Wake Forest University School of Medicine enjoys a fully accredited emergency medicine residency that began in 1974. Following this rich heritage, as one of the founding programs in the United States, the Department of Emergency Medicine is proud to offer an EMS Fellowship Program. The program operates within the parameters set forth by the ACGME and is seeking ACGME accreditation. The program 's goal is to prepare the fellow for success in directing EMS agencies, expanding the knowledge base in pre-hospital care and to successfully pass the EMS Subspecialty Board exam when available.
The EMS Fellowship is a university-based program located in Winston-Salem, NC at the Wake Forest Baptist Medical Center (WFBMC) . WFBMC is an 830-bed tertiary care facility with an ACS verified level 1 adult trauma and ABA verified burn center. WFBMC serves also as North Carolina's only pediatric level 1 trauma center, part of the 160-bed Brenner's Children's Hospital. The emergency department has an annual volume of > 100,000 visits and is separated into Adult, Pediatric and Clinical Decision Unit sections.
The EMS fellow serves as an assistant medical director for Guilford County EMS and may also serve the same role with Forsyth County EMS. Within the service area, several rural agencies are affiliated with the program, including Stokes, Surry, Yadkin and Wilkes County EMS systems. The unique design of this program and the affiliated EMS systems affords complete medical control of all pre-hospital medical components within urban, suburban and rural communities, from BLS first responders and ALS transport to the hospital based Critical Care Transport and aeromedical programs . The opportunity and flexibility exists to nourish any special interest that a fellow may have regarding a future in pre-hospital medicine , including research, tactical medicine, wilderness medicine and disaster medicine.
Fellows are required to assist in all duties of the EMS medical director. Assessment centers for new hires include interviewing and testing. New equipment and medications are constantly being reviewed and implemented if selected. The medical director and EMS fellow review all priority transports as part of the quality improvement process. Deficiencies are handled in a due process review format, with the fellow becoming involved in all clinical incident reviews. The fellow will review specific data, evaluate trends in system performance, develop simulation scenario-based training, and identify opportunities for system expansion and process improvement. Educational opportunity exists in a state-of-the art simulation center and cadaver laboratory as well as continuing education activities within affiliated agencies.
Salary / Fringe Benefits / Clinical Responsibility
The fellow will serve as junior faculty within the Department of Emergency Medicine. Salary is in excess of 100K / year with additional benefits including health and dental care, retirement and continuing education reimbursement funds. The fellow will be responsible for 6 attending ED shifts each month.
Affiliated Agency Descriptions
Forsyth County EMS: Serves a population of over 306 thousand in a 410 square-mile area. Annual call volume is > 36 thousand. Operates a minimum of 13 ambulances and 2 ALS QRVs daily. Offers a Critical Care Paramedic program, in conjunction with Wake Forest Baptist Health AirCare.
Guilford County EMS: Serves a population of over 430 thousand in a 650 square-mile area. Annual call volume is > 40 thousand. Operates 18 ambulances, 5 ALS QRVs with a dedicated shift supervisor.
Aeromedical and Specialty Care Ground Transport
Wake Forest Baptist Health AirCare is part of an EMS network serving North Carolina, Virginia, Tennessee and South Carolina. The service includes three helicopters (2 -EC 135 and 1 EC-130) and two ground ambulances, as well as specialty pediatric and neonatal transport.
The fellow may participate in several facets of disaster medicine. North Carolina maintains State Medical Assistance Teams (SMAT) with Team-1 located in Winston-Salem. SMAT is a rapid medical statewide response team capable of a 4 to 6 hour response time when activated and is capable of responding to assist the citizens of North Carolina in a crisis situation. An SMAT response is augmented with personnel and additional response equipment from the Winston-Salem based Special Operations Response Team (SORT). SMAT is prepared to respond to events ranging from a medical strike team to a 15-bed field Mobile Medical Unit (MMU) deployment. Response scale includes setup for a natural or industrial disaster to a large-scale decontamination operation as a result of a terrorist event involving weapons of mass destruction.
Mass Gathering Experience
Several venues offer the fellow experience in planning for and providing medical care in mass gathering. Wake Forest University NCAA Division I sports, including football and basketball games, where medical care is provided at dedicated care centers in collaboration with Forsyth County EMS. The PGA Wyndham Championship held annually in Greensboro, NC, where medical care is provided in collaboration with Guilford County EMS.
Wilderness medicine experience include s expedition and disaster medicine, dive medicine, search and rescue, altitude illness, cold- and heat-related illness, wilderness trauma, and wild animal attacks. Wilderness medicine explores health risks and safety issues in extreme situations such as mountains, jungles, deserts, caves, and marine environments. The fellow will have the opportunity to participate in development and delivery of an annual regional wilderness medicine educational conference. The fellow will also have the opportunity to participate in research and medical direction of wilderness medicine events, as well as become involved with a regional wilderness medicine non-profit organization.
EMS Fellowship Faculty
Roy Alson, MD serves as Medical Director for Forsyth County EMS. Dr. Alson has more than 40 years of experience in EMS and disaster Medicine. He teaches nationally and internationally on topics related to EMS and Disaster Medicine. He is a contributing editor to the ITLS textbook. He also serves as assistant state EMS medical director with the North Carolina Office of EMS where he oversees disaster response for the state and is the Chairman of the EMS Disciplinary Committee. Dr. Alson is board certified in both Emergency Medicine and EMS by the American Board of Emergency Medicine
William (Bill) Bozeman, MD is director of the Office of Pre-hospital Research and is also director of Forsyth County's Tactical Medicine Team which supports the Winston-Salem Police Department and Forsyth County Sheriff's Department. Dr. Bozeman also serves as an assistant medical director with Forsyth County EMS and is extensively published in the use of conducted energy weapons.
Henderson McGinnis, MD serves as medical director of Wake Forest Baptist Health AirCare Aeromedical and Specialty Care Ground Transport services, as well as medical director for Wilkes County EMS. Dr. McGinnis serves as an assistant medical director with Forsyth County EMS. He has special interest and experience in wilderness medicine and serves on the board of directors for the Appalachian Center for Wilderness Medicine.
R. Darrell Nelson, MD is co-director of the EMS Fellowship Program. Dr. Nelson serves as medical director of Stokes County EMS and as an assistant medical director with Forsyth County EMS. Dr. Nelson serves as chairman of the NC Chapter of Emergency Physicians EMS protocol committee and is responsible for writing statewide EMS protocols.
Jason Stopyra, MD serves as the medical director of Randolph County EMS and Surry County EMS. He is the medical director for the Surry County Community College Paramedic Program and the North Carolina State Paramedic Competition. He also provides training and oversight to the Surry County EMS Critical Care Transport service. He is in the process of developing a Community Paramedic Program in both Randolph and Surry Counties.
James (Tripp) Winslow, MD is co-director of the EMS Fellowship Program. Dr. Winslow serves as the state EMS medical director for the North Carolina Office of EMS. Dr. Winslow is extensively published in multiple aspects of pre-hospital care and has an active grant with the National Science Foundation studying disaster triage. His main interest includes tactical, disaster and diagnostic radiation exposure. Dr. Winslow is a past member of the Department of Homeland Security's Counter Terrorism Team.
Interested applicants should provide a letter of interest, completed application, current curriculum vitae and three letters of recommendation. You are strongly encouraged to discuss your interest in the program with the Fellowship Director(s) prior to applying. Requests for an application, additional information, and all application materials can be directed to:
R. Darrell Nelson, MD
Co-Director, EMS Fellowship
Department of Emergency Medicine
Medical Center Boulevard
Winston-Salem, NC 27157