Curriculum

Tuesday mornings are dedicated to educational didactics based on the NAEMSP Core Curriculum Textbook and led by EMS Faculty. Format may include Lectures, Small Group, Simulations, Field Trips, Guest Speakers, Panel Discussions, and online modules to name a few. This is supplemented by a Statewide EMS Fellowship Quarterly Journal Club, an annual EMS-focused Residency Journal Club, and participation in the NAEMSP Medical Directors Course. Fellow attendance at the NAEMSP Annual Conference will also be supported.

BE/BC EM fellows will work clinically in the ED at the Veterans Affairs in Ann Arbor. Wages earned are kept by the fellow and are supplemental to their GME salary. Fellows are also able to set up further moonlighting as desired.

The fellows have access to two physician response vehicles and will do multiple shifts doing scene response and medical oversight each month alongside local pre-hospital ground EMS agencies, including:

1.  Huron Valley Ambulance: private, not-for-profit community based ALS transporting service which also has MICU ground transport and community paramedic services.

2.  Ann Arbor Fire Department: City-based BLS non-transporting agency that provides first response services. 

3.  Pittsfield Fire Department: Township-based BLS non-transporting agency that provides first response services.

4.  Livingston County Ambulance: Third service county based ALS transporting agency. 

The fellows will ride as active medical team members with Survival Flight, with the option to progress to full Flight Physician if criteria is met through the year. Shifts will be at both the University Base and the Livingston County Base. The fellows will respond to calls throughout the state and possibly beyond. They will also be responsible for attending weekly grand rounds, presenting at the Survival Flight sponsored statewide EMS/RN conferences, and participating in the annual Safety Day among other activities. 

The fellows will be a part of Michigan Medicine disaster response teams, both in the ED (Emergency Medicine Preparedness Group, or EMPREP) and hospital wide (Emergency Management Operations Committee, or EMOC). They will also work with the broader University of Michigan Division of Public Safety and Security disaster team (for example, to learn from and support UM Football pregame disaster planning). Fellows will also be included on the Region 2S HealthCare Coalition, one of the committees made of local MCA and disaster leaders created by the state to coordinate the response to a disaster event on a regional level. Fellows will also get disaster experience by participating in courses such as Basic Disaster Life Support/Advanced Disaster Life Support, NIMS courses, and Center for Disaster Preparedness’ courses.

The fellows will attend monthly training sessions with the various Special Operations Teams listed below. With all three of these teams, the fellow is working with the HVA special operations medics. If the teams have a “call out” (a real life scenario requiring the expertise of these specialized teams), the fellow will respond to the real-life situation with the team to provide in person medical support and direction. These “call-outs” can be anywhere in the county or surrounding region.
 
1.  Washtenaw County Technical Rescue Team: Team is comprised of specialty trained fire-fighters from many different fire departments in the county with expertise in the safe extrication of patients from uniquely dangerous situations. Skills include high rope, confined spaces, grain bin, trench rescue, structural collapse, and large vehicle stabilization rescue capabilities. The medical support is supplied by specially trained HVA medics, with whom the fellow will work. 
2.  Washtenaw County Hazardous Materials Response Authority: Team is comprised of fire-fighters from many different fire departments in the county specially trained in chemical, biological, radiological, nuclear and explosive materials. Medical support for the team is supplied by specially trained HVA medics, with whom the fellow will work. 
3.  Huron Valley Ambulance Tactical Response Medic Team: Team is comprised of specially trained HVA medics who provide medical support for the Washtenaw County Metro/SWAT teams when needed. 
2019 NIH Funding

The Department of Emergency Medicine at Michigan Medicine is home to nationally and internationally renowned experts in the realms of cardiac arrest, stroke, injury prevention, resuscitation, and health policy, topics which are intimately linked with prehospital care. This research infrastructure has led to the department being ranked first in the nation for NIH funding in Emergency Medicine, controlling 20% of the Emergency Medicine research dollars coming from the NIH. The department was recently named as the Clinical Coordinating Center for SIREN, a new national research network focusing on clinical trials to improve patient outcomes in the acute setting. These opportunities allow us to produce leaders in prehospital research. The fellow will be expected to take advantage of and contribute to the research mission of the department and there is a Fellow Research Grant Award specifically designed to support scholarly activity.

The fellow will attend various meetings regarding the administration of the local, regional and state EMS systems in order to learn how to organize and run an EMS system. Some of these meetings may involve protocol reviews, cases to QI, or systems level concerns to address. The fellow will be expected to be actively involved in whatever “work” the committees are doing. Core faculty sit on each of these committees and will be available for fellow support. Examples of the administrative meetings include, but are not limited to:
 
1.  Washtenaw Livingston County Medical Control Authority Board meetings, Advisory Board Meetings, Data and Evaluation meetings, PRSO meetings, and QI meetings 
2.  The State EMS Coordinating Committee Meeting 
3.  Sub-Committees of the State EMS Coordinating Committee (Pediatrics, Critical Care Transport, Air Medical Transport, Legislation, etc)
4.  State EMS Quality Assurance Task Force meeting 
5.  SE MI Regional Protocol Meetings 
6.  Regional 2S Disaster Preparedness Meetings 
7.  Health EMS Medical Control Authority Meetings

This will be mostly simulation based within local, regional and/or state parks. It will be run by UM Wilderness faculty. It is timed to occur in September during the Wilderness Elective for medical students and residents, so that the fellows can learn while helping train younger providers.

This is a branch of EMS that plans, organizes and executes medical support for large scale mass gatherings or events. The fellow will be expected to be involved in the planning and execution of the medical support and EMS response for a local event, such as the Dexter Ann Arbor Half Marathon, the Ann Arbor Marathon, the Ann Arbor Art Fair, the UM Football games etc.  In addition to the regular medical support for the participants, the fellow will have to be involved in creating the disaster plan in case a mass casualty should occur. Covid-induced event cancellations may alter participation in these events.