The University of Texas Health Science Center (UTHSCSA) EMS Fellowship is a 1-year fellowship and one of the first EMS Fellowship programs in the country to have ACGME accreditation. This allows immediate eligibility of graduates eligible for the EMS subspecialty boards. All aspects of EMS are covered, including systems and disaster development, field response, research, education, and administration, preparing graduates for the growing field of EMS Medicine.
In addition to weekly didactics, a major training site/role for the EMS Fellow is with the Office of the Medical Director (OMD) for UTHSCSA Emergency Health Sciences. Under the direction of Dr. David Miramontes, the OMD provides medical direction for the San Antonio Fire Department (SAFD) EMS and several other suburban and rural agencies in the greater San Antonio area.
As the primary training agency, SAFD serves the 7th largest city in the United States, with a population of more than 1.3 million people and a service area of more than 504 square miles. The SAFD maintains 35 fulltime ambulances, up to 10 "peak hours" ambulances, 49 engine companies, 19 truck companies, and 18 first responders with over 1200 personnel.
EMS fellows will spend a majority of their time working with the staff of the OMD and the San Antonio Fire Department, providing EMS provider education, participating in quality improvement programs, providing on-line medical direction, and helping develop region-wide protocols. EMS fellows will spend several hours a week responding to scene calls with EMS units, EMS officers, and OMD staff. The fellowship also provides involvement with HEMS via San Antonio AirLife and further training opportunities exist in Tactical EMS, Rescue EMS, and HazMat EMS throughout the fellowship.
In addition, the UTHSCSA EMS Fellowship works closely with the San Antonio Uniformed Services Health Education Consortium (SAUSHEC) Military EMS Fellowship. This cooperation provides a unique opportunity for civilian EMS fellows to learn from military leaders on the forefront in developing the latest techniques in military field care and civilian austere environment care and the ability to participate in unique training opportunities not typically offered in civilian EMS fellowships.
Because disaster preparedness is another important part of EMS fellowship training, EMS Fellows will have significant exposure to the region's Emergency Medical Task Force (EMTF), which includes ambulance strike teams, Ambuses, and a Mobile Medical Unit (MMU). This resource of the Southwest Texas Regional Advisory Council (STRAC) is a very key part of the state’s disaster response system, responding throughout the state of Texas and, upon request, can deploy nationally. STRAC also provides the venue and resources for EMS fellows to participate in various aspects of regional and state EMS systems development.
The EMS Fellow will enjoy a clinical faculty appointment with the University of Texas Health Science Center's Department of Emergency Medicine and provide teaching to Emergency Medicine residents and medical students through the School of Medicine.
Clinical shifts take place at University Hospital, the lead trauma center for the South Texas region with approximately 70,000 emergency department visits per year. University Hospital is also a leading STEMI and Stroke receiving center for the region and a destination of choice for critically ill patients.
Benefits for the fellow include faculty appointment with UTHSCSA with accompanying University of Texas benefits including holiday pay, health insurance, vacation and sick leave. Pay scale is commensurate with PGY-4/5 level with internal moonlighting available in accordance with ACGME regulations along with generous CME allowance.
San Antonio Fire Department EMS
Southwest Texas Regional Advisory Council
San Antonio AirLife