Orange County EMS System/Orlando Regional Medical Center

ACGME Accredited Since 2012

EMS Physician Fellowship The EMS System:

The Orange County EMS System is comprised of 8 ALS EMS agencies that participate in centralized medical direction. All together these agencies include approximately 2100 EMTs and paramedics, and respond to over 200,000 EMS calls per year.
The community served by the OCEMS System consists of approximately 1,200,000 permanent residents, and 60,000,000 annual visitors. Areas of interest include a busy international airport, several of the world’s largest theme parks, and several collegiate and professional athletic stadiums.

The service delivery models represented within the system include seven fire-based agencies, and one private ambulance provider. The system aero-medical program providing scene responses is operated by Orlando Regional Medical Center.

Medical Direction:

System-wide medical direction is provided by the Orange County EMS Office of the Medical Director (OMD). Dr. Ralls and Dr. Hunter are full-time EMS physicians that oversee the day-to-day activities of the EMS office. In addition, Dr. Silvestri and Dr. Mascoe provide additional physician oversight of the system. The OMD also oversees the OCEMS On-line Medical Control base station.

The EMS Fellowship Faculty:

  • George Ralls, M.D., FACEP
  • Salvatore Silvestri, M.D., FACEP
  • Christopher Hunter, M.D., Ph.D.

Fellowship Activities:

The EMS Fellow functions as an Assistant Medical Director. Given sufficient time to accommodate, the Fellow is expected to perform the following duties:

  • Provide assistance to the EMS Medical Directors in the areas of education, research, system development and quality improvement.
  • Develop educational programs for EMS providers to help meet re-certification requirements.
  • Respond to scenes and participate in the pre-hospital medical care of patients.
  • Attend and/or carry out confidential case reviews and maintain confidential records as part of a quality improvement program.
  • Participate in ongoing research projects or develop and complete individual scholarly projects.
  • Participate in the education of EM residents during their EMS rotation.
  • Patriciate in disaster planning and exercises.
  • Respond to large-scale disasters as part of the Central 
  • Participate in disaster planning and exercises. 
  • Respond to large-scale disasters as part of the Central Florida Urban Search and Rescue team.

The “EMS Physician Fellow” is a fully funded, full-time employment position with Orange County Government. Clinical hours are not a component of the fellowship; clinical work is available in a variety of venues in Central Florida. Clinical hours should be limited to no more than 60 per month. Fellowship graduates will be prepared for careers in operational EMS medical direction, as well as academics.

Application Process:

Interested candidates should email a CV to beginning March 1st through October 15th. Only a selection of the applicants will be invited for an interview. Interviews will be scheduled from November 1st until January 1st. A final selection will be made by February 15th. Time line is based on traditional academic year.