Emergency Medical Services Fellowship

About the Program

EMS certification

The University of Iowa Emergency Medical Services (EMS) Fellowship is an ACGME-accredited program that trains one fellow per year in a multi-disciplinary format with interaction with a variety of agencies. During the fellowship year, the trainee will have dedicated clinical field time to include air and ground medical transport, SWAT medical support, didactic education, reading program, research education and dedicated research time, quality improvement activities as well as participation in event medicine. The fellowship provides support to attend the NAEMSP Medical Director's Course and national conference, the Emergency Medical Services Clinical Practice and Systems Oversight textbook and appropriate duty attire. The fellow will attend an Emergency Vehicle Operation Course (EVOC) and an Emergency Medical Dispatch (EMD) course.

Our Mission & Vision

Our mission is to innovate the practice of pre-hospital medicine by providing cutting-edge clinical care, educating the next generation of EMS physicians and discovering new ways to advance our science.

Our vision is to produce EMS physician leaders who will make a difference in the lives of the sick and injured.

In addition to the expertise provided by the participating agencies, the fellow has access to a wide array of medical experts within the Department of Emergency Medicine to include faculty trained in medical toxicology, disaster medicine, pediatric emergency medicine, education and simulation, global medicine, critical care medicine, ultrasound, palliative care, and sports medicine.

University of Iowa Hospitals & Clinics offers a competitive house staff salary and benefits package. The EMS Fellow will also have the opportunity to practice Emergency Medicine as an attending physician and will be compensated at an attending physician’s rate for their emergency department work.

PDF iconEMS Fellowship Brochure


EMS crew on the Kinnick Stadium football field sideline


The EMS Fellow will enjoy a wide variety of weekly didactic experiences to include standard lectures, dynamic lectures in the field, run reviews/morbidity and mortality conferences, simulation scenarios, administrative seminars and educational workshops to include formal process improvement training. The topics of instruction have carefully been chosen to emphasize and amplify key topics in EMS as well as expose the fellow to topics that may not be covered in the mainstream educational avenues. Content experts will teach and participate in the sessions which promise to be highly informative, interactive and high yield.

Reading Program/Journal Club

The textbook Emergency Medical Services Clinical Practice and Systems Oversight is required reading in the fellowship program and is a component of the overall compulsory reading program. In addition to the textbook, the fellow will review key position statements, government regulatory documents as well as read published research manuscripts on a weekly basis for discussion with the fellowship faculty. An EMS-focused Journal Club will occur on a quarterly basis where the fellow will discuss pertinent and timely EMS journal articles.


A formal research project that leads to an abstract and manuscript submission is a required component of the EMS Fellowship. The fellow will receive research-focused lectures on a monthly basis provided by members of the Emergency Medicine Research Group, mentorship from the EMS Fellowship Program Director, the Vice Chair for Research, the Director of Research Operations and guidance from the departmental research committee. Support will be provided as funds allow for the fellow to present their research during the fellowship.

Participating Agencies

Cedar Rapids fire department truck


University of Iowa AirCare and Air and Mobile Critical Care provides emergency and critical care transport on behalf of University of Iowa Hospitals & Clinics. The transport program provides out-of-hospital care to adult and pediatric patients for all presenting emergencies to include airway, neurological, cardiac, pulmonary, OB, trauma as well as critically ill neonates and children. The fellow will serve as a transport physician on rotor aircraft and ground critical care transports. Also, the fellow will assist in crew education, quality management, and protocol development and revision.

Area Ambulance

Area Ambulance Service is the regional EMS provider for Cedar Rapids, Marion and 15 surrounding communities in Iowa. Covering 250 square miles, Area Ambulance Service responds to over 16,000 calls for service each year. The fellow will spend time responding to 911 calls as well as participating in the inter-facility transport of critically ill patients. Part of the time will be spent in an ambulance and part of the time will be spent in a supervisor vehicle responding preferentially to high intensity calls. The fellow will participate in all medical director activities to include education, chart reviews, protocol development, quality improvement and community outreach.

Cedar Rapids Fire Department

The Cedar Rapids Fire Department’s (CRFD) EMS division works in conjunction with Area Ambulance Service to provide a quick response to the community that it serves. With a response time under four minutes to most parts of the city, fire crews can provide lifesaving interventions before an ambulance arrives. CRFD provides Advanced Life Support. CRFD’s ALS companies can administer lifesaving drugs, provide cardiac pacing, and provide advanced airway management. The fellow will spend time responding to 911 calls. Some of the time will be spent on a fire apparatus and some of the time will be spent in a supervisor vehicle responding preferentially to high intensity calls. The fellow will participate in all medical director activities to include education, chart reviews, protocol development, quality improvement and community outreach.

