Curriculum

The WMed Department of Emergency Medicine offers a fully accredited, one-year fellowship in Emergency Medical Services with up to three slots available each year. Our curriculum is divided among four broad categories: Didactics, Administration, Prehospital, Clinical.

  • Didactics
    • Winter Wilderness Medicine Day - EMS Fellowship
      Winter Wilderness Medicine Day
      Fellowship conference / M&M / Case Review / Journal club - 3 hours weekly
    • Statewide fellowship journal club - 2 hours quarterly
    • NAEMSP Textbook provided digitally 
    • Emergency Medicine conference - 2-5 hours weekly
    • Simulation lab - 3 hours per month
    • Summer wilderness medicine day
    • Winter wilderness medicine day
    • EMS Day - scenario based skills, decon, vehicle extrication
    • Basic Disaster Life Support and Advance Disaster Life Support Courses
    • ICS 300 and 400
    • County dive team exercise at Gull Lake
    • Dispatch Centers field trip
    • State of MI EMS Office field trip
    • NREMT Fellow Conference - annually
    • NAEMSP Medical Directors Course and Annual Meeting
    • Great Lakes Homeland Security Conference - annually 
    • Teaching Medical Student Medical First Responder Course
    • Teaching opportunities - EMS classes at Kalamazoo Valley Community College
  • Administration
    Yellowstone and WMed
    WMed is uniquely positioned to provide high-quality EMS medical control services to Yellowstone, despite the distance. 
    • Kalamazoo County Medical Control Authority PSRO - monthly
    • Kalamazoo County Medical Control Authority EMS Council - monthly
    • Ongoing MCA QA and QI projects
    • Kalamazoo County Fire Chiefs Association - monthly
    • Kalamazoo County HazMat eBoard - monthly
    • Kalamazoo County Child Death Review - monthly prn
    • Region 5 MCA Network - monthly
    • Region 5 Trauma Network - quarterly
    • State of Michigan QA Task Force - monthly
    • State of Michigan EMS Coordinating Committee - bimonthly
    • MCEP EMS subcommittee - monthly
    • Yellowstone National Park EMS education/QA/QI/Protocol revision - one week each during August and April/May inside the park.
  • Prehospital
    • MSU-2 at Vehicle Crash Scene in Portage
      MSU-2 at the scene of a motor-vehicle crash in Kalamazoo County.
      EMS home-call - 48 hours weekly - Flexible scheduling
    • ACGME required procedures list
    • Scene responses, Kalamazoo and Yellowstone EMS consults
    • Mass gathering experiences: Kalamazoo Marathon, Michigan International Speedway NASCAR race, Western Michigan University football and hockey games, Kalamazoo K-Wings Hockey games, Electric Forest music festival, Faster Horses music festival
    • Kalamazoo Department of Public Safety Special Response Team
    • Michigan Region 5 Tech Rescue Team
    • Serve as supervisor for the residency field response program
    • Dedicated take-home ALS-equipped fellow emergency response vehicle
    • RSI kit and glidescope
    • ALS drug bag
    • Butterfly ultrasound
    • EZ-IO kit
    • Oxygen manifold
    • dual band vhf-800mhz portable radio
    • vhf pager
    • iPad - FirstNet wireless plan - ePCR, navigation, dispatch
    • EMS polo, hi-vis vest, hi-vis jacket, and helmet
    • Field response program integrated into the county EMS system with strong partnerships with dispatch, fire, police and EMS. Kalamazoo County 911 monitors and dispatches our physician response vehicles. Here is an example of a medical call we were dispatched to (MSU-1 stands for Medical Support Unit-1 and is one of our physician response vehicles):

       
  • Disaster Preparedness
    Disaster Preparedness Drill at the Kalamazoo Airport
    A disaster preparedness drill at the Kalamazoo-Battle Creek International Airport.

    Our fellows actively engage in regional and state disaster preparedness activities and get the chance to plan, implement and evaluate exercises with various federal, state, and local agencies, as well as hospital systems, private companies, and volunteer organizations. 

    Kalamazoo County MCA is the coordinating agency for the 5th District Medical Response Coalition (5DMRC), one of the oldest such coalitions in the nation and cited by the Centers for Disease Control and Prevention as a national model. The 5DMRC meets bimonthly and includes representatives from the nine counties in Southwest Michigan. Coalition members represent hospitals, EMS, emergency management, public health, long term care, tribes, and other healthcare / human service organizations. 

    WMed serves as the statewide coordinating organization for the National Disaster Life Support (NDLS) Program in Michigan. Our fellows complete Basic and Advanced Disaster Life Support Courses and have the opportunity to become NDLS instructors.

