Emergency Medical Services

We are the affiliate hospital for Boston EMS, which provides pre-hospital 911-response emergency care for the more than 600,000 nighttime and 1.2 million daytime residents of and visitors to Boston. More than 300 emergency medical technicians and paramedics of Boston EMS respond to approximately 100,000 calls and transport 65,000 patients each year. The low paramedic to population ratio ensures significant experience for each individual paramedic allowing the practice of highly sophisticated procedures such as rapid sequence intubation and STEMI triage and recognition. Boston EMS is also responsible for staffing and maintenance of the medical dispatch for the City of Boston 911 call center. In addition, Boston EMS is responsible for providing medical support and training exercises in emergency preparedness in conjunction with the Boston Public Health Commission.

Aeromedical EMS in the Boston area is provided by Boston MedFlight, a non-profit, aeromedical program, offering prehospital and interhospital critical care services by ground, fixed wing, and rotorwing, and is staffed by flight paramedics and flight nurses.

The Boston EMS Headquarters is located at Boston Medical Center. Because BMC is their affiliate hospital, Boston EMS receives medical control from Boston Medical Center ED physicians through on-line radio communication 24 hours a day. In fact, our PGY-3 and PGY-4 residents provide on-line medical control for all 911 calls in the City of Boston!


To apply for the EMS Medicine fellowship program, please submit the following application via email to Sophia Dyer, MD, FACEP, Medical Director, Boston EMS and Program Director, EMS Fellowship (Dyer@bostonems.org).

A cover letter and current Curriculum Vitae (CV).

Three letters of recommendation (one from residency program director or associate/assistant program director and one from EMS section faculty).

All application paperwork must be received by SEPTEMBER 1 to be considered complete.  We participate in the NRMP match for EMS Fellowship programs.

Fellowship Applicant Prerequisites:

  • Graduate of an ACGME-accredited U.S. Emergency Medicine Residency, BE/BC in Emergency Medicine.
  • Qualified to work as an attending physician at the West Roxbury VA Medical Center.  This includes registration with Selective Service (if applicable).
  • Must obtain a full and unrestricted Massachusetts medical license and DEA license prior to fellowship start.

To learn more about our accredited fellowship in EMS Medicine, click here.

EMS Track 

The EMS Track for our residents is a structured pathway for residents with an interest in all areas of pre-hospital medicine. This includes wilderness medicine, event medicine, tactical medicine, disaster medicine, and medical directorship to name a few. Like all the residency tracks, this provides a community for mentoring and an added educational focus within residency.

Resident Involvement

Resident and faculty volunteers before 2013 Marathon

Resident and faculty volunteers before the 2013 Marathon

PGY-2 residents participate in a one month rotation in which they:

  • Ride along with paramedics and EMTs on call
  • Tour and observe the Boston 911 Dispatch Center (“The Turret”)
  • Gain certification in Incident Command Systems (ICS) and Mass Casualty Incident (MCI) Triage
  • Participate in education during physician rounds and lectures for recruits, paramedics, and EMTs
  • Gain awareness of administrative and operational duties of an EMS physician
  • Pass an Advanced Life Support Medical Control Physician Credentialing Examination
  • Option to participate in MedFlight helicopter response
  • Option to participate in regional Urban Search And Rescue (USAR) exercises.

PGY-3 and PGY-4 residents provide on-line medical control for all 911 calls in the City of Boston!

Residents of all levels are welcome to participate in research projects at Boston EMS and special operation events including the Boston Marathon, 4th of July on the Esplanade, and the Boston First Night celebration.

Faculty Leadership