EMS Fellowship

Overview

The Wake Forest EMS and Disaster Fellowship is fully accredited as of April, 2016.

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 's goal is to prepare the fellow for success in directing EMS agencies and to expand the knowledge base in pre-hospital care.

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

PGY-4: $56,117
PGY-5: $58,474

Clinical shift reimbursement: $170/hr
Additional Salary beyond Post Graduate pay: $48,960 - $97,920

The fellow must maintain their primary board skills during the fellowship with a maximum of 48 clinical hours averaged over 4 weeks with an expectation to work 3-6 clinical shifts each month. Clinical shifts will occur at Lexington Medical Center and/or Catawba Valley Medical Center.

Benefits include health, dental, vision care, prescription drug plan, long-term disability, tern and supplemental term life insurance, retirement, and continuing education reimbursement funds.

Affiliated Agency Descriptions 

Alamance County EMS
Burke County EMS
Davie County EMS
Davidson County EMS
Forsyth County EMS: Serves a population of over 306 thousand persons in a 410 square-mile area. Annual call volume is > 36 thousand calls. The agency operates an average of 17 ambulances and 2 ALS QRVs daily.
Guilford County EMS: Serves a population of over 430 thousand persons in a 650 square-mile area. Annual call volume is > 40 thousand calls. Operates 18 ambulances, 5 ALS QRVs with a dedicated shift supervisor. 
Iredell County EMS
Randolph County EMS
Winston-Salem Fire Department: Located within Forsyth County and provides medical first response to the citizens of Winston-Salem. Comprised of 19 stations and is divided into 3 fire districts. The department provides specialty rescue services including high-angle, confined space, heavy-vehicle, and swift water. 
Stokes County EMS
Surry County EMS
Wilkes County EMS

Aeromedical and Specialty Care Ground Transport 

Wake Forest Baptist 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. 

Disaster Medicine

The fellow may participate in several facets of disaster medicine. North Carolina maintains State Medical Assistance Teams (SMAT) with Team-II 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. SMAT is prepared to respond to events ranging from a medical strike team to a 15-bed field Mobile Medical Unit (MMU) deployment.

 We maintain a Mobile Disaster Hospital (MDH), which is able to deploy within 24 hours and begin clinical operations within 48 hours. This is comprised of a 500-bed hospital complete with 21-bed Emergency Room, 2-bed Operating Suites, 1-bed Operating Suite with C-Arm and Surgical Microscope, a 12-bed Intensive Care Unit, 6-bed Pre/Post Operative Suite, and a Rapid Response Unit. 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. Wake Forest Baptist Health maintains a 110,000 square foot warehouse where disaster assets and offices are located and maintained

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

Wilderness medicine experience includes 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 and serves as the EMS Section Head in the Department of Emergency Medicine. Dr. Alson has more than 30 years of experience in EMS and teaches internationally on topics related to EMS and Disaster Medicine.  He is a contributing editor to the ITLS text. He also serves as assistant state EMS medical director with the North Carolina Office of EMS where he oversees disaster response for the state. 
Board Certified: EMS

Bryan Beaver, MD is an assistant medical director with AirCare and serves as an attending physician at Lexington Medical Center. He enjoys a long history with WFBMC having completed his internship, residency (chief resident), and EMS fellowship training here. His interests include critical care transport, disaster medicine, and the development of educational materials for EMS providers. 

William (Bill) Bozeman, MD is director of the Office of Prehospital Research and is also director of Forsyth County’s Tactical Medicine Team which supports the Kernersville Police Department, the Winston-Salem Police Department and the 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.

Melanie Belfi, MD is medical director of Guilford County EMS. Dr. Belfi serves as an attending physician at Moses H. Cone Memorial Hospital in Greensboro.

Seth Collings Hawkins, MD serves as the EMS medical director for NC State Parks and Burke County EMS. He is the first physician ever designated a Master Fellow by the Academy of Wilderness Medicine. His professional interests include Wilderness EMS and medical humanities/anthropology. He also serves as the medical adviser to Recreational Equipment Inc (REI) and NC Outward Bound, and is the founder of the Appalachian Center for Wilderness Medicine and the Carolina Wilderness EMS Externship.
Board Certified: EMS

Heston LaMar, MD previously served as medical director of the Emergency Department at New Hanover Medical Center and as medical director for the New Hanover EMS agency and Vitalink/Airlink Critical Care transport.  He was part of the team there that implemented many cutting edge pre-hospital programs including placing video laryngoscopy on every truck and helicopter, one of the state’s first and most advanced Community Paramedicine programs plus very advanced pre-hospital Code Sepsis and Trauma Code protocols/interventions/procedures.  In addition, he also served as the Medical Director for the Cape Fear Community College EMT-B & EMT-P training programs. Dr. LaMar is now engaged in developing a hospital-based community paramedicine / mobile integrated health system at Wake Forest.

Howie Mell, MD serves as the EMS Medical Director for Iredell County EMS and is a former firefighter / paramedic in the Chicago suburbs. He is a Certified Physician Executive through the Certifying Commission in Medical Management and is a frequent contributor to the EM:RAP podcasts and lectures nationally in a variety of settings. He is the Immediate Past Chairman of the ACEP Section on EMS and Prehospital Care and is a Spokesperson for the College. He won ACEP's award for "Spokesperson of the Year" in 2014. He directed the first protocol in the United States to authorize the use of TXA by ALS ground ambulances and being the Medical Director for the official city "after action report" on the shootings in Aurora, Colorado. He currently serves as an active PRN flight physician for Cleveland Metro Life Flight.
Board Certified: EMS

Henderson McGinnis, MD serves as medical director of Wake Forest Baptist 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. 
Board Certified: EMS 

R. Darrell Nelson, MD is 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 the North Carolina statewide EMS protocols. 
Board Certified: EMS

Mark Quale, MD is director of Alamance County EMS and serves as an attending physician in the Emergency Department at Alamance Regional Hospital. Dr. Quale completed his EMS Fellowship training at UNC-Chapel Hill.
Board Certified: EMS

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.
Board Certified: EMS

Lisa Evans-Taylor, MD serves as medical director for Davidson County EMS and serves as an attending physician at Lexington Medical Center. She enjoys a long history with WFBMC completing her internship and residency here and is the programs first fellow beginning in 2012. Her interests include tactical medicine. 

James (Tripp) Winslow, MD  is an assistant 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 include tactical, disaster and diagnostic radiation exposure. Dr. Winslow is a past member of the Department of Homeland Security’s Counter Terrorism Team.
Board Certified: EMS

Application for EMS Fellowship Program

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 
Director, EMS Fellowship
Department of Emergency Medicine
Medical Center Boulevard
Winston-Salem, NC 27157 
robnelso@wakehealth.edu






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