Maine Medical Center Emergency Medicine Fellowship Program

Maine Medical Center Emergency Medicine Fellowship Program

The Maine Medical Center Emergency Medicine Fellowship is an ACGME-accredited one-year training program for emergency physicians seeking careers and board certification in medicine EMS. We currently accept one intern per year. The program is a collaboration between Maine Medical Center, Portland Fire Departmentand LifeFlight of Maine.

About Maine Medical Center

The Maine Medical Center (MMC) is a tertiary care center serving Maine and northern New England. The hospital is a Level 1 trauma center, comprehensive stroke center, primary PCI center, advanced heart failure center (including VAD and ECMO) and has the largest patient population in medicine in state emergency. MMC is also home to Barbara Bush Children’s Hospital (BBCH), the state’s only children’s hospital. With over 100,000 annual visits, BBCH has 116 inpatient beds, including 31 Level IV NICU beds, 20 Level II Continuing Care Nursery beds and 8 PICU beds. Affiliated with Tufts University School of Medicine, MMC hosts an emergency medicine residency and strong medical student rotations. Fellows work clinical shifts in the MMC emergency department to supervise residents and medical students.

Portland Fire Department

Portland Fire Department (PFD) is a professional fire-based EMS service and is the busiest 911 system in Maine. The PFD responded to 14,476 patients in 2021, of which 14.5% were pediatric. Fellows spend the majority of their time in the field working with frontline PFD teams on ambulances leaving cities in the five geographic districts. Fellows will see and learn about the extent of the city’s population and associated medical needs.

Additionally, Fellows work closely with Team Leaders, fielding EMS calls from around town with Lieutenants and Team Captains in a flying car designated “Car 9”. On site, the fellow provides direct medical supervision of clinical care, caregiver communication techniques, patient refusals, and all the intangibles that make prehospital care unique. Fellows are expected to provide directed feedback and training to pre-hospital care providers and will receive feedback evaluations from providers and supervisors at the end of each shift.

Fellows also have the opportunity to participate in one of the department’s special responses, including:

  • Training with the city’s special reaction team
  • Participation in the department’s mobile medical outreach program (support for the city’s most vulnerable populations such as those in a southern situation and homeless)
  • Air Response Team covering the Portland International Jetport
  • Marine units covering the city’s waterscape
  • The Haz-Mat Team
  • Emergency technical service

This will expose fellows to the field of special intervention medicine under the direct supervision of the team medical directors.

LifeFlight of Maine

LifeFlight of Maine (LFOM) is Maine’s only helicopter EMS program and responds to more than 2,300 calls each year. The agency’s three rotary-wing aircraft and single fixed-wing aircraft are geographically distributed throughout the state. Fellows spend a rotation learning from LFOM medical directors, participating in education and quality improvement efforts, and will have the opportunity to fly with the service. During this rotation, fellows assist the medical leadership team with online medical review calls, post-hoc call review, utilization review, and quality improvement efforts.

In addition to these program pillars, fellows participate within Maine EMS – the statewide office that funds a regional emergency medicine system, oversees the development of statewide treatment protocols, and performs systemwide quality improvement . Fellows also have the opportunity to choose from elective rotations to better understand the specific areas of prehospital medicine that best match their interests.

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