Raven EMS Education Program Manual
Sub-Section 3.42.428 - Medical Director

The purpose of the EMS education medical director is to fulfill responsibilities specified in CoAEMSP accreditation standard III.B.2.a and meet qualifications specified in CoAEMSP accreditation standard III.B.2.b.

Medical Director Responsibilities

These responsibilities are based on CoAEMSP Accreditation Standard II.B.2.a. The medical director must be responsible for medical oversight of the program and must (CoAEMSP, 2023):

• Review and approve the educational content of the program‘s curriculum for appropriateness, medical accuracy, and reflection of current evidence-informed pre-hospital or emergency care practices.
• Review and approve the required minimum numbers for each of the required patient contacts and procedures.
• Review and approve the instruments and processes used to evaluate students in didactic, laboratory, clinical, and field internship.
• Review the progress of each student throughout the program, and assist in the determination of appropriate corrective measures, when necessary. Corrective measures should occur in the cases of adverse outcomes, failing academic performance, and disciplinary action.
• Ensure the competence of each graduate of the programs in the cognitive, psychomotor, and affective domains.
• Engage in cooperative involvement with the program director.
• Ensure the effectiveness and quality of any medical director responsibilities delegated to another qualified physician.
• Ensure educational interaction of physicians with students. The medical director’s interaction should be in a variety of settings, such as lecture, laboratory, clinical, and field internship. Interaction may be by synchronous electronic methods.

These responsibilities are based on the NAEMT PHTLS Instructor’s Manual. The course medical director has the following responsibilities (NAEMT, 2018):

• The course medical director will be available, on site or by telephone, to the course coordinator to address medical questions that may arise in the progress of the course.
• Ideally, the course medical director should actively participate in the course by lecturing, presenting skill stations, or evaluating students.
• The course medical director will advise the national, regional, or state coordinator of any problems with courses or instructors in writing in a timely manner.

Medical Director Qualifications

These qualifications are based on CoAEMSP Accreditation Standard II.B.2.b. The Medical Director must:

• Be a physician currently licensed and authorized to practice in the location of the program, with experience and current knowledge of emergency care of acutely ill and injured patients.
• Have adequate training and experience in the delivery of out-of-hospital emergency care, including the proper care and transport of patients, medical direction, and quality improvement in out-of-hospital care.
• Be an active member of the local medical community and participate in professional activities related to out-of-hospital care.
• Be knowledgeable about the education of the Emergency Medical Services Professions, including professional, legislative, and regulatory issues regarding the education of Emergency Medical Services Professions.

These qualifications are based on NAEMT PHTLS Instructor’s Manual:

• The course medical director must be a licensed physician who is an ATLS or PHTLS provider and preferably an ATLS or PHTLS instructor.

These qualifications are based on NCOEMS Program Administration Manual and defined in Title 10A Chapter 13 Subchapter P.0602 (NCOEMS, 2023):

• Educational Medical Advisors shall meet the criteria as defined in the “North Carolina College of Emergency Physicians: Standards for Medical Oversight and Data Collection” who is responsible for the following:
• Medical oversight of the program.
• Collaboration to provide appropriate and updated educational content for the program curriculum.
• Establishing minimum requirements for program completion.
• Oversight of student evaluation, monitoring, and remediation as needed.
• Ensuring entry level competence.
• Ensuring interaction between physician and students.

Copies of Medical Director’s curriculum vitae, licenses, and certifications are on file with the Deputy Director of EMS.

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