of intent, CV, and three letters of recommendation through the IEM Fellowship Consortium website. One of these letters must be from the applicant's residency program director.  

Fellowship applications will be accepted July 1 of the year preceding the start of fellowship. An interview is required prior to selection for training. Selection for training is determined by the emergency department faculty. The fellowship respects the "no offer date" set by the IEM Fellowship Consortium and no offer will be made to applicants untile the second Monday in November.  

Completion of Training

Upon completion of training the fellow will receive a certificate of fellowship training from Palmetto Health Richland and the University of South Carolina.

Partnership with oneworld Health

The fellowship program partners closely with the nonprofit organization OneWorld Health, which aims to empower communities to achieve long-term improvements in health and quality of life.  OneWorld Health has sustainable medical centers in Uganda and Nicaragua.  Masindi-Kitara Medical Center (MKMC) is a regional referral center located in Masindi, Uganda providing outpatient, inpatient, maternity, surgical and diagnostic services. The fellow will have the opportunity to work on a variety of ongoing clinical and public health projects at MKMC to improve the quality of care in Masindi.  




Heather Brown, MD, MPH
Fellowship Director

Fellowship: George Washington University, Class of 2013

Residency: Palmetto Health, Class of 2011

Medical School: University of South Carolina, Class of 2008

Dr. Brown is a native South Carolinian who received her bachelor degree from Clemson University in biology and her medical degree from the University of South Carolina. She joined the emergency medicine residency at Palmetto Health and graduated from our program in 2011. 

Following graduation she matriculated into the Global Health Fellowship at George Washington University in Washington, DC, where she also received a master's degree of public health. Dr. Brown spent large amounts of her fellowship training working in Haiti and India.

In 2013 she joined Carolina Care in Columbia and works at both Palmetto Health and Providence Hospitals.

Nathan Ramsey, MD

Fellowship: University of Texas Southwestern Global Health Fellowship, Class of 2013

Residency: Palmetto Health, Class of 2011

Medical School: Marshal University, Class of 2008

Dr. Ramsey was born in Charleston, West Virginia, and recevied a bachelor's degree in biology from Cedarville University in Ohio and a medical degree from Marshall University in his home state.

He graduated from the emergency medicine residency at Palmetto Health in 2011 and then spent two years in the International Medicine Fellowship in the University of Texas Southwestern in Dallas, Texas. During the course of his fellowship training Dr. Ramsey traveled extensively throughout Asia and Africa.

He returned to Columbia in 2013 to join Carolina Care.

Joshua Skaggs, MD

Residency: Palmetto Health Class of 2013

Medical School: University of South Carolina, Class of 2010

Dr. Skaggs is a native Ethiopian who moved to South Carolina and attended the University of South Carolina, where he received his bachelor's degree and his medical degree.

He trained in emergency medicine at Palmetto Health Richland from 2010 - 2013 and served as chief resident. He is currently pursuing a Master's degree in Public Health from Johns Hopkins University with a focus in global health. 

Dr. Skaggs currently is living in Columbia, and is interested in International Health, particularly in improving access to quality health care in East Africa.  He enjoys international travel, snowboarding, and the outdoors.

Current Fellows

Carly Brady, MD

Residency: Palmetto Health Class of 2017

Medical School: Marshall University Class of 2014



Dr. Brady was born in Roncevert, West Virginia and received a Bachelor's degree in Biology from Concord University.  After she received her medical degree from Marshall University, she moved to Columbia, SC to begin her emergency medicine residency at Palmetto Health.

After residency, Dr. Brady matriculated into the Global Health fellowship at Palmetto Health.  She has worked internationally in Haiti, Uganda, and Kenya.  Her interests include trauma and health systems strengthening in Sub-Saharan Africa.  She is an accomplished marathon runner and enjoys spending time with her husband and daughter.   



Objectives and responsibilities

Academic Components

  • Master's degree by distance learning from London School of Hygiene and Tropical Medicine (LSHTM) in Infectious Disease, Public Health, or Global Health Policy
  • ICRC Humanitarian Emergencies in Large Populations Course at Johns Hopkin
  • Various options for Tropical Medicine Diploma if desired by the fellow

International Field Components

  • Partnership with OneWorld Health (formerly Palmetto Medical Initiative) for program development and research collaboration with Masindi-Kitara Medical Center in Masindi, Uganda 
  • Fellows will have the opportunity to work with a variety of non-governmental organizations (NGOs) to develop their own interests into a sustainable project 

Clinical and Research Components

  • 800 clinical hours as attending physician in the Palmetto Health Richland Emergency Department
  • Fellow will complete one research project over the two years of publication quality.  Collaboration and research mentorship with local colleagues at field sites highly encouraged. 


Learn more about Palmetto Health:

Overview fo Columbia, South Carolina (2 minutes)

South Carolina & Columbia (4 minutes)

Emergency Department Personnel & Facilitie(6 minutes)