This exciting new fellowship prepares EM physicians for a leadership role in prehospital care and disaster medicine. Ottawa has one of the largest, oldest, and most-advanced prehospital systems in Canada. This organization offers ample opportunity for learning the craft of EMS. Combined with the prehospital research strengths of the DEM and the disaster-preparedness efforts of the capital region, this fellowship provides a unique experiences. Training is one or two years, depending on participant goals.