EMS & Disaster Medicine . The EMS & Disaster Medicine section is embedded in the Department of Emergency Medicine with medical student electives in EMS & Disaster Medicine, EM residents with an Area of Distinction in EMS, as well as several areas of active clinical research. They must have a California Medical License and DEA before starting fellowship. We condensed approximately 1,8. EMS system. The study guide is not intended to be exhaustive and you will see that some chapters had a more thorough review than others based on the needs of our system (these take home messages may or may not be applicable to yours). We would like to share the guide with other EMS professionals as an aid to their preparation to take the examination; we have no financial interests to disclose, and do not imply any exam results based on using our work for your studies. We appreciate the hard work that each chapter author put into their contribution, and especially respect the work of editing and publishing taken on by the series and volume editors. In our opinion, they have advanced the science of EMS medicine and hope we their readers can continue their efforts in the future. We also want to congratulate all of the graudates who took the Boards and successfully passed them: Katie Tataris, MDMary Mercer, MDBrian Savino, MDNAEMSP Study Guide. Facilities. Local. The San Francisco EMS System comprises the geographic area of the City and County of San Francisco with a daytime population of 1. EMS calls. The City has one base hospital (San Francisco General Hospital) and a highly professionalized work force of approximately 4. Emergency Medical Dispatch Services to the public. Continuing Dispatch Education programs 4. Reaffirmed by the ACEP Board of Directors June 2010 Revised and approved by the ACEP Board of Directors September 2003 Originally approved by the ACEP Board of Directors October 1998 The American College of Emergency. Allina Health Emergency Medical Services employs more than 400. Medical terminology knowledge required. Emergency medical dispatch (EMD). POLICY STATEMENTS Physician Medical Direction of Emergency Medical Services Dispatch Programs . California Professionals Health Programs. Physician health and well being is a prerequisite for. Medical legal and expert witness services Medical Review. EMS Systems Medical Direction Emergency Medical Dispatch. Emergency Medical Dispatch was implemented in 2000. Providing Medical Direction. Physician Medical Direction of Emergency Medical Services Dispatch Programs. Reaffirmed by the ACEP Board of Directors June 2010 Revised and approved by the ACEP Board of Directors September 2003 Originally approved by the. Emergency Medical Dispatch Standards & Guidelines California EMS Authority TABLE of CONTENTS Introduction and Background. EMT- 1’s. Prehospital oversight and emergency medical disaster planning is provided by the San Francisco EMS Agency, housed in the Department of Emergency Management. The SF EMS Agency is responsible for EMS program development including Public Access Defibrillation, EMS plans for mass gatherings, trauma, stroke and ST Segment Elevation Myocardial Infarction systems, and triage and care of patients with mental health and substance abuse multiple diagnoses with the Mission Street Sobering Center and Psychiatric Urgent Care Center. Close collaboration is achieved with regional EMS agencies and the State EMS Authority on many levels and with many projects. Our faculty have unique positions of authority in almost all aspects of prehospital care in our community. Aug 3. 0; 3. 45(9): 6. This study was also instrumental in informing the Federal Rule for waiver of consent research. The fellows will be involved in this phase of public health, including providing medical direction and oversight to the City’s Field Care Clinic system, local pharmaceutical cache for homeland security and disasters, and can participate in the Metropolitan Medical Response System for terrorist attack response. State. San Franicsico EMS Agencies has a long history of collaboration with regional EMS agencies and the State EMS Authority on many levels and with many projects. International. EMS physicians may function as consultants on how to provide prehospital care in other nations maximizing resource utilization while providing competent care in a culturally appropriate manner. Recent projects have involved Haiti, Ukraine, Lithuania, Vietnam, and Tanzania. Clinical and Research Components. Medical Direction: Medical control - Learn the scope of medical oversight and the responsibilities for providing direct on- line as well as indirect/off- line medical control. Provider medical direction – Opportunity to assist the medical directors for private and public EMS entities, including dispatch centers, ambulance providers, and an on- campus university Emergency Medical Response system. Communications: The Fellow should come to understand the principles of emergency medical dispatch, communications and 9. The Fellow will learn about how these systems work by spending time in communications and by working with communications staff on continuing education for call takers, guide card revision, and quality improvement. Administrative: Participation in Local / Regional / State EMS related functions – The fellow should gain an understanding of the interplay of local, regional and national regulatory processes on EMS administration. Attending local, regional, state and national administrative meetings (EMSAC, EMDAC, Scope of Practice Committee, EMS Commission) is encouraged. Quality improvement - The Fellow should gain insight into the