EMS Learning Resources Center (EMSLRC)

The EMSLRC, which offered the Iowa's first paramedic training program, has been in existence for over thirty years. The EMSLRC offers emergency medical technician (EMT) and paramedic classes. The center is also active in the education of University of Iowa faculty, staff, residents, and students. The center also provides the following instructional courses:

  • Advanced Cardiac Life Support (ACLS)
  • Advanced Medical Life Support (AMLS)
  • Advanced Trauma Life Support (ATLS)
  • Basic Life Support (BLS)
  • Critical Care Paramedic (CCP)
  • Emergency Nursing Pediatric Course (ENPC)
  • Geriatric Education for EMS (GEMS)
  • Neonatal Resuscitation Program (NRP)
  • Pediatric Advanced Life Support (PALS)
  • Pediatric Education for Prehospital Professionals (PEPP)
  • Pre-Hospital Trauma Life Support (PHTLS)
  • Trauma Nursing Core Course (TNCC)

The fellow will be an engaged educator in the EMSLRC and gain a full understanding of EMS education as well as the responsibilities of an EMS education medical director.

Event Medicine

Working with the University of Iowa Department of Athletics, the fellow will learn the principles of event medicine by providing and helping oversee medical coverage for events held at Kinnick Stadium and Carver Hawkeye Arena. Activities that will require medical coverage include football, basketball, wrestling as well various concerts and special events.

Iowa Department of Public Health - Bureau of EMS

The fellow will gain an understanding of EMS administration and bureaucracy at the state and regional level by interacting with the state Bureau of EMS. Through a series of meetings and educational opportunities to include attendance at EMS Day on the Hill and the Iowa EMS Association (IEMSA) Conference, the fellow will be well-connected and mentored beyond the immediate confines of the fellowship.

Johnson County Ambulance Service

Johnson County Ambulance Service (JCAS) provides exclusive EMS response to Johnson County and some of the surrounding communities. Services are provided to over 142,000 residents in a response area of close to 623 square miles. In addition, JCAS collaborates with the University of Iowa Department of Athletics by providing medical coverage at football, basketball, wrestling and other events. The fellow will spend time responding to 911 calls as well as participating in the inter-facility transport of critically ill patients. Some of the time will be spent in an ambulance and some of the time will be spent in a supervisor vehicle responding preferentially to high intensity calls. The fellow will participate in all medical director activities to include education, chart reviews, protocol development, quality improvement and community outreach.

Joint Emergency Communications Center

The Joint Emergency Communications Center of Johnson County (JECC) is the clearing house for all 911 calls and all other emergency communications for Johnson County. The JECC serves the public 24 hours a day, 7 days a week, and 365 days a year with specially trained dispatchers to answer all emergency calls for assistance. These operators receive and/or transmit emergency telephone, radio, alarm, and other types of data over multiple computer systems, then analyze it in a timely manner for the purpose of relaying the information between citizens and first responders during emergencies in order to preserve life and property. The fellow will learn about emergency communications including EMD, the concept of the PSAP as well as the role of the communications center in the broader span of EMS.

Johnson County Sheriff's Office

The Sheriff & Deputies are the police force for residents of the unincorporated areas of the county, and provide contracted law enforcement for the cities of Lone Tree, Hills, Solon, Shueyville, Swisher, Tiffin and Oxford. The Sheriff's Office handles all routine and emergency calls for these areas, and regularly patrols all areas of the county. They also provide security at special events in the county. The Sheriff's Office also conducts Special Operations and the fellow will be involved as medical standby (working with Johnson County Ambulance Service) to provide EMS care to officers and other peoples at the scene. The fellow will gain education regarding tactical EMS. The fellow will meet with deputies to learn about ballistics, firearms safety and will participate at the firing range under the supervision of the Sheriff's Office. Finally, the fellow will learn about tactical approaches and situations faced by the deputies to gain a better understanding of their working environment.

Keokuk County Ambulance Service

Keokuk County Ambulance Service is located in rural Sigourney, Iowa. The fellow will experience rural EMS at this location, and will spend time responding to 911 calls as well as participating in the inter-facility transport of critically ill patients. The fellow will learn about rural EMS challenges including farm accidents, grain bin rescue, long transport times and limited resources. The fellow will interact with rural volunteer services and understand the delivery systems of these types of services. Finally, the fellow will participate in all medical director activities to include education, chart reviews, protocol development, quality improvement and community outreach.

University of Iowa Hospitals & Clinics Disaster Management

The fellow will be required to complete FEMA training 100, 200, 230, 700, and 800, participate in UI Hospitals & Clinics HazMat Operation Training Course, attend UI Hospitals & Clinics Disaster Management Committee meetings and participate in all disaster drills.

How to Apply

Emergency Medical Services Fellowship Application Requirements

Applications will be accepted on a rolling basis and due two weeks prior to interview dates.

