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 Parkmedic Primary Training Course), and wilderness/EMS research. Interested residents also have the opportunity to observe and participate in medical leadership on a national level as our faculty, Dr.’s Stroh, Campagne, Young and Macias, serve as National EMS Medical Advisors to the NPS.


Goals of the Parkmedic program include the following:


Involved residents have free access to the Park (only 45 minutes away) and frequently enjoy various back-country activities including:

What is the Parkmedic Primary Certification Course?

The Parkmedic Primary Certification Course is a seven 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. Parkmedic faculty, who are all emergency medicine physicians 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 SEKI EMS providers to receive feedback on the treatment they provide in the field. Parkmedic residents review the runsheets used for documentation and provide suggestions 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 and monthly educational lectures are held in Sequoia and Kings Canyon National Park. In addition, there are

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.

What is SEKI Tactical EMS?

UCSF Fresno EMS staff in conjunction with the NPS EMS advisory council developed a teaching course based on military medic techniques and tactics.  Selected Park Rangers are given training in providing medical care under combat situations.  A training course is followed by biannual refresher courses. Participants are taught to identify patients with survivable injuries, hemorrhage control, treatment of penetrating chest trauma and evacuation strategies.