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.
Maintenance of Primary Board Certification
BE/BC EM fellows will pursue one or both of two options to maintain their primary board skills.
- Fellows may work ~2 clinical shifts per month in the adult or pediatric EDs at Michigan Medicine as a “super-resident” with oversight commiserate with their level of training by EMS Faculty.
- Fellow may elect to participate in external moonlighting by working clinically in local EDs in the surrounding community. Prior fellows have participated in optional external moonlighting at sites including but not limited to Trinity Health sites, Beaumont sites, and Henry Ford sites. Wages earned are kept by the fellow and are supplemental to their GME salary. Fellows must follow all rules pertaining to external moonlighting as per the ACGME, UM GME and EMS fellowship-specific policies.
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 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.
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.