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Medical command training for emergency medicine residents: An overview of medical command education, oversight, and evaluation

Published:April 18, 2018DOI:https://doi.org/10.1016/j.ajem.2018.04.031
      Medical direction is a system of physician-directed quality control that encompasses all aspects of pre-hospital medicine from protocol development to the actual provision of patient care by pre-hospital providers. ‘Medical command’ refers to direct or on-line medical direction, the type of medical direction where crews contact a base station provider directly via radio or telephone [
      • Bass R.R.
      • Lawner B.
      • Lee D.
      • Nable J.V.
      Medical oversight of EMS systems.
      ]. Training residents to give medical command
      Of note, the ACGME program requirements document referred to medical command as ‘direct medical command’ prior to July of 2017 when the phrase was then updated to ‘direct medical oversight’.
      1Of note, the ACGME program requirements document referred to medical command as ‘direct medical command’ prior to July of 2017 when the phrase was then updated to ‘direct medical oversight’.
      to prehospital EMS is a requirement of the Accreditation Council for Graduate Medical Education (ACGME) for emergency medicine (EM) residency accreditation, but little literature exists regarding what training residents receive on this topic [
      • Accreditation Council for Graduate Medical Education
      ACGME program requirements for graduate medical education in emergency medicine.
      ,
      • Accreditation Council for Graduate Medical Education
      ACGME program requirements for graduate medical education in emergency medicine.
      ].

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