EMS Resident Rotation





The resident rotation provides the emergency medicine resident with a longitudinal exposure to out of hospital operations. The bulk of the rotation takes place aboard first line, advanced life support transport units with the Baltimore City Fire Department however there are also opportunities to ride with Baltimore County Fire Department, Ann Arundel County Fire Department and Maryland ExpressCare Critical Care Transport Program. Residents ride along with first responding "medic" crews and EMS district officers/Supervisors. 


Longitudinal  EMS ROTATION

The UMEM EMS experience is designed as a logitudinal experience over the course of residency based on a point system. The expectation is that at the conclusion of residency, the resident will have accumulated a total of 12 points.  In addition, the resident will complete the MIEMSS-sanctioned "base station course" so that they are formally credentialed to provide on-line medical direction (will be offered through UMMC during PGY1 year).


Sugested Point Breakdown per Year:

Catagorical: 4 points per year

Combined (EM/IM, EM/Peds):

PGY1-3: 2 points per year

PGY4-5: 3 points per year


A point is earned by participating in a prehospital experience, a minimum of 3 points must be earned riding with front line EMS providers (ground or air). Example experiences include ride alongs with front line ALS units/supervisors, community events (5k's, mass gatherings, etc), flying with Maryland State Police Aviation Command or STAT Medevac, shifts with Maryland ExpressCare (ground or flight critical care transport), teaching a prehospital lecture, prehospital quality assurance/improvement project, dispatch shifts with Maryland Instiute for Emergency Medical Services Systems, MIEMSS, (EMRC or SYSCOM), or any other EMS experience as approved by the EMS program directors (Drs. Lawner or Guyther). Residents will gain experience with the assessment, treatment, transport, and triage of undifferentiated patients encountered in the prehospital setting. Residents will perfom clinical skills under the supervision of licensed paramedic personnel. The scheduling of these shifts is the responsibility of the resident and can be completed during any block during the year. To encourage flexibilty with this expierence, no dedicated EMS Days will be scheduled. Please click on the approrite links for site specific contact information.


Please see our calendar page for a list of upcoming EMS activities.

A list of previous prehospital events can be found here.


EMS research is another possible endevor where points may be earned. Please visit the EMS Research Page for a list of current projects and primary investigator contact information. 


Selected didatic readings which cover the history and scope of emergency medical services will be completed over the course of residency and a final reading quiz will be completed prior to graduation (similar to other off-service reading quizes) on the Moodle educational platform. 


-Overview of Maryland Emergency Medical Services (Please email Dr. Lawner for the link to the audio-enabled powerpoint) 
-Book chapter: EMS System Design 
-Book chapter: EMS Personnel
-Overview of Triage and "SALT" Mass Casualty Triage
 -EMS Triage
-Book chapters: Disaster Management and Mass Gathering Medical Care
-Book chapter: Medical Oversight of EMS Systems
-Book chapter: Legal Issues in EMS 
-Prehospital Evidence Based Medicine
-Selected Emergency Management and Disaster Didactics






Residents eager for a more immersive experience in emergency medical services can partner with local medical directors. This mentored elective exposes resident physicians to the challenges of operational medical direction. Additional experience in on-scene supervision, quality assurance, program management, and EMS education is offered. The rotation is tailored to the indivdual resident's interest. Examples of senior EMS electives include:

1) Operational EMS program management 
2) Tactical EMS program supprot
3) Administrative EMS interface 
4) Mass gathering EMS and emergency public health
5) Educational EMS program support
Residents will continue riding along with ALS transport units. In addition, resident physicians will have the opportunity to shadow an EMS district officer. Residents are encouraged to broaden their exposure to EMS and can take advantage of "fly-along" shifts with the Maryland State Police, critical care transport shifts with Maryland ExpressCare (both ground and air). Residents are commonly assigned a dispatch observation shift at (MIEMSS). Experiences are also available in other EMS jurisdictions, including Baltimore and Montgomery Counties.

Elective Didactics:
FEMA Incident Command Courses (in addition to the disaster ICS courses)

  • IS 100.c - Introduction to the Incident Command System (Disaster curriculum)
  • IS 200.c - Basic Incident Command System for Initial Response (Disaster curriculum)
  • IS 700.b - An Introduction to the National Incident Management System (Disaster curriculum)
  • IS 800.c - National Response Framework, an introduction (Disaster curriculum)
  • IS 907 - Active Shooter: What can you do
  • IS 230.d - Fundamentals of Emergency Management
  • IS 317: Introduction to Community Emergency Response Team


For the disaster curriculum please go to the disaster page.


For the EMS Student Elective, please go to the student elective page.



For any questions or concerns, please contact one of the EMS Faculty.


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