Interview dates:

  • Sept. 1, 2022 (virtual or in person options)
  • Oct. 6, 2022 (virtual or in person options)

Your application must include:

  • Cover letter indicating:
    • Your interest in pursuing an EMS Fellowship
    • Any additional relevant information regarding your EM residency-related EMS experience and other past EMS experiences
    • What career goals you hope to accomplish with an EMS Fellowship
  • Curriculum vitae
  • Letter from the program director of your ACGME – accredited residency in Emergency Medicine indicating program completion or good standing in progress toward completion.
  • Three letters of recommendation from residency faculty, with at least one from a practicing EMS physician.

This fellowship only accepts graduates of an ACGME-accredited Emergency Medicine Residency.

International candidates are welcome to apply; however, this program does not sponsor visas.

Submit your application by mail directly to our program coordinator:

University of Iowa EMS Fellowship
Attn: Kelby Kiefer
200 Hawkins Dr. 1008 RCP
Iowa City, IA 52242

Or you may submit electronically at ems-fellowship@uiowa.edu

Candidates are responsible for travel and lodging arrangements and expenses to attend in person interviews.

This fellowship participates in the NRMP Match for application. Please review the NRMP website for details and deadlines.

Our People

Portrait of Azeem Ahmed

Azeemuddin Ahmed, MD, MBA 
Clinical Professor of Emergency Medicine
EMS Fellowship Program Director

Pete Georgakakos portrait

Peter Georgakakos, DO 
Clinical Assistant Professor of Emergency Medicine
Medical Director, Johnson County Ambulance Service
Medical Director, EMS Learning Resources Center

Sven Steen portrait

Sven Steen, MD
Clinical Assistant Professor of Emergency Medicine
Medical Director, University of Iowa AirCare
Medical Director, Keokuk County Ambulance Service

Kelby Kiefer
EMS Fellowship Program Coordinator
Phone: 319-384-6468
Fax: 319-356-1138

Katie Schneider, portrait

Katie Schneider, MSN, RN
Clinical Coordinator

Current Fellow

James Hart, MD

James Hart, portrait

Hometown: Princeton, Mo.
Undergraduate: University of Missouri College of Agriculture, Food and Natural Resources, Columbia, Mo.
Medical School: University of Missouri School of Medicine, Columbia, Mo.
Residency: Southern Illinois University School of Medicine, Springfield, Ill.

Program Alumni

Alex Colgan, portrait

Alexander Colgan, MD
Wyoming Medical Center
Casper, Wyo.

Shaila Coffey, portrait

Shaila Coffey, MD
University of Nebraska Medical Center
Omaha, Neb.

Pete Georgakakos Portrait

Peter Georgakakos, DO 
University of Iowa Hospitals & Clinics
Iowa City, Iowa

Fellowship Educators

EMS instructor in a teaching


  • Diane Lamb, RN, MSN, Nurse Manager
  • Missy Kiger-Bell, RN, BSN, Assistant Nurse Manager
  • Sven Steen, MD, Medical Director

Area Ambulance

  • Keith Rippy, Chief Executive Officer
  • Jennifer Peden, Vice President
  • Joshua Pruitt, MD, Medical Director
  • Amber Herboldsheimer, CQI Education Manager

Cedar Rapids Fire Department

  • Joshua Pruitt, MD, Medical Director
  • Jason Andrews, Battalion Chief, EMS Program Manager
  • Andy Olesen, Assistant Fire Chief

Emergency Medicine Research

  • Nick Mohr, MD, MS, Vice Chair for Research
  • Kari Harland, PhD, MPH, Assistant Professor
  • Brett Faine, PharmD, MS, Director of Research Operations

EMS Learning Resources Center (EMSLRC)

  • Paul Ganss, Director
  • Peter Georgakakos, DO, Medical Director

Iowa Department of Public Health - Bureau of EMS

  • Azeemuddin Ahmed, MD,MBA, Medical Director
  • Rebecca Curtiss, EMS Bureau Chief

Johnson County Ambulance Service

  • Fiona Johnson, Director
  • Pete Georgakakos, DO, Medical Director
  • Alisia Meader, Education Supervisor

Joint Emergency Communications Center

  • Todd Evans
  • Tom Jones

Johnson County Sheriff's Office

  • Chris Wisman, SERT Commander

Keokuk County Ambulance Service

  • Sven Steen, MD, Medical Director
  • Casey Thompson, Director

UIHC Disaster Management

  • Jonathan Simmons, DO
  • Carlyn Christensen-Szalanski, MD

Department Faculty

Department Leadership


Advanced Practice Providers

  • Jeremy Nelson, PA-C
  • Amber Sheeley, PA-C
  • Amy Vahrenwald, ARNP
  • Dave Walz, PA-C
  • Michelle Whaylen, PA-C

Additional Faculty and Professional Support

  • Gerene Denning, PhD, Research Scientist
  • Brett Faine, PharmD, Emergency Medicine Pharmacy Residency Director
  • Kari Harland, MPH, PhD, Director of Research Operations
  • Stacey Rewitzer, PharmD, Emergency Medicine Pharmacy Residency Coordinator

Secondary Appointment in Emergency Medicine