Duke Pre-Hospital and Disaster Medicine Fellowship



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The Division of Emergency Medicine offers a one- or two-year fellowship in pre-hospital and disaster medicine.

The Pre-Hospital and Disaster Medicine Fellowship trains fellows to be leaders in the field of pre-hospital care and disaster management.


The Pre-Hospital and Disaster Medicine Fellowship provides opportunities for the fellow to participate and lead in community EMS settings, while maintaining their clinical skills through practice at Duke University Hospital's emergency department.    

The EMS fellow will serve as assistant medical director for Durham County EMS and associate medical director for Parkwood Volunteer Fire Department.

Additional opportunities are available to work collaboratively with the following groups:

  • Duke Life Flight
  • Duke Athletics
  • Duke First Responders
  • Durham County and surrounding fire departments
  • Durham County 911 Communications Center
  • North Carolina Office of EMS
  • Duke Global Health Institute
  • Hubert Yeargan Center for Global Health

Section faculty at Duke will guide small group sessions on a monthly basis to cover topics as delineated in the Pre-Hospital and Disaster Medicine Fellowship core curriculum.

An EMS journal club is also scheduled in conjunction with the resident rotation in EMS

Fellowship Goals

As part of the Pre-Hospital and Disaster Medicine Fellowship, fellows will gain knowledge and experience in the following areas:

  • Development, design, and operation of varied EMS systems
  • Pre-hospital emergency care; routine participation in EMS base station activities
  • Education of EMS providers
  • Administrative, legislative, and financial aspects of EMS systems
  • Emergency and pre-hospital care research
  • Disaster preparedness and response (when applicable)
  • Development of clinical skills and knowledge requisite for care of the acutely ill or injured patient

Prerequisite Requirements

In order to become a Pre-Hospital and Disaster Medicine fellow, students must meet the following requirements:

  • Be emergency residency trained and board-prepared or board-certified by the American Board of Emergency Medicine or American Board of Osteopathic Emergency Medicine
  • Actively involved in the care of acutely ill or injured patients
  • Demonstrate interest in further education in pre-hospital medicine
  • Maintain necessary licensure to practice medicine in the state of North Carolina
  • Be eligible for employment by Duke University Health System