    As part of our mass gathering component of the curriculum, our fellows participate in the planning, logistics, and medical operations at the Kalamazoo Marathon, the WMed MFR Capstone Day, and Western Michigan University football games, Additional mass gathering events: Michigan International Speedway NASCAR raceday, music festivals, MI-TESA, and regional full-scale exercises. 

    Our fellows respond to mass-casualty incidents within Kalamazoo County and neighboring jurisdictions. Some previous examples include, a tour bus vs. semi-truck collision, large apartment fires, a 190+ vehicle pileup on I-94, and multiple symptomatic carbon monoxide exposures at a local greenhouse.

  • Clinical

    Our fellows work approximately 40 hours a month as attending physicians at our two regional tertiary care centers – Ascension Borgess and Bronson Methodist Hospital -- to help maintain emergency medicine clinical skills. Both facilities are ACS-verified Trauma Centers, STEMI Centers, and Comprehensive Stroke Centers. Bronson serves as the region's burn center and pediatric hospital. Borgess maintains the local in-patient psychiatric ward. Our WMed students and residents rotate at both hospitals. Fellows serve as the supervising attending physician for our learners while on shift in the EDs. Together, these facilities see over 160,000 Emergency Department visits annually.

    Additional teaching opportunities are found at the local community college's emergency medical services program as well as in WMed's 25,000 square-foot simulation center, which opened in the summer of 2014 and is one of the largest in the Midwest. EMS fellows have full access to the center to hone their own skills and to instruct students, residents, and emergency medical services personnel.

  • Research
    Dr. Joshua Mastenbrook at NAEMSP Conference
    Dr. Joshua Mastenbrook with his poster presentation at a recent NAEMSP conference.

    Our goal is to help you develop outstanding research skills by providing opportunities and resources to cultivate these skills. WMed employees have access to an immense collection of electronic databases, journals, and textbooks. Our team of medical librarians, data managers, biostatisticians, and IRB staff help to facilitate the research process.  

    WMed coordinates Michigan’s EMS Information System and houses the state EMS Data Manager. This means our fellows have access to more than 10 million EMS records and can conduct research under an ongoing state Health Department IRB-approved project. Fellows are also invited to join current faculty projects or develop a new project. Our department has successfully secured over $14 million in state and federal grants and is one of the few institutions to receive multiple EMS for Children Targeted Issues grants.

    We encourage our fellows to attend and present at the annual meeting of the National Association of EMS Physicians. WMed provides financial support for travel expenses for presentations at regional, state and national meetings.

  • Vacation/PTO
    • 15 weekday days
    • 6 weekend days
    • 3 days for board exams
    • 3 days per professional conference for research oral/poster presentation

Faculty

Our diverse faculty have unique niche interests, skills, and experience in air medicine, disaster preparedness, hazmat and fire service operations, tactical emergency medical services, mass gathering event medicine, rural and wilderness medicine, education, and system operations, among others.

William Fales, MD

  • Chief, WMed Division of EMS & Disaster Medicine
  • Professor of Emergency Medicine and 
  • Medical Director, Kalamazoo County Medical Control Authority
  • State of Michigan Medical Director, Bureau of EMS, Trauma and Preparedness
  • Board Certified EMS

Joshua Mastenbrook, MD

  • EMS Fellowship Program Director
  • Associate Professor of Emergency Medicine
  • Medical Director, Allegan County Medical Control Authority
  • Associate Medical Director, Kalamazoo County Medical Control Authority
  • Firefighter/Medical First Responder, Richland Township Fire Department
  • Board Certified EMS

John Hoyle, MD

  • Professor of Emergency Medicine and Pediatrics
  • Assistant Medical Director for Pediatrics, Kalamazoo County Medical Control Authority
  • Board Certified EMS

Stephanie Van Alsten, MD

  • Assistant Professor of Emergency Medicine
  • LEMA for Indiana Dunes National Park
  • Board Certified EMS

William Selde, MD

  • Assistant Professor of Emergency Medicine
  • Medical Director, Yellowstone National Park EMS
  • Board Certified EMS

Craig Dieringer, MA, EMT-P, I/C

  • EMS Fellowship Program Coordinator
  • Director, WMed Division of EMS & Disaster Medicine
  • Administrator, Kalamazoo County Medical Control Authority

Michael Bentley, MPA, EMT-P, I/C

  • EMS Clinical Coordinator, Allegan/Kalamazoo/Van Buren County Medical Control Authorities

Judy Wheeler, MPM, EMT-P, I/C

  • Coordinator, State of MI NDLS Program
  • Coordinator, WMed AHA Training Center