The Emergency Medical Services (EMS) Fellowship is a fully accredited university-based program located in Winston-Salem, NC at the Wake Forest Baptist Medical Center.

The Medical Center is an 830-bed tertiary care facility with an American College of Surgeons-verified Level I adult trauma and American Burn Association-verified burn center. It also serves also as North Carolina's only pediatric Level I trauma center, part of the 160-bed Brenner's Children's Hospital. The emergency department has an annual volume of more than 100,000 visits and is separated into adult, pediatric and clinical decision unit sections.

The EMS fellow serves as an assistant medical director for Guilford County EMS and may also serve the same role with Forsyth County EMS. Within the service area, several rural agencies are affiliated with the program, including the counties of:

  • Stokes
  • Surry
  • Yadkin
  • Wilkes

The unique design of this program and the affiliated EMS systems afford complete medical control of all pre-hospital medical components within urban, suburban and rural communities, from basic life support first responders and advanced life support transport to the hospital-based critical care transport and aeromedical programs.

Fellows have the opportunity and flexibility to explore special interests in pre-hospital medicine, including:

  • Research
  • Tactical medicine
  • Wilderness medicine
  • Disaster medicine

Why Train at Wake Forest?

Wake Forest School of Medicine enjoys a fully accredited Emergency Medicine Residency Program that began in 1974—one of the first programs in the country. Following this rich heritage, the Department of Emergency Medicine is proud to offer an EMS Fellowship Program.

Educational opportunity exists in a state-of-the art simulation center and cadaver laboratory as well as continuing education activities within affiliated agencies.

Program Goals

The goal of the program is to prepare fellows for success in directing EMS agencies and to expand their knowledge base in pre-hospital care. The program leads to specialty certification in EMS through the American Board of Emergency Medicine.

Expectations and Evaluation

Fellows are required to assist in all EMS medical director duties. Assessment centers for new hires include interviewing and testing. New equipment and medications are constantly being reviewed and implemented. The medical director and EMS fellow review all priority transports as part of the quality improvement process. Deficiencies are handled in a due process review format, with the fellow becoming involved in all clinical incident reviews.

Fellows will:

  • Review specific data
  • Evaluate trends in system performance
  • Develop simulation scenario-based training
  • Identify opportunities for system expansion and process improvement

Fellows must maintain their primary board skills during the fellowship with a maximum of 48 clinical hours averaged over four weeks with an expectation to work three to six clinical shifts each month. Clinical shifts will occur at Lexington Medical Center and/or Catawba Valley Medical Center.

Moonlighting is available in our clinical community sites for fellows who desire additional clinical time.