This is unpublished


  • Clinical shifts at Valley Medical Center.
  • 1-2 days per month with South King County Medic One.

  • 2-4 days per month as a 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 teams.


  • Fellows are expected to complete at least one scholarly project during the fellowship. This project should be worthy of publication and/or presentation.

  • Access to biostatistical, epidemiological, and research methods training provided by the UW's Institute of Translational Health Sciences.

  • Access to the Cobb Cardiac Arrest Registry, which includes meticulously collected information on every cardiac arrest treated by the Seattle Fire Department since March 1970.

  • Access to the King County Center for the Evaluation of EMS (CEEMS) cardiac arrest registry, which covers the remainder of King County and has been maintained since April 1976.

  • Access to the Seattle and King County EMS airway management registries.


  • Attend EMS Grand Rounds Conference Series.

  • Involvement with ALNW flight crew training and continuing education.

  • Attend NAEMSP Medical Directors Course as well as NAEMSP Conference.

  • Optionally select from the following conferences with the guidance of the fellowship director:

    • SEREMS in Southeast Alaska

    • Others as interested


EMS Experiential Learning

  • 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.

  • Attend occasional meetings at Stryker / Physio-Control in suburban Redmond, Washington.

  • Accompany faculty to state Department of Health meetings and to Regional Trauma Council meetings.

  • Participate in the planning and execution of Seattle mass gathering medicine events.

  • Carry a radio and participate as a 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.

  • Perform dispatch center quality improvement and observation.

  • Occupy dedicated office space within the Seattle Fire Department Paramedic Program at Harborview Medical Center and at King County EMS in downtown Seattle.

  • Visit a more rural EMS agency, usually in Bellingham, WA, for several days of observation and teaching, at the option of the fellow.


Using didactics, simulation, and field experience, fellows will have in-depth education 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.