Abstract
There is general agreement that residents in the field of emergency medicine require extensive training in emergency medical services ( EMS ). This paper outlines a comprehensive four-year training program in EMS that has been integrated into the emergency medicine residency curriculum of the University of Cincinnati since 1985 . The EMS program is comprehensive and makes it possible for the level and type of EMS activities that are provided to match the evolving expertise of the resident . The program provides a significant amount of practical training in ground and aeromedical transport , in disaster work , in telemetry communications , and in other areas . Evaluation of the program is at an early stage but informal reports are strongly positive .

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