Primary care emergency medicine fellowship program
Marshfield Clinic Health System (MCHS) has developed a one-year emergency medicine fellowship program for primary care physicians who desire further training in emergency medicine.
Applicants must be an ACGME or AOA third-year primary care resident in good standing or a recent graduate of a primary care specialty such as family practice, internal medicine or med/peds. Wisconsin licensure (or eligibility for Wisconsin state licensure) and DEA licensure is required.
Marshfield Clinic Health System (MCHS) is a comprehensive state-of-the-art medical system that offers great opportunity, to include:
- Over 1,250 physicians and advance practice providers practicing at MCHS across 86 specialties and subspecialties in more than 55 locations in Wisconsin.
- Four hospitals across Central and Western Wisconsin with the addition of at least three more hospitals in the coming years.
- A 300 plus bed tertiary care hospital with an ACS Verified Level II Trauma Center at Marshfield Medical Center in Marshfield, Wisconsin.
- The largest private medical research institute in Wisconsin with more than 200 research projects and 450 clinical trials underway.
- Extensive integrated computer technologies, including an electronic health record, electronic prescribing, PACS image archive, electronic lab results, patient portal for access to personal medical information, innovative early childhood immunization registry, digital echocardiography network and telemedicine.
- Three structured nursing facilities, four ambulatory surgery centers, 10 dental clinics, 17 pharmacies and 33 clinical laboratories.
- A large referral base of more than 2 million people and 3.5 million patient encounters yearly.
- Marshfield Medical Center celebrated its 100th anniversary in 2016. Please watch our video to learn about the founding and growth of our system of health care.
MCHS as has a long history of commitment to outstanding medical education for students, residents and fellows. We look forward to answering any questions you might have about this exciting new program. Meanwhile, please view this short video presentation about our program.
Ali Nazerali, M.D.
Program Director
Primary Care Emergency Medicine Fellowship Program
Marshfield Medical Center - Rice Lake
1700 West Stout Avenue
Rice Lake, WI 54868
Phone: (715) 234-1515
Tamara Wijayapala
Program Coordinator
Primary Care Emergency Medicine Fellowship Program
Marshfield Medical Center
1000 North Oak Avenue
Marshfield, WI 54449
Phone: (800) 541-2895 or (715) 389-3554
E-mail: wijayapala.antoinette@marshfieldclinic.org
Download the residents and fellows guide.
Program Information
Application
We are no longer accepting applications for the 2026-2027 academic year.
Interested applicants are required to provide the following materials:
- A copy of their current CV
- Three letters of recommendation (program director, attending faculty)
- A personal statement regarding career goals
Please email these materials to Tamara Wijayapala, Emergency Medicine Program Coordinator, at the following address: wijayapala.antoinette@marshfieldclinic.org.
Fellowship training starts directly following the completion of your residency training. Your fellowship year will start on July 1.
Meanwhile, please view this short video presentation about our program.
Marshfield Clinic Health System is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
Benefits
Salary
We offer a competitive salary and benefit package which includes relocation assistance, malpractice coverage and an annual $1,750 travel/education fund available to each resident. Annual salary will be $78,045.63.
Health/dental insurance
Please visit this document for more information about our benefits.
Time away
- Sick leave: Fellows are allotted sick days. Fellows will not be compensated for any unused sick time. It is the responsibility of the Fellow to notify the appropriate individual(s) of an absence due to illness in accordance with his/her program specific policy. Fellows are eligible for a short and long-disability plan the first of the month following 90 consecutive calendar days of employment within a benefited status.
- Vacation: 15 workdays per contract year
- Continuing Medical Education (CME)/meeting time: Working days are allotted per academic year for scientific meetings (includes travel time).
- Interview days: Fellows are allotted interview days during the course of their fellowship for job-related interviews.
- Birth/adoption leave: Fellows may take up to six weeks of leave in a 12 month period for the birth of the Fellow's natural child or the placement of a child with the Fellow for adoption. Absence from the fellowship program beyond six weeks may require an extension of the fellowship to meet board eligibility criteria.
- Family and Medical Leave Act (FMLA): The FMLA is an unpaid, job protected leave. Fellows who meet the eligibility criteria will be eligible for unpaid leave under the FMLA. Absences from the residency program may request an extension of the Fellow to meet board eligibility criteria.
Professional liability, disability & life insurance
- Fellows are fully covered under Marshfield Clinic's self-insurance plan for professional liability. This is an occurrence policy. Contribution to the State of Wisconsin Patients Compensation Fund is also made on behalf of each licensed Fellow, which provides additional protection.
- Each Fellow is covered under Worker's Compensation.
- Short and Long term disability insurance is purchased for each Fellow. This policy is effective the 1st of the month following 90 days from your hire date in a benefited status.
- Group term accidental death and dismemberment insurance is an option at the Fellow's own expense.
- Group term life insurance A $50,000 term life insurance is purchased for each Fellow.
Additional perks
- An annual $1,750 travel/educational fund is available for attending meetings, purchasing textbooks or a combination of these activities. Fellows are allotted seven working days which includes travel per academic year for scientific meeting time.
- Relocation assistance up to $2,500 per resident family household.
- Designated "on call" rooms in the hospital.
- Lab coats and laundering are provided.
- A standard 35 percent discount (excluding contact lenses) at Marshfield Clinic Optical Shop.
- Eligible to participate in Marshfield Medical Center Credit Union.
- Special funds are available for paper presentations in representing their respective program.
- Fellows have medical transcription support and program coordinator assistance.
- Marshfield Clinic Health System offers a drug-free environment
- Wireless tablets for use.
- Resident Association special activities planned.
- Resident all-day workshops.
- Resident Well-Being Committee support.
Housing
Affordable housing is available in Rice Lake. The average rental cost for a two bedroom apartment is $425-$700 per month. A variety of housing is available, ranging from apartment complexes to single houses and duplexes.
Faculty
TBD???
Evaluation process
The fellow will receive written evaluations after each block rotation and will meet monthly with the program director to discuss the evaluations and to monitor the fellow's progress.
360° evaluations will be performed quarterly and will include written evaluations from emergency department staff, nurses, physician consultants and other ancillary staff to provide further evaluation of the fellow's progress.
At month seven, a written examination consisting of a variety of emergency medicine topics, numbering 100 questions, will be administered to the fellow. Results of the exam will be discussed with the fellow by the program director.
Beginning at month nine of the fellowship, mock oral examinations will be held on two occasions to improve the fellow's readiness to pass this exam style. This ensures the fellow becomes comfortable with this examination process and can effectively communicate the knowledge and skills they have obtained in the fellowship.
One month prior to the completion of the fellowship, the program director and fellow will discuss/critique the fellowship curriculum to further enhance the program.
Schedule & curriculum
The program offers two positions per academic year. Fellows will work at least 1,400 hours in 12 months of direct-patient care in the emergency department while being supervised by an experienced emergency physician and while completing rotations which complement the learning experience.
Program goals & objectives
- To appreciate the breadth and depth of emergency medicine
- To develop procedural skills necessary in the practice of emergency medicine
- To provide evidence-based and cost-effective emergency care
- To develop time-efficient skills in history taking, examination, and formulation of differential diagnoses in the emergency setting
- To develop skills in understanding subtle presentations of critical illness in the emergency department
- To develop appropriate skills to facilitate prehospital and inter-facility transport care of emergency patients
- To develop communication skills with physician colleagues, patients, and families.