Gain the Experience to Thrive in Your Career

This 14 month program prepares Physician Assistants and Nurse Practitioners for a rewarding career in the field of emergency medicine. The program focuses on clinical excellence, provider wellness and longevity, and the development of leadership qualities that will prepare graduates to be future leaders in their field. By emphasizing the team approach, the fellowship aims to create high-functioning members of the physician-led acute care team that provide exceptional emergency care for the Central Valley. Fellows will learn how to rapidly evaluate emergent and non-emergent patients, gain experience in procedures of emergency medicine, and appropriately disposition patients and interact with attending and consulting physicians.

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Kaweah Health Medical Center
Visalia, CA

Kaweah is a powerhouse teaching hospital and a recognized Trauma Center, Primary Stroke Center, and Comprehensive Cardiac Center. As a public hospital, the ED treats more than 90,000 patients each year from Tulare, Kings, and surrounding counties, making it one of the busiest EDs in California.

Kaweah embodies Vituity’s Culture of Caring. The providers are huge advocates for the underprivileged, and they started a Street Medicine Program in order to provide healthcare to the unsheltered population. They believe in a team approach, thus the Fellows work really closely with the physicians rather than having a segregated work flow.


During the Vituity EM AP Fellowship you’ll find that our passion for patient care is the most important part of the educational focus. We are committed to honing clinical expertise that leads to better service for our patients and promotes community health. The Fellowship curriculum is structured on the American College of Graduate Medical Education and the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) Standards for Clinical Postgraduate PA Programs.

The clinical practicum focuses on hands-on training. Rotations include 48 weeks in emergency medicine, with emergency ultrasound. During the EM rotations, Fellows are closely supervised by a physician assistant as well as board-certified or board-eligible emergency physicians who are certified by the ABEM and/or the AOBEM. Fellows rotate through in-house, hospital-based and ED-based specialties, including: critical care/ICU, trauma/surgery, hospitalist medicine/RRT, OB/GYN, pediatrics, anesthesia, ultrasound, EMS/Admin, psychiatry

The didactic segment of the fellowship includes five hours each week of formal training and discussion encouraging feedback and interaction from all fellows. This portion of the training includes:

  • Procedure workshops: hands-on training in a variety of procedures
  • Case presentations: interesting patient cases selected by the PA
  • Morbidity and Mortality Conference (M&M): interesting and pedagogical cases are reviewed and discussed in a confidential forum
  • Grand Round Conference: fascinating cases are presented by each EM AP fellow, including a lecture of the disease process identified and treatment rendered
  • Leadership role as appointed Chief Fellow

Program Leader

Philip Hehn, PA-C
AP Fellowship Program Director


Kaweah’s Fellowhip accepts both PAs and NPs. A fellow must be a graduate of an accredited program. Eligible for and/or possess current CA Medical Board Licensure (eligable candidates must be fully licensed by the start of the program). Eligeable for and/or possess current DEA licensure (elligable candidates must be fully licensed by the start of the program). Previous EMS/ED work experience and having previously rotated here as a student are highly desirable applicants, but not required.