EMS policies are constantly in flux due to changing research and guidelines, and fellows learn how to create, implement, and evaluate policies and protocols. Fellows are intimately involved in many aspects of EMS education, as well as continuous quality improvement activities. In addition to clinical prehospital care, EMS fellowships train physicians in the medical oversight of EMS systems. Many fellowships are attached to a flight program as well, which provides the opportunity to serve as a physician on aircraft for inter-facility transfers and emergency requests. Some programs have a dedicated vehicle for physician response. Fellowships include field response, where the fellow rides on EMS vehicles and responds to emergency calls. However, with the arrival of subspecialty certification and ACGME accreditation, there is now a standard core curriculum for EMS fellowships. Historically, EMS fellowships have varied widely in terms of the experiences for individual fellows. EMS fellowships are uniquely positioned to give emergency physicians (and physicians from other specialties) the knowledge and experience to provide, oversee, and improve pre-hospital care. Although EMS has been practiced for hundreds of years, EMS medicine recently became a board-certified subspecialty of emergency medicine in 2013 (2006 by the AOA). History of the specialty/fellowship pathwayĮmergency medicine and EMS share a common ancestry, as both evolved from the core purpose of taking care of patients with time-sensitive conditions at their moment of injury/illness. ![]() Authors, Editors, and Contributors Addiction Medicine Administration/ED Operations/Patient Safety & Quality Improvement Fellowships Aerospace Medicine Cardiovascular Emergencies Anesthesia Critical Care Medicine Internal Medicine Critical Care Medicine Neurological Critical Care Surgical Critical Care Disaster Medicine Emergency Medical Services (EMS) Forensic Emergency Medicine Niche Geriatric Emergency Medicine (GEM) Health Policy Informatics Injury Control International Emergency Medicine Medical Education Neurovascular and Stroke Observation Medicine Occupational and Environmental Health Pain Management Palliative Care Pediatric Emergency Medicine Population Health and Social Emergency Medicine Research Fellowship Resuscitation Simulation Fellowship Primary Care Sports Medicine (PCSM) Tactical Medicine Telemedicine Toxicology Emergency Ultrasound Undersea and Hyperbaric Medicine Wilderness Medicine Women's HealthĮmergency medical services (EMS) is the administration, coordination, and delivery of medical care outside of a hospital or medical facility (also known as “prehospital care” or “out-of-hospital care”).
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