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 a Level 1 adult and pediatric burn and trauma center with an annual volume of more than 105,000 patient visits. The EMS fellowship program is also hosted by four North Carolina EMS agencies (Forsyth, Davie, Stokes and Randolph counties) with an annual combined volume of more than 93,000 responses and a diverse patient population. The EMS fellow also has exposure to many other EMS agencies in North Carolina because of our large network of EMS-trained physicians employed by Wake Forest Baptist Health Emergency Medicine, including ones in Alamance, Burke, Davidson, Guilford, Iredell, Stanley, Wilkes and Watauga counties. 

The EMS fellow serves as an assistant medical director with Forsyth County EMS, an urban-based system, and is assigned a rural agency as well. 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
  • Fire ground, technical rescue, water rescue, confined space rescue and HazMat

Fellows also have the flexibility to complete a two-year fellowship combining one of the special interests above with an EMS fellowship. 

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.

Our curriculum combines the strengths of a tertiary academic medical center and multiple EMS agencies with the flexibility of an energetic program that can accommodate individual interests through a variety of prehospital experiences including:

  • Administration
  • Research
  • Patient safety
  • Mass gatherings
  • Disaster
  • Tactical
  • Wilderness medicine

EMS fellows are routinely involved in multidisciplinary simulations and didactic sessions, procedure training and performance with EMS agencies, cadaver lab training and one-on-one, apprentice-style practice with board-certified EMS physicians practicing EMS medicine in the field. Our program emphasizes fellow wellness, long-term career satisfaction and innovation locally, regionally and nationally by providing a supportive environment and with mentors living out our mission.

Program Goals

  1. Develop EMS physicians who are competent, knowledgeable, compassionate and effective clinicians who will improve health by improving the delivery of prehospital medical care in their respective communities.
  2. Develop local, regional, state and national leaders in EMS medicine through mentorship, training, teaching and preparation of fellows to assume leadership roles following graduation. 
  3. Develop EMS physicians who are able to generate and translate knowledge to improve healthcare in the community by becoming leaders in scholarly work, including research (clinical, educational, operational and administrative) and dissemination of scholarly work through publications including textbooks, journals, abstracts, poster presentations, state, regional and national presentations. 
  4. Develop EMS physicians who are knowledgeable and engage in quality improvement initiatives through prehospital clinical efficiency and systems-based practice to become stewards and leaders in value-based care while promoting EMS as an integral facet of the healthcare system.

Expectations and Evaluation

Fellows are required to assist in all aspects of EMS medical director duties such as assessment centers for new hires, review of equipment and medications, performance improvement, clinical care review, sentinel event investigations, protocol development and remediation of providers.

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 six clinical shifts each month and in one of our community emergency department sites.

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