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While a medical student, Hawkins co-founded iris: the UNC journal of medicine, literature & visual art, a Medical Humanities journal still currently in production. Hawkins was a charter member of the American College of Emergency Physicians (ACEP) Medical Humanities Section, and established and currently serves as a judge for the annual ACEP Writers Award. He also served as Chair of this Section from 2019-2021. He authored the first structured analysis of emergency medicine creative writing in the journal Academic Emergency Medicine, introducing and exploring the concept of "emergency medicine narratives". He currently writes the "Words Matter" column in Emergency Medicine News. His poetry and prose has been published widely in emergency medicine journals and magazines. He also continues an active practice as an anthropologist and is a professional member of the American Anthropological Association as well as the Society for Applied Anthropology. He has a research and publication focus on the anthropology of pain, medical anthropology, and expeditionary anthropology.

In 2019 Hawkins received the Wilderness Medical Society Education Award and the Karl Rohnke Award from the Association for Experiential Education.

In 2018 he received the Dave Carter Leadership Award from the NC Search & Rescue Advisory Council, the Innovation in Medical Education Award from the Society for Academic Emergency Medicine, and the Outstanding Contribution Award from the Mountain Rescue Association. In that year Hawkins also became the first physician ever named a Master Fellow (MFAEG) of the Adventurers and Explorers Guild, a third-party certifier of an international multidisciplinary professional community of explorers, adventurers, and expeditioners. Hawkins was also named one of the Top 10 EMS Innovators of 2018 by the Journal of EMS (JEMS) for the publication of the textbook Wilderness EMS, the first multiauthor textbook specifically designed for healthcare professionals providing systematic health care in wilderness settings.

In 2017 he and Kentucky-based paramedic David Fifer founded and currently host the RAW (Remote, Austere, Wilderness) Medicine Podcast. He has lectured extensively on wilderness medicine topics and published widely in the EMS, emergency, and wilderness medicine literature.

He is the executive editor of the Wilderness Medical Society's Wilderness Medicine Magazine, co-author of Vertical Aid: Essential Wilderness Medicine for Climbers, Trekkers, and Mountaineers (W. W. Norton & Company, 2017), and is editor of the textbook Wilderness EMS (Wolters Kluwer, 2018).

While a medical student at the University of North Carolina at Chapel Hill School of Medicine, Hawkins and Jenny Graham co-founded Carolina Wilderness Medicine, one of the first wilderness medicine student interest groups in the country and one of his first actions as an organizational innovator. This student interest group is still active at UNC-Chapel Hill(www.med.unc.edu/wmig). Further organizational innovations included student-run southeastern wilderness medicine conferences—-the first of their kind in the southeast—held in 1998 and 2000 in Chapel Hill and initiated by Hawkins and Graham.

In 2014 the Appalachian Center for Wilderness Medicine awarded him its Mountain Laurel Award, their lifetime achievement award.

In 2013 he founded the Appalachian Mountain Rescue Team, the first Mountain Rescue Association-affiliated team in North Carolina, and currently serves as that team's Chief. He is also co-founder and co-owner of Vertical Medicine Resources, a climbing medicine company.

In 2013, Hawkins became the first physician ever named a Master Fellow (MFAWM) by the Academy of Wilderness Medicine.

Hawkins helped develop a distance-accessible baccalaureate wilderness EMS program while on the faculty at Western Carolina University. In 2011, continuing as an organizational innovator, he founded the Carolina Wilderness EMS Externship, a unique wilderness medicine rotation for medical students and residents specifically focused on wilderness EMS activities. He also serves as medical director of the North Carolina State Parks system and Western Piedmont Community College. On Earth Day 2012 he established the International Institute for Sustainability in Emergency Services (iiSES), which developed from the Green EMS Initiative, a multinational non-governmental organization dedicated to improving sustainability in EMS operations and workforce. He has field tested and published recommendations regarding use of hybrid vehicles in wilderness EMS response, which has been cited as the "future for a greener EMS".

In 2009 the Wilderness Medical Society presented Hawkins with the WMS-Ball Award, now known as the Ice Axe Award.

In 2008, Hawkins was named a "Hero of Emergency Medicine" by the American College of Emergency Physicians and "Yalie of the Week" by the Yale Alumni Magazine for his emergency medicine and wilderness EMS work.

In 2007, continuing as an organizational innovator, Hawkins founded the Appalachian Center for Wilderness Medicine, a regional wilderness medicine nonprofit organization. Hawkins has served as the medical director for the Burke EMS Special Operations Team, the first EMS-based wilderness rescue team in North Carolina, since 2008. This team serves the Linville Gorge Wilderness Area, the deepest gorge in the eastern United States, as well as South Mountains State Park, the largest state park in NC. In 2011, in conjunction with Drs. Michael Millin and Will Smith, he co-developed the Wilderness EMS Medical Director Course. This was the first such course to be jointly endorsed by the Wilderness Medical Society and the National Association of EMS Physicians. The Journal of EMS recognized Hawkins, along with Millin and Smith, as one of the Top 10 EMS Innovators of 2011 for the development of this course.

Hawkins has been a full-time clinical emergency physician since 2003. He was Chair and Medical Director of the Grace Hospital Emergency Department from 2010 to 2011, and currently works clinically at Catawba Valley Medical Center. He has served on the emergency medicine faculty at the University of North Carolina at Chapel Hill School of Medicine and Western Carolina University, and currently is an assistant professor of emergency medicine at Wake Forest University. He is a Fellow of the American Academy of Emergency Medicine, the American College of Emergency Physicians, the Academy of Emergency Medical Services, and is a diplomate of the American Board of Emergency Medicine, double boarded in both emergency medicine and EMS. He has also served as a medical officer on multiple United States National Disaster Medical System (NDMS) teams, currently serving on the NC-1 Disaster Medical Assistance Team and the federal Mobile Acute Care Strike Team.

Hawkins earned his Doctorate of Medicine from the University of North Carolina at Chapel Hill School of Medicine in 2000. He completed his medical training with a residency in Emergency Medicine at the University of Pittsburgh Affiliated Residency in Emergency Medicine, where he was recognized with the University of Pittsburgh Ron Stewart Excellence in Teaching Award in 2003.

Hawkins was born in the Finger Lakes Region of New York state and raised in Middletown, Connecticut. He graduated from Yale College where he earned a Bachelor of Arts in Anthropology. During that time he also earned Wilderness Emergency Medical Technician certification at Stonehearth Open Learning Opportunities in Conway, New Hampshire. He subsequently worked in Vermont and Colorado as a volunteer Emergency Medical Technician, ski instructor, and rafting guide before returning to Bryn Mawr College to complete his premedical training in 1994.

Seth Christopher Collings Hawkins (born 1971) is an American emergency physician, writer, anthropologist, and organizational innovator. He has made notable contributions to the fields of wilderness medicine, Emergency Medical Services (EMS), and medical humanities. His work has particularly specialized in EMS and wilderness medicine in the southeastern United States, where he is the founder of the Appalachian Center for Wilderness Medicine, the Appalachian Mountain Rescue Team, and the Carolina Wilderness EMS Externship.