University of Wisconsin–Madison
UW faculty participate in various leadership activities, including teaching ultrasound and leading tabletop exercises.

What Are EMS Medical Directors?

Medical directors are medical authorities that are hired by EMS agencies. In Wisconsin, all medical directors are required to be physicians, and all EMS agencies are required to have one. Medical directors are responsible for credentialing EMS providers to practice, serving as a source of expert advice, and ensuring that the agency delivers high quality, safe patient care.

Dr. Spigner oversees a vehicle extrication exercises with Brooklyn Fire & EMS.
Dr. Spigner observes and educates EMS clinicians during a simulated vehicle extrication training.

Board-Certified EMS Physicians

Not all medical directors have the same qualifications. While many medical directors specialize in emergency medicine, this is not a requirement in Wisconsin. Amongst emergency medicine physicians, an even smaller number subspecialize in EMS. As of 2024, there were only 1,149 EMS board-certified EMS physicians for more than 23,000 agencies in the United States .

To become board certified in EMS, physicians must pass a board exam that includes a wide range of topics including quality management, leadership and oversight, adult education, occupational injury prevention, dispatch systems, air medical services, legislation and regulation, principles of EMS finance, risk management, incident command, management of mass casualty incidents, disaster medicine, weapons of mass destruction, tactical medicine, technical rescue, research, and more.

Dr. Lohmeier and PA Horowitz supervise a training with Waunakee Area EMS.
Dr. Lohmeier and PA Horowitz supervise a training with Waunakee Area EMS.
UW Health faculty and fellows teach paramedics how to perform ultrasound, a new skill in the paramedic toolbox.
UW medical directors teach Fitch-Rona EMS paramedics to use point-of-care ultrasound.

Our Leadership Philosophy

All of our medical directors ascribe to a philosophy of servant leadership, and our highest priority will always be the welfare of the EMS providers and the patients they treat.

We partner closely with leadership from each agency to enhance the effectiveness of the leadership team, rather than overtaking it.

Recognizing that every agency’s needs and visions are different, we tailor our medical direction approach to each agency individually. For example, some of our agencies require evening training to support their volunteer members, while other agencies prefer training during business hours for their full time employees. Some of our agencies are busy, urban systems and others are small, rural agencies. We have the ability to be flexible in our approach while still ensuring that we maintain high standards.

A UW Med Flight helicopter lands near a Brooklyn Fire and EMS ambulance during a joint training exercise.
UW Med Flight lands at the Brooklyn Fire and EMS station as part of an integrated training exercise.