My name is Joey Ciano, I am a born and raised New Yorker currently working and living in Queens, NY. I am finishing my first year of International Emergency Medicine Fellowship in the Northwell Health system. My main interest in International EM is promoting EM systems building. This focuses on promoting the development of the specialty of EM in countries that have not yet recognized EM as a field or are in the early stages of this process. My main interest is working on the post-graduate educational infrastructure. I have done EM educational work in Uganda and continue to work in West Bengal, India to help educate practitioners in EM to help specialty development. COVID-19 has changed the way we teach locally and internationally, so I thought this project would be a great opportunity to reach international students in EM during these challenging times.