The mission of the Prisma Health Midlands Department of Emergency Medicine EMS Fellowship is to develop highly motivated emergency medicine physicians into educators and leaders in the field of pre-hospital medicine and medical direction.  The program allows fellows to train with core faculty who are nationally recognized leaders in EMS and have years of experience in medical direction of both ground and air medical programs.  The EMS fellow will be an integral component in the pre-hospital setting from both a ground and air standpoint. 


  • PRISMA HEALTH RICHLAND The hospital of Prisma Health Richland is a meticulously landscaped and maintained facility that lies on a large hospital campus near downtown Columbia. The main tower holds 650 beds including the critical care units. Ten buildings on campus contain the offices of private physicians, the Prisma Health Midlands Residency Programs, the Simulation Medicine Center, and Graduate Medical Education. In addition, the campus is home to Richland Springs, a behavioral health facility, Columbia Area Mental Health Clinic, HealthSouth Rehabilitation Hospital, and a Ronald McDonald House.

  • RICHLAND COUNTY EMS: 30 EMS Ground units transporting over 60,000 patients each year to one of four hospitals in the Columbia metropolitan area and numerous rural locations.
  • 175 EMS personnel
  • Two motorcycles and eight Supervisor "Quick Response Vehicles"
  • Rescue boat to facilitate water rescues on Lake Murray, a 75 square mile body of water a few miles from Columbia with over 600 miles of shoreline.
  • 4-wheel ATV to assist with remote wilderness rescue.
  • LIFENET AEROMEDICAL EMS:  Four rotary-wing aircraft serving South Carolina.
  • Independent command center responsible for communication and logistics of EMS, Fire, and Police within the metropolitan area.
  • Use of a personal EMS Quick Response Vehicle fully equipped with cardiac monitor, airway equipment, and supplies needed to respond to any emergency.
  • Tactical EMS team, a component of the Richland County Sheriff's Office and the South Carolina Law Enforcement Division (SLED)
  • Wilderness Medicine rotation (Spring of each year).  Opportunity to train and instruct in unique wilderness scenarios.
  • Opportunities for travel with national and international leaders in pre-hospital medicine.




The fellowship will be twelve months in length. The start date is negotiable, but will typically begin on or about 1 July of each year. 


All applicants must have graduated from an ACGME accredited emergency medicine residency and be board-certified or board-eligible with the American Board of Emergency Medicine or the American Osteopathic Board of Emergency Medicine. In addition, the applicant must qualify for South Carolina Medical Licensure. Applicants must complete an application and submit three letters of recommendation for training. One of these letters must be from the applicant’s residency program director. Applicants are not required to have prior experience with EMS, but previous experience will be considered in the selection process.

Fellowship applications will be accepted after September 1 of the year preceding the year of training. An interview is required prior to selection for training. Selection for training is determined by the emergency department faculty. 


Upon completion of training, the fellow will receive a certificate of fellowship training from Palmetto Health Richland and the University of South Carolina.



Spencer Robinson, DO  Program Director

Medical School: Kentucky College of Osteopathic Medicine

Residency Training:  Prisma Health Midlands, Class of 2012

Fellowship: Prisma Health Midlands, Class fo 2013

Dr. Robinson joined the faculty after graduating from the EMS fellowship at Prisma Health Midlands. He is the medical director for Kershaw County EMS and Air Care Aeromedical EMS.  He is also the associate medical director for Richland County EMS.  Dr. Robinson is the associate program director for the EMS Fellowship Program. 

He lives with his family in Columbia.

Steve Shelton, MD

Year of appointment: 1991
EM Residency: Prisma Health Midlands,
Class of 1994
Medical School:East Carolina University, Class of 1991


Dr. Shelton is the medical director for Emergency Disaster & Management for Prisma Health Midlands and the Tactical Medical Officer for the Special Response Team of the Richland County Sheriff's office.

Gainey, Chris

Chris Gainey, MD 

Simulation Fellowship Director

EM Residency: Prisma Health Midlands, Class of 2015

Medical School: University of South Carolina, Class of 2012

Fellowships: EMS and Simulation Medicine, Prisma Health Midlands, 2015-2017

Dr. Gainey is a native of South Carolina.  He received his undergraduate and medical degrees from the University of South Carolina.

He trained in emergency medicine at Palmetto Health Richland.

After residency, he completed fellowships in both Simulation Medicine- Faculty Development and EMS simultaneously.

Dr. Gainey is the medical director for the Prisma Health - USC School of Medicine Simulation Center. He is also the director of the Simulation Medicine Fellowship.

In 2019, Dr. Gainey assumed the role of Director of Medical Student Education and serves as the clerkship director for our M-3 and M-4 EM, Peds EM, and Sim-EM rotations.

Class of 2022


Lee Turner, MD
Medical School: University of South Carolina in Columbia

Residency Training:  Prisma Health Midlands, Class of 2021

Dr. Turner was involved with EMS as an undergrad at the Clemson University. He graduated from medical school at USC in Columbia and trained in emergency medicine at Prisma Health Midlands.


Class of 2021


Garrett Snyder, DO
Medical School: LECOM Pennsylvania

Residency Training:  Prisma Health Midlands, Class of 2020

Dr. Snyder received his medical degree from Lake Erie College of Osteopathic Medicine in 2018. He has worked extensively in EMS since high school including several years as a paramedic. He completed training in emergency medicine at Prisma Health Midlands.

He is very active in research.


Class of 2020


Dustin Washburn, MD
Medical School: East Carolina University

Residency Training:  Prisma Health Midlands, Class of 2019

Dr. Washburn received his medical degree from East Carolina University. He has been interested in EMS since high school and extensively participated in EMS education prior to entering the fellowship.


Class of 2019


Derek Swartzentruber, MD
Medical School: Medical University of South Carolina

Residency Training:  University of Virginia, Class of 2018

Dr. Swartzentruber received his medical degree from the Medical University of South Carolina and trained in emergency medicine at the University of Virginia.

After fellowship, he accepted a position with the emergency department at Prisma Health Greenville.

Class of 2018


Jared Stone, MD
Medical School: Wake Forest University

Residency Training:  Prisma Health Midlands, Class of 2017

Dr. Stone received his undergraduate degree from the University of South Carolina and return to Columbia for residency training. He has been interested in EMS since high school and extensively participated in  EMS education prior to entering the fellowship.

He lives with his family in Columbia.

Class of 2017    

Chris Gainey, MD

EM Residency: Prisma Health Midlands class of 2015

Medical School: University of South Carolina

Dr. Gainey is a native South Carolinian born in Florence, SC. He received both his undergraduate and medical degrees from the University of South Carolina.

He is the director for the Simulation Medicine Center at Prisma Health Midlands.




  • Fellows work in the emergency department in the role of an attending physician.
  • The clinical workload is 64 hours per month (approximately eight shifts per month).
  • Medical Direction of Multiple EMS Agencies including Urban 911 Service.  
  • Medical Direction for Columbia/Richland Fire Department first responder program which encompasses 32 Fire Stations throughout Richland County.   
  • Air Medical Program with rotor-wing aircraft.  Provide medical direction to multiple rotor-wing aircraft, attend monthly safety and operational command meetings, and fly as an additional crew member.
  • Tactical EMS with the State Law Enforcement Agency and Richland County Sheriff’s Office.
  • Mass Casualty and Disaster Medicine Opportunities.  Provide stadium coverage for NCAA Southeastern Conference University of South Carolina athletic events.
  • National Park Medical Advisory Role