The UCSF Fresno Emergency Medicine Residency has been committed to and actively involved in wilderness medicine and prehospital care since its inception.  Wilderness medicine – that is, the practice of medicine in remote and austere environments – is a growing and evolving field, with more and more people engaged in recreation in remote environments every year.  The Wilderness Medicine/EMS Fellowship was created in 2005 to allow individuals to delve deeply into all aspects of wilderness medicine and prehospital care and to develop the knowledge and skills to become a leader in this growing field.  Our four-county EMS system and our involvement with the National Park Service (NPS) through the Parkmedic program provide a unique opportunity for learning, training, and working in both wilderness medicine and EMS.




Fellowship Goals

The fellowship is a one year program with the option to extend to two years for individuals who wish to pursue an advanced degree (MPH).  The goals of the fellowship are to provide physicians with the cognitive knowledge and hands-on skills needed to be leaders in the field of Wilderness Medicine.  There are also many opportunities for the fellow to hone their teaching skills by training fellow physicians, medical students, prehospital providers, and laypeople in wilderness medicine. The curriculum and experiences available during the fellowship are designed to be flexible to allow each individual the opportunity to explore the areas of wilderness medicine and prehospital care that interest them the most.  We encourage not only the acquisition of academic knowledge but also the pursuit of technical skills proficiency in an area of the fellow’s interest (e.g. high angle rescue, dive medicine, etc.).


The Curriculum

The fellowship curriculum is designed to be flexible to allow each fellow to create an experience that best meets his/her needs.  For both wilderness medicine and EMS, there are required and optional experiences for the fellow to choose from.



EMS Requirements

  1. Complete the Base Hospital Physician Course and serve as a base hospital physician at CRMC, answering radio calls from our local EMS system as well as the National Parks (EM-trained physicians only)Develop an understanding of the local EMS system by participation in:
    • Monthly Central California EMS Agency (CCEMSA) meetings
    • Monthly Parkmedic meetings
    • Ride-alongs with local EMS ground or supervisor units
    • EMS dispatch experience
  2. Medical direction of a local marathon


Wilderness Medicine Requirements

  1. Attendance at and participation in monthly Wilderness Medicine meetings. These meetings provide an opportunity for the fellowship director and other wilderness medicine/EMS faculty to track the fellows’ progress and to encourage personal and professional development.
    Participation in the Parkmedic program (, which includes:
    • Writing protocols for the National Park Service EMS providers;
    • CQI for Sequoia and Kings Canyon National Parks;
    • Monthly CE sessions for Sequoia and Kings Canyon National Parks;
    • Online medical control for Sequoia and Kings Canyon National Parks;
    • Parkmedic education
  2. Participation in the wilderness medicine medical student elective in Yosemite (lectures and hands-on teaching)
  3. Participation in the UCSF-Fresno Wilderness Medicine Conference (conference planning, lectures, and small group teaching)
  4. Participation in the annual multicasualty incident (MCI) training in Sequoia and Kings Canyon National Parks
  5. Attendance at a national or international wilderness medicine conference
  6. Participation in education of residents, medical students, nurses, paramedics, Parkmedics, EMTs, and first responders


Optional Experiences

Many of these can be funded fully or partially through a departmental stipend for CME.


Academic Topics

The fellow is to use the year to develop or further his/her knowledge in the realm of wilderness medicine and EMS.  The fellow can use the above resources or develop their own plan to cover the following topic areas:



Scholarly Activity
A scholarly project is required for completion of the fellowship.  This can consist of research, case report, book chapter, etc. Although a traditional research project is not required, it is strongly encouraged as further study of the field of wilderness medicine and EMS is greatly needed. 

The Institution

CRMC is a 626-bed hospital that serves as the only Burn Center and Level 1 Trauma Center between Los Angeles and Sacramento.  The training programs at CRMC are affiliated with the University of California, San Francisco.  The 96-bed emergency department has approximately 120,000 visits per year and is the home of one of the oldest emergency medicine residencies in the nation.  The Emergency Medicine residency is a four-year, fully accredited program that has 10 residents per year.  There are a full range of other residency programs at CRMC, including Family and Community Medicine (; and many fellowships including pulmonary, critical care, cardiology, and GI.




Clinical Job Description



Requirements for Fellowship Application


The UCSF Fresno Wilderness Medicine Fellowship Program does not have a formal application.  Please e-mail the Program Director for application materials

Program Director- Megann Young, MD, Wilderness Medicine Fellowship
For information about our application requirements please see below.  For answers to specific questions, please contact:
Megann Young, MD

UCSF Fresno Emergency Medicine Residency Program
155 North Fresno Street
Fresno, CA 9370
Telephone:  559-499-6440
Web address:
UCSF Fresno Medical Education Program web address:
Application Requirements:  ( Program Specific Information)
Submit CV,  letter of intent, and 2-3 letters of recommendation including one from current program director.




Greg Richardson, MD
Clinical Instructor of Emergency Medicine
Undergraduate:  Marquette University
Medical School:  Chicago Medical School
EM Residency Training:  Presence Resurrection Medical Center



Fellowship Alumni



Brian Horan, DO
Current position – P.T. Faculty with UCSF Fresno


2009-2010, Susanne Spano, MD
Current position – UCSF Fresno Faculty


2011-2012, Ross Hooker, MD
Current Position, clinical instructor at the University of British Columbia


2011-2012, Megann Young, MD
Current Position – UCSF Fresno Faculty


2012-2013, Conal Roche, MD
Current Position, University of Cincinnati Faculty


2013-2014, Desiree Crane, DO

Current Position: Undecided


2014-2015, Ben Luck

Current Position: Undecided



Wilderness Medicine/Parkmedic/EMS Faculty

Janak Acharya, MD:  Clinical Instructor of Emergency Medicine; Medical Director American Ambulance and Skylife

Jim Andrews, MD, FACEP: Associate Clinical Professor of Emergency Medicine; CCEMSA and Merced EMSA Medical Director

Danielle Campagne, MD: Assistant Clinical Professor; Base Hospital Physician Medial Director and Parkmedic Faculty.

Rawnie Ruegner, MD: Assistant Clinical Professor of EM, UCSF

Marc Shalit, MD, FACEP, FAAEM: Clinical Professor of Emergency Medicine: Associate Medical Director CCEMSA

Susanne Spano, MD, FACEP, FAAEM: Assistant Clinical Professor of Emergency Medicine; Director of Wilderness Medicine Education

Geoff Stroh, MD: Associate Clinical Professor of Emergency Medicine; Assistant Medical Director CCEMSA; Medical Director Parkmedic Program

Lori Weichenthal, MD, FACEP:  Professor of Clinical Emergency Medicine; Associate Residency Director; Wilderness Medicine/EMS Associate Director

Megann Young, MD, Assistant Clinical Professor of Emergency Medicine, Program Director, WM/EMS Fellowship, Medical Advisor, Parkmedic Program