Meet the esi research team

Collectively worked closely with the Agency for Healthcare Research and Quality (AHRQ) to develop the current training materials.



Alex Rosenau, DO FACEP, FACOEP

Dr. Rosenau has worked with the ESI Research Team since 1999. He has extensive experience as a practicing Emergency Medicine physician, a regional EMS director and Senior Vice Chair of a large tertiary care Level 1 emergency department in Pennsylvania. Dr. Rosenau established the emergency medicine residency at Lehigh Valley Health Network in 1999. Dr. Rosenau has served in numerous emergency medicine leadership roles including: past chair of the Emergency Medicine Foundation, past President of both the American College of Emergency Physicians (ACEP) and its' Pennsylvania Chapter (PACEP). Presently, he is a Professor at the Morsani College of Medicine, University of South Florida, serving as a 4th year Course Director of the SELECT Program. Learn More.

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Debbie Travers, PhD, RN, CEN, FAEN

Dr. Travers is an Associate Professor at the University of North Carolina at Chapel Hill (UNC-CH) School of Nursing, with a joint appointment in Emergency Medicine and adjunct status in the School of Public Health. Dr. Travers has expertise in healthcare informatics, emergency nursing and emergency department (ED) triage. Her doctorate is in Information Science and as an informaticist she works with clinical ED computer systems, ED terminology standards, and text processing for biosurveillance. Dr. Travers has considerable experience with the Emergency Severity Index as a researcher, developer, user and educator. She directed the first implementation of the ESI into clinical ED practice at the University of North Carolina Hospitals in 1999, as part of an ENA-funded study comparing three and five-level triage acuity systems. Learn More.

Nicki Gilboy, MS, RN, CEN, FAEN

Ms. Gilboy was the educator for the Emergency Department at Brigham & Women's Hospital, Boston, MA when she was approached by Richard Wuertz, MD to work with him to "fix triage."  Together they implemented Version 1 and since that time, has been actively involved with ESI education, publications, and research.  She was deeply involved in the development of the ESI Implementation Handbook and DVD, as well as the ESI web course.  She has lectured extensively locally, nationally, and internationally on ESI, ESI Implementation, and triage. Presently, Ms. Gilboy is an emergency nursing consultant with both national and international clients. She serves as Managing Member of the ESI Triage Research Team, LLC, and as her schedule permits, she continues to work per diem in an emergency department in the Boston area. Learn More.


Paula Tanabe, PhD, RN, faen, faan

Dr. Tanabe is a Professor in the School of Nursing at Duke University. She has been an active member of the ESI Triage Research Team since 2000 and conducted research that resulted in ESI v.4. She collaborated on the development of all ESI educational materials and web courses. Currently, she is helping lead the implementation of the ESI triage concepts far and wide, on the island of Jamaica. Learn More.