I'll throw a plug for our program at Christiana Care.
First, administrativly with our size, we have a total of over 50 EM and EM/IM residents, that allows for 4 chiefs residents each year for adminstrative workload.
From the aspect of real world group administrative issues, my group is a private group, fee for service, that has had the contract since 1968!!! One of the first 10 EM groups in the country...ever. We are an orginial member of the ED benchmarking group as is our Chair. We support an administrative fellowship along with others Ultrasound, EMS, Research.
Adminitrative fellows work a limitied clinical load, with the non clinical time spent working with the Chair, Vice Chair, the President of our group, attending group Board meetings, meeting and working with our billing company, addressing system issues that affect the hospital and ED, and sit on all key hospital committees for a large private hospital with an ED volume of nearly 140,000 visits. In addition if it is your thing, we have had a history of high activity in organized medicine, with resident members on many national committees, and now the 2nd EMRA President in the past 3 years is one of our residents...if you have interest in organized medicine involvement. Our First administrative fellow graduate landed a sweet contract and an administrative academic position at a large university teaching hospital in the Northeast.
The reality is that ALL departments have administrative work that needs to be done, any resident who were to ask an adminstrator for insight or the ability to 'help" on projects etc would rarely be turned away or denied the oppertunity...anywhere!
Paul