Emergency Medical Services (EMS) Fellowship


Lifeline helicopter and ambulance

The goal of the Emergency Medical Services (EMS) fellowship is to prepare highly qualified and motivated academic emergency physicians for leadership and medical oversight of pre- and out-of-hospital emergency care systems with advanced competencies in EMS system design, administration, and clinical care.

Program Description

The main components of this fellowship include:

  1. Focused training in fundamental tenets of pre-hospital emergency care
  2. Mentorship in the medical direction of EMS systems
  3. Direct-field experience with local, state and federal EMS programs
  4. Progressively graded medical control responsibilities for complex EMS systems with acquired proficiencies in fire-based, inter-facility, commercial, air medical and tactical medicine services.
HC fire

Special areas of focus include:

  1. Education and training of EMS providers
  2. Continuous quality improvement of EMS
  3. Administrative and developmental aspects of EMS programs
  4. Research and scholarly activity in the field of EMS


Delivered by our experienced core faculty and supplemented by other experts from around the country, the curriculum provides a comprehensive overview of EMS medicine based on the American Board of Emergency Medicine’s EMS Core Content. Also included is frequent journal club discussion.


person with a beard in a hard hat and bright emergency outfit

The fellow’s comprehensive training will occur through exposure to multiple types of EMS systems, including:

  • Howard County Department of Fire and Rescue Services: Longitudinal experience throughout the fellowship to a fire-based EMS system
  • Johns Hopkins Lifeline Critical Care Transport Program: Ground and air transport of critically ill and injured patients
  • Maryland State Police, Aviation Command: Scene transport of critically injured patients within a regionalized trauma system
  • Maryland Institute for Emergency Medical Services Systems: Oversight and coordination of all components of a statewide EMS system
  • Special Operations: Exposure to federal, state and local agencies, including the U.S. Secret Service, Maryland State Police Tactical Medical Unit and Howard County Police Tactical Unit
Air Force One

Academic Requirements

Fellows must successfully achieve all established educational milestones as delineated by the fellowship program.

Fellows will be expected to complete a publishable research project under the guidance of a designated fellowship faculty mentor.


  1. Successful completion of an ACGME-accredited residency program in Emergency Medicine
  2. Ability to pass a criminal background check commensurate with institutional hiring policies
  3. Psychomotor skills necessary to function in pre- and out-of-hospital environments

Program Length: 1 year

Start Date: July 1

How to Apply

Interested applicants, please email the following to Dr. Asa Margolis, Program Director, at [email protected]:

  1. Curriculum vitae (C.V.)
  2. Three letters of recommendation with at least one from an EMS faculty member and one from the chair of the department
  3. Personal statement discussing interest in EMS and current career goals

Fellowship Faculty

Asa Margolis

Asa Margolis, D.O., M.P.H., M.S.

Program Director, EMS Fellowship
Assistant Professor, Division of Special Operations, Department of Emergency Medicine
[email protected]

Asa Margolis is an experienced pre-hospital provider, working previously for a career fire service. After completing a residency in emergency medicine at the Johns Hopkins University School of Medicine in 2014, Margolis stayed to further his development as an emergency medical services (EMS) physician and medical director by completing the EMS fellowship. He currently serves as the medical director of the Johns Hopkins Lifeline critical care transport program, associate medical director of the Howard County Department of Fire and Rescue Services and the associate medical director of the United States Secret Service.

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Matthew Levy

Matthew Levy, D.O., M.Sc., F.A.C.E.P., F.A.E.M.S., N.R.P.

Associate Professor, Division of Special Operations, Department of Emergency Medicine
Associate Program Director, EMS Fellowship
[email protected]

Matthew Levy completed a residency in emergency medicine at The Johns Hopkins Hospital, where he also served as chief resident. Levy is an associate professor of emergency medicine at the Johns Hopkins University School of Medicine, the associate medical director of the Johns Hopkins Lifeline, the medical director of the Howard County Department of Fire and Rescue Services, and a deputy commander with the Maryland-1 Disaster Medical Assistance Team.

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Nelson Tang

Nelson Tang, M.D., F.A.C.E.P.

Vice Chair for Operational Medicine
Associate Professor, Division of Special Operations, Department of Emergency Medicine
[email protected]

Nelson Tang has extensive emergency medical services experience and is the executive medical director for Johns Hopkins Lifeline. He is a medical director for multiple federal agencies, including the United States Secret Service, United States Marshals Service, Department of Homeland Security Immigration and Customs Enforcement, and the Bureau of Alcohol, Tobacco, Firearms and Explosives.

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