on- going function of continuous performance improvement program. The Fellow will develop a QI project and present the results to the appropriate organization. Field experience will involve direct patient care, EMS personnel supervision and training. Teaching: Education of Residents, Medical Students, and Paramedics in a variety of teaching environments will be encountered including Lectures, bedside education, and high fidelity human simulation. Mass gathering/mass casualty medicine: Participation in planning process and provision of care in mass gatherings (involvement in Bay to Breakers Road Race, Halloween Celebration, etc.). The experience can provide the fellow with a better understanding of political and logistical issues involved in the implementation of optimal medical care for mass gatherings. CHAPTER 27 EMERGENCY MEDICAL SERVICES.Participation on mass casualty medicine - Involvement in small and large- scale drills, table top exercises and multi- agency drills (ie: Golden Guardian) The goal is to familiarize the fellow with the difficulties encountered in coordinating an optimal medical response with different services and jurisdictions. The Fellow is encouraged to join DMAT CA- 6 for further mass casualty / disaster medical experience. One EMS & Disaster Medicine Fellowship faculty member is a medical officer for CA- 6. Clinical Research: The Fellow will participate in the development and implementation of a specific EMS related research project. Supervisory and Patient Care Responsibilities Due to the unique funding from the EMS Agencies, the EMS Fellows will be involved in specific administrative tasks that will be complementary to their education. There are 6 Field Care Clinics, which are mobile medical facilities the City has purchased to provide medical care in time of disaster. These clinics will be staffed by the San Francisco Department of Public Health (DPH) and other voluntary medical personnel and are designed to have medical supplies sufficient to care for 5. Public Access Defibrillation Program Medical Director. There are over 4. PAD programs registered with the EMS Agency; each program has one or more sites where an automatic external defibrillator is placed and personnel who are designated to respond to a cardiac arrest. The EMS Fellows would provide medical direction of this program, visiting sites, doing outreach to potential future sites, and promoting the program and providing education of the general public on this program. EMS Plans for Mass Gatherings Medical Director. The EMS Agency receives approximately 6. EMS plans per year for mass gatherings which need to be reviewed and modified. Some City agencies and private event organizers are providing complete plans, others less complete ones. The EMS Fellows will provide detailed plan review, follow up and the potential for site inspections for these plans and events. Assistance to the EMS Agency Quality Improvement Program. EMS Provider training assistance, including instructor for the City College of San Francisco Co. AEMSP accredited paramedic training program, and instructor for the San Francisco Paramedic Association American Heart Association accredited regional training center. Performance Improvement project. Clinical Research project. The EMS Fellows will also be required to provide 1. Emergency Departments at Zuckerberg San Francisco General Hospital (both years) and the VAMC (PGY- 5 year only). Teaching Responsibilities During their function as an attending physician at SFGH, the fellows will be supervising the clinical care of UCSF residents and medical students. They will be providing them with real time feedback and education. Participate in the lectures for the UCSF EMS/Disaster Medicine rotation. One to two paramedic education lectures per year. Aid in the curriculum development for ongoing paramedic training. Progression of Responsibility by PGY Level. Initial year (PGY- 5): Serves as EMS Fellow at ZSFG and VAMC Emergency Departments, providing on- line medical control and teaching UCSF medical students and UCSF, St. Mary's, CPMC, and Kaiser residents. Teaches prehospital providers. Completes research project. Completes didactics in EMS systems and research. Initiated disaster didactics and membership in DMATProvides medical direction for DPH administrative projects with oversight and graduated responsiblity from fellowship faculty. Second year (PGY- 6): . Serves as attending physician at SFGH Emergency Department, providing on- line medical control and teaching UCSF medical students and UCSF, St. Mary's and CPMC Residents. Teaches prehospital providers and develops curricula and systems improvements locally, state- wide, nationally or internationally according to interest. Completes masters degree. Completes research project. Continues membership in DMAT and teaches disaster medicine to all levels of providers. Provides medical direction for DPH administrative projects with oversight from fellowship faculty. Provides mentorship for UCSF EM Residents in EMS/Disaster Area of Distinction. If you have any questions, please feel free to contact Dr. John Brown, Fellowship Director. A cover letter explaining your interest in EMS and Disaster Medicine and any previous experience that you have. Curriculum Vitae. Three letters of recommendation (one of which must be from your residency program director and another from your residency's EMS and Disaster Medicine Director if you have one at your institution)Application Deadline: September 1. Applicant Interview Day: October 2. Fellow Characteristics/Requirements.
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