Initial Fellowship Year

You will be integrated into a variety of roles to offer concurrent and comprehensive exposure to all EMS functions:


  • Clinical shifts at Valley Medical Center.
  • 1-2 days per month with South King County Medic One.
  • 2-4 days per month as crew member for Airlift Northwest (ALNW), progressing from active 3rd provider role to full flight physician.
  • Participate weekly with the Seattle Fire Department (SFD) direct patient care team.

Airlift NW


  • Fellow is expected to complete at least one scholarly project during the fellowship. This project should be worthy of publication/presentation.
  • Access to biostatistical, epidemioloigcal and research methods training provided by the UW's Institute of Translational Health Sciences.
  • Access to the King County Center for the Evaluation of EMS (CEEMS) cardiac arrest registry, maintained since April 1976.
  • Access to the Cobb File, the Seattle Fire Department’s cardiac arrest registry, maintained continuously since March 1970.


  • Attend EMS Grand Rounds Conference Series.
  • Involvement with ALNW flight crew training and continuing education.
  • Attend NAEMSP Medical Director’s Course as well as NAEMSP Conference.
  • Optionally select from the following conferences with the guidance of the fellowship director.
    1. Gathering of Eagles in Dallas
    2. RACI in Anchorage
    3. SEREMS in Southeast Alaska


EMS Immersion

  • Immersion into Seattle Fire Department medical operations, including daily ALS run review with the medical director.
  • Weekly QI meeting with Seattle Fire Department.
  • Weekly EMS research meetings at Seattle Fire and at King County EMS.
  • Cardiac Case Review with EMS Physicians at King County EMS.
  • Attend occasional meetings at Physio-Control in suburban Redmond, Washington.
  • Accompany faculty to state Department of Health meetings at the state capital in Olympia and to Regional Trauma Council meetings.
  • Participate in the planning and execution of Seattle mass gathering medicine events.
  • Carry a radio and participate as medical control physician for Seattle Medic One. Fellows will also monitor radio communications between the Medic One paramedics and the R2s in the HMC ED, intervening if necessary.
  • Dispatch center quality improvement and observation.
  • Fellow has dedicated office space within the Seattle Fire Department and at King County EMS.


Using didactics, simulation, and field experience, fellow will have in-depth training in the following topics:

  • Toxic Exposures, Poisoning, and Hazardous Materials
  • Explosive Incidents
  • Weapons of Mass Destruction and Related Injury
  • Mass Gathering Medicine
  • Disaster Management and Response Considerations
  • Tactical EMS Operations
  • Casualty Evacuation
  • Limited Patient Access Situations
  • Wilderness EMS Systems

Optional 2nd Year Information