The percentage of EMS-treated, bystander-witnessed ventricular fibrillation cardiac arrest victims who survived to leave the hospital alive in Seattle and the surrounding communities in King County, Washington over the past few years. What percentage of bystander-witnessed cardiac arrest victims with ventricular fibrillation survive in your community?
The EMS fellowship with the University of Washington and the Seattle and King County Medic One programs is designed to immerse the fellow in all aspects of ground and air EMS medicine.
EMS within Seattle and King County serves a population base of 2 million people. Through a variety of experiences on the front line of care and operations, the Fellow will gain extensive experience with fire and third service based EMS medicine, coordination of air medical services, interagency communications, research and administration.
Harborview Medical Center - HMC is the only designated Level 1 adult and pediatric trauma and burn center in the state of Washington and serves as the regional trauma and burn referral center for Alaska, Montana, and Idaho. HMC is also the disaster medical control center for Seattle and King County. Owned by King County, governed by a county-appointed board of trustees and managed by the University of Washington, HMC serves patients from all walks of life, caring for the community's most vulnerable patient populations.
Seattle Fire Department - The Seattle Fire Department Medic One program began caring for patients in 1970. The two-tier response plan was created shortly thereafter and continues as a core underpinning of the system design. Seattle Fire Department Medic One is based at Harborview Medical Center and provides all of the advanced life support for the City of Seattle, population 635,000, using 7 advanced life support (ALS) ambulances each staffed with 2 of the 71 certified paramedics operating within the Seattle Fire Department Medic One program. In addition, there is one Medic Supervising Officer on-duty at all times. Basic life support (BLS) transport is provided under a contract with American Medical Response ensuring timely transport for less critically ill and injured patients. Seattle Fire deploys 1,020 EMT certified firefighters on 33 engines (including 1 fire boat), 12 ladder trucks, and 5 aid units (non-transporting BLS ambulances).
King County Medic One - The King County Department of Health provides ALS services for the 690,000 people living in communities within King County, south of City of Seattle, using 8 ALS ambulances. About 70 paramedics in the program work side-by-side with local fire agencies in a “third service” model.
Airlift Northwest (ALNW) - ALNW operates five bases throughout Washington and Southeast Alaska. ALNW transports critically ill patients from one of the largest and geographically varied landmasses in the world - from isolated islands in Alaska, coastal regions along Alaska and Washington, desert communities in Eastern Washington, to mountainous terrain in Idaho and Montana.
Michael K. Copass UW Paramedic Training Program - Based at HMC, the University of Washington/Harborview Medical Center paramedic training program accepts between 14 and 20 students from districts within the state of Washington. At program graduation, each paramedic student has intubated more than 40 patients both in the operating suite and the field, started more than 400 IV lines and cared for more than 800 patients during 2500 to 3000 hours of training between October and July.
What makes the University of Washington EMS Fellowship unique?
Simply, the people.
Faculty you will work with regularly come from a variety of specialties including Emergency Medicine, Cardiology / Electrophysiology, Internal Medicine, and Pulmonary/Critical Care, among others. This interdisciplinary approach will help you learn about solutions that may be outside the traditional Emergency Medicine body of knowledge.
The paramedics you will regularly interact with are phenomenal. Many of them have been with Medic One for 20 or 30 years. They do the job because they love caring for sick patients. They genuinely want to learn how they can better care for patients. They come to work every day excited to learn and with a huge appetite for your knowledge.
The people of our community have a long history of supporting the EMS system. As the system here is supported entirely by a levy (property tax) revenue, no bills are sent for ALS care. This tight integration between the community and the EMS system provides tremendous advantages.
Additionally, the flight service you will work with covers an astonishingly huge area. You will retrieve patients from the smallest clinics in Alaska, single coverage EDs throughout the northwest, scene calls from mountain tops to ocean accidents, and transfers from ICUs at facilities near and far. This broad experience will provide you with plentiful opportunities to learn about EMS systems in all manners of communities as well as the interactions between these systems.
Initial Fellowship Year
You will be integrated into a variety of roles to offer concurrent and comprehensive exposure to all EMS functions:
- Clinical shifts at Valley Medical Center, a community training site for the UW EM residency program.
- Immersion into Seattle Fire Department (SFD) medical operations, including daily ALS run review with the medical director.
- Participate weekly with the SFD direct patient care team.
- Weekly QI meeting with Seattle Fire Department.
- Several days per month with South King County Medic One response team.
- 2-4 days per month as crew member for ALNW, progressing from active 3rd provider role to full flight physician.
- Involvement with ALNW flight crew training and continuing education.
- Research education. Fellows have access to biostatistical, epidemioloigcal and research methods training provided by the UW's Institute of Translational Health Sciences.
- Weekly EMS research meetings at Seattle Fire and at King County EMS.
- Cardiac Case Review with EMS Physicians at King County EMS.
- Access to the King County Center for the Evaluation of EMS (CEEMS) cardiac arrest registry, maintained since April 1976; and access to the Cobb File, the Seattle Fire Department’s cardiac arrest registry, maintained continuously since March 1970.
- Attend monthly research meetings at Physio-Control
- Teach in the Michael K. Copass University of Washington Paramedic Training Program.
- Accompany faculty to state Department of Health meetings at the state capital in Olympia, and to Regional Trauma Council meetings.
- Participate in the planning and execution of SFD mass gathering medicine events.
- Carry a radio and participate as medical control physician for SFD. Fellows will also monitor radio communications between the Medic One paramedics and the R2s in the HMC ED, intervening if necessary.
- Dispatch center quality improvement and observation.
- Fellow will attend NAEMSP Medical Director’s Course as well as NAEMSP Conference, and has the option of attending the Eagles Conference as well as the Ravens/Resuscitation and Critical Interventions Conference in Anchorage, Alaska.
- Fellow has dedicated office space in the Division of Emergency Medicine as well as within the Seattle Fire Department and at King County EMS.
- Fellow is expected to complete at least one scholarly project during the fellowship. This project should be worthy of publication / presentation.
Using didactics, simulation, and field experience, fellow will have in-depth training 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
At the appropriate PGY level.
To apply for the University of Washington EMS Fellowship, please send a cover letter and your CV to Fellowship Director Michael Sayre, MD. Interviews will be held throughout the fall. For information about salary and benefits please refer to the GME Prospective Residents and Fellows website.