Program Details

What to expect

Medical Oversight Spectrum:

Fellows currently share two fellowship field response vehicles to allow field response.  Anticipated field time expectations are described in policy

• Ground Ambulance
• Air Ambulance
• Critical Care Transport
• Tactical Emergency Medical Support
• Urban Search and Rescue
• Public Safety Answering Points (PSAP)
• Mass Gathering/Event Medicine
• Legislative/Political Experiences and Advocacy

	Jul-Oct	Nov-Dec	Jan-Mar	Apr-Jun	Annual Hours
Primary agency	2 days/ week	2+ days/ week	2+ days/ week	2+ days/ week	700-800 hours
Secondary agency	3-4 days/ month	2 days/ month	3 days/ month	3 days/ month	350 hours
Additional agency experience – rural or other as designed by PD	1-2 days/ month	1-2 days/ month	2 days/ month	2 days/ month	200 hours
Air Medical		2 shifts/ month	2 shifts/ month		60 hours
Specials: Tactical (min 2 per year) HazMat (min 1 per year) USAR (min 1 per year)		1 day/ month		1-2 days/ month	60-80 hours
	14 days/ month	15 days/ month	15 days/ month	15 days/ month	1300-1500 hours

Curriculum includes:

• Required
  • EMD certification
  • EVOC certification
• Optional based on fellow interest
  • EMT-T certification
  • Firefighter certification
  • Paramedic certification

Clinical Shifts:

12 hours per week in a busy urban Level I trauma center or a community ED
Moonlighting opportunities available, requires approval.

Fellowship Time Allocation and Travel:

Approximate weekly hours commitment is described in policy and as noted below.  There is some travel for various courses and commitments as well.  Anticipated weekly average obligations should look somewhat like this.

Hours/Week	Activity
12	Clinical ED shift
16+	Field time
3	Fellowship conference
4-8	Education (this is you prepping or teaching class, expect 6-8 hrs/prep for each hour of presentation if you do a good job)
4-8	Scholarly activity / research: i.e., blogs, podcast prep, article writing / review, IRB work, data processing, meetings with faculty
4-8	Reading:  textbook, journals – pertinent to EMS core content, current literature
4	Meetings: preparation for or attendance of agency / EMS meetings, such as SAC, East Region EMS, agency medical director or QI meetings, provider discipline, sentinel event, TCD meetings, faculty meetings
56-64 hr	Total

Specific activities and potential external activities are targeted as follows and may include out of town travel as per fellowship policy.

Focus Area	Activity	Days	Required	Alternate	Option with prior approval
Core	Emergency Medical Dispatch	3	X
	Emergency Vehicle Operations	2	X
	ICS 300 / 400	4	X
	HazMat Awareness (online)	1	X	CDP-CBRNE
	Basic Firefighter	2	X	Firefighter I
	NAEMSP Medical Director’s Course	4	X
	NREMT Item Writing	2	X
	Air Medical	8 shifts	X		Extra days
Advocacy	MOCEP Advocacy Day	1	choose at least one
	MSMA Advocacy Day	1
	EMS on the Hill and NAEMSP Legislative Academy (based on funding availability)	2
Specials	Firefighter I			Basic Firefighter	X
	National Fire Academy / Center for Domestic Preparedness courses				X
	USAR training (Google calendar)	1 date	X		Extra days
Mass Gathering	Hawaii IronMan	4	X
	Cardinals / Blues games	4-6	X
	State Fair, Races, Concerts				X
Tactical	CONTOMS Medical Director	1	X	CONTOMS
	CONTOMS	6		CONTOMS Med Director	X
	SWAT School (Google calendar)	4			X
	Tactical training (Google calendar)	2 dates	X		Extra days
Education	NREMT Fellow Conference				X
	COAEMSP Site visitor training / board meeting				X
	NAEMSP meeting				X
	NAEMSP Education Subcommittee
	Missouri State Advisory Council Education Subcommittee
	Initial Education of EMT’s/Paramedics