How are residents involved?
With staff guidance, residents participate in all aspects of the rural/wilderness SEKI EMS system. These include: continuing education of the Parkmedics (monthly classes), continuous quality improvement, an annual refresher course, a special biannual training course (see January course), and wilderness/EMS research. Interested residents also have the opportunity to observe and participate in medical leadership on a national level, as two of our faculty, Dr's Stroh and Shalit, serve as national EMS Medical Advisors to the NPS.

Goals of the Parkmedic program include the following:

HOWEVER, what would an emergency medicine resident be with all work and no play??? Involved residents have free access to the Park (only 45 minutes away) and frequently enjoy various back-country activities including :

What is the January Course?
The January Course is a six week training and certification course held every two years. Park rangers from national parks throughout the United States attend this course. UCSF Fresno Parkmedic residents, other interested residents, faculty, and staff give lectures, hold small group sessions, and lead clinical rounds. Dr. Shalit and Dr. Stroh, both of whom are emergency medicine faculty at UCSF Fresno, are both SEKI and NPS EMS Medical Advisors and oversee this national Parkmedic training program.

What are Continuous Quality Improvement (CQI) and Continuing Education (CE)?
CQI provides a way for Parkmedics to receive feedback on the treatment they provided at the scene. Parkmedic residents review the runsheets used for documentation and provide suggestions, if needed, on how to improve the next medical encounter via individual or group education or protocol revision. These suggestions are then relayed to the Parkmedics at either CE sessions, by their EMS coordinator, or by Parkmedic Program faculty.
CE is emphasized in this program and monthly educational lectures are held in Sequoia and King’s Canyon National Park (SEKI). In addition, there is an annual Parkmedic Refresher course, EMT refresher and a mock multi-casualty incident (MCI) drill.

What other EMS experiences are available for UCSF Fresno EM residents?
The eight main objectives for the California EMS Act are: manpower and training, communications, transportation, assessment of hospitals and critical care centers, system organization and management, data collection and evaluation, public information and education and disaster response. These components are also used within the NPS EMS and SEKI EMS systems. UCSF Fresno Emergency Medicine residents have many opportunities during their training to learn more about EMS and become involved in the local Central California EMS system ( ). For more details see the UCSF Fresno Emergency Medicine Resident EMS Curriculum