UNM Department of Emergency Medicine- Residency Program

EMERGENCY MEDICAL SERVICES

Disaster/Operational/Out-of-Hospital Medicine
UNM Emergency Medicine Residency Requirements

Field Experience/Ride-Alongs:

Each Resident must complete a minimum of 30 hours of field ride along experience. A certain proportion of that time is required with certain local services. (See required field experience below.) The remainder may be fulfilled with additional time, either with the required services, or in combination with the optional services listed below.

- Learning Objectives
- Required Field Experience
- Optional Field Experience
- Ride-Along Attire
- Ride-Along Shift Evaluation Form
- Required Reading
- Contact information to make arrangements for ride-alongs

Learning Objectives:
1. Develop basic understanding, from a field perspective, of the role of EMT’s in our EMS system, including: patient care responsibilities and duties, and understanding of local protocols, approved pre-hospital drug list and the EMT scope of practice.
2. Understand the general approach to patient care in the pre-hospital setting, including:
	A. How the EMS system is configured in Bernalillo County.
	B. How EMS personnel interact with other EMS agencies and with hospital care providers, by observing and listening to dispatches to field crews, radio reports from field to base hospital, and direct interpersonal interactions.
	C. Observing Paramedics, EMT-I’s, and EMT-B’s, perform problem-based assessments and treatment of patients and how scope of practice and resource and time-frame limitations affect pre-hospital care.
	D. A review of the equipment and drug box capabilities of EMS providers.
3. To gain an appreciation of how per-hospital care is perceived by providers and to share perspectives.
	A. To get to know paramedics and better understand their perspectives and problems.
	B. Informal knowledge sharing with medics is encouraged.

Required Field Experience:

1. AFD: 8 hours. 8 hours with EMS Field Supervisor and/or Medical Director; or 4 hours with EMS Field Supervisor (QA Captain) and 4 hours at an AFD Station with and AFD rescue and/or pumper.

2. AAS: 8 hours. As 3^rd rider on the ambulance.

3. BCFD: 4 hours. Preferably with the EMS commander; alternatively, spend 4 hours with station #2 in the South Valley.

Optional Field Experience:

1. Rio Rancho Fire and Rescue

2. Lifeguard Air (Requires completion of special training).

3. PHI Air (Requires completion of special training).

4. Selected Medicine Bow Events/State Fair Clinic.

5. Selected Urban Search and Rescue Drills/Exercises.

6. Selected DMAT Drills/Exercises.

NOTE: 12 hours of EMS ride-alongs must be completed during the first 15 months of residency prior to becoming an MCEP. The MCEP class and examination will be given Between October 1 and December 31 to all 2^nd year residents. It is expected that all residents will be authorized to act as MCEPs’ prior to January 1 during their 2^nd year of residency.

Ride-Along Attire:

Appropriate attire is required during a ride-along. Remember, you will attend accident scenes on roadways and entering people’s homes; you may be assisting in their care. Therefore, shorts, tee shirts and sandals are inappropriate. Dark slacks and dark shirts are recommended. Wear your hospital ID badge.

Ride-Along Shift Evaluation Form:

Please complete the EMS Ground Shift Rotation Evaluation Form for each
ride-along shift.Give the completed form(s) to Sandra Mirabal.
Click here to view and print form.

Required Reading:

1. Bernalillo County EMS Protocols. Up to date protocols are accessible on-line at cabq.gov/fire/protocols .

2. Kuehl Chapters 25-28, 44-45.
Note: A copy of the "Prehospital Systems and Medical Oversight" by Kuehl that can be "checked out" from the Residency Office. Please contact Sandra Mirabal @ 272-6524, SMirabal@salud.unm.edu

Contact information to make arrangements for ride-alongs

Albuquerque Fire Department (AFD)

EMS commander, Captain Tige Watson, TWatson@cabq.gov for ride-alongs and dispatch experience. Please contact him early in your rotation to assure scheduling. If you do not receive a response to your e-mail, contact Jan Schmidt, jschmidt@salud.unm.edu or 272-0444, and she will provide you with their cell phone number(s). They will also coordinate your ride along with the QA captain and fire station.

Albuquerque Ambulance Service (AAS)

Contact Drue Bralove: (505) 449-5743 or e-mail her at dbralove@phs.org. You will need to bring third rider application form (completed and approved), picture ID, and proof of medical insurance.

Bernalillo County Fire Department (BCFD)

EMS Commander Chris Petroff, cpetroff@bernco.gov , (505) 761-4225

Rio Rancho Fire and Rescue

Darryl Macias, MD. dmacias@salud.unm.edu

Los Ranchos Fire and Rescue

Steve Weiss, MD. sweiss@salud.unm.edu

Lifeguard Air Ambulance (Fixed wing)

George Kennedy, MD. gkennedy@salud.unm.edu

PHI (Roto Wing)

Darren Braude, MD. dbraude@salud.unm.edu

Medicine Bow

Chris Wade, EMT-P. (505) 321-5920.