Emergency Medicine

Emergency Medical Services (EMS) Fellowship

Program Background

The OHSU Department of Emergency Medicine and EMS faculty have supported an EMS fellowship since 2000 and received ACGME accreditation in 2023. The Fellowship supports up to two fellows annually. Applications are accepted throughout the year with interviews occurring in late Summer through early Fall.


The OHSU Fellowship in Emergency Medical Services aims to develop future leaders in prehospital medicine who will provide high-quality medical oversight and continue to advance out-of-hospital care.

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Fellows will function in the role of an assistant medical director with Multnomah County EMS (MCEMS), which provides prehospital medical oversight for Multnomah County, Oregon covering a population of over 800,000 people. MCEMS works collaboratively with multiple fire agencies (Portland Fire & Rescue, Gresham Fire & Emergency Services, and the Port of Portland Fire Department), a private ambulance transport service (American Medical Response), and a dispatch center. Fellows will gain valuable field experience, while also learning the nuances of working within a multidisciplinary team through administrative tasks/meetings (e.g., operations, training, quality improvement, protocol development, dispatch).

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Field experience will include time with Tualatin Valley Fire & Rescue (TVF&R), which is a large fire district spanning four counties and covering a population of over 500,000 people. TVF&R provides 911 first response, select scene transport, and interfacility transport. The main focus of this rotation will be to learn about the differences of suburban fire first response, medical oversight of an IFT service, and HAZMAT exposure.

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Fellows will rotate through rural fire and EMS agencies situated along the Oregon Coast, where fellows will gain an in-depth understanding of the specific challenges faced by rural EMS providers. Fellows will encounter scenarios where limited resources, vast geographic distances, and unpredictable weather conditions necessitate unique approaches to prehospital emergency care.  

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Exposure to air medical transport will be in conjunction with Life Flight Network. During this rotation, fellows will have the privilege of flying onboard helicopters specially equipped for emergency medical transport. Fellows will witness the essential role HEMS plays within the EMS system, flight operations and safety, and the specific challenges associated with providing medical care in the air.

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Fellows will participate in the rescue training of the AMR Reach and Treat paramedics who provide ALS care in the Mt. Hood Wilderness. This unique program includes training in rock, snow, and ice rescue techniques, as well as wilderness medicine. Fellows will also participate in the training sessions of regional fire agencies for vehicle extrication and technical rescue.

Regional online medical direction (OLMD) is based at the OHSU Medical Resource Hospital (MRH). Fellows will regularly take and review regional OLMD calls, in addition to providing dedicated quality improvement feedback to OLMD physicians.

EMS faculty have been involved with EMS research for over 30 years, primarily focusing on cardiac arrest resuscitation strategies, prehospital airway management, and prehospital trauma care. Current studies include prehospital pediatric seizure management, prehospital trauma airway management, prehospital trauma blood product administration, post-cardiac arrest cooling, and a regional cardiac arrest epistry (PDX Epistry).

Fellows will receive training in research theory and techniques through seminars, coursework, and active involvement in research projects. Fellows will work closely with the research team to develop their own scholarly activity proposals. Additionally, they will be responsible for selecting and presenting important prehospital articles at the monthly EMS journal club. Another important aspect of their training is learning how to incorporate current evidence-based medicine into EMS protocols. This will be done through participation in the regional Protocol Development Committee, with the goal of ensuring the delivery of optimal patient-centered outcomes.

Application Process

Applicants should have completed an ACGME-accredited Emergency Medicine residency program. Applications are currently being accepted for 2024-2025.

To apply, send a cover letter and curriculum vitae by email to:

Matthew Neth, MD
EMS Fellowship Director
OHSU Department of Emergency Medicine
Mail Code: CDW-EM
3181 SW Sam Jackson Park Road
Portland, OR 97239