Stand beside the people
who answer the call.

Medical direction that connects clinical standards with the realities of the scene, the station, and the next shift.

Clinical care and medical direction are considered within Ohio, Kentucky, and Indiana, subject to applicable credentialing, privileges, agreements, jurisdictional requirements, and availability.

Clinical leadership with boots-on-the-ground perspective.

Your clinicians need clear expectations, useful feedback, and a medical director who understands the environment in which they work. UMD’s approach brings the medical director, agency leadership, training officers, and crews into the same conversation.

Agency medical direction

An ongoing physician partnership with a defined scope, shared priorities, and an agreed approach to availability and escalation.

Protocols that become practice

Support for protocol implementation, clinical questions, and focused teaching that explains the reasoning—not just the algorithm.

Quality improvement that teaches

Case review and trend recognition with specific, respectful feedback. Complex or sensitive concerns belong in the appropriate protected review process, not in public commentary.

Simulation and skills development

Case-based learning, scenario design, deliberate practice, and debriefing shaped around your team’s needs.

Responsible introduction of new capabilities

Help plan education, competency assessment, documentation, and quality review for tools such as point-of-care ultrasound, within applicable approvals and scope.

A defined relationship, not an open-ended promise.Specific coverage, response expectations, credentials, and delegated functions are established by written agreement and applicable agency and jurisdictional requirements.

Make space for the crew

Breakfast with Beard.

A less formal setting for a serious investment in your people: conversation, case-based teaching, hands-on learning, and an opportunity to ask the medical director what is really on your mind.

For participating agencies, the session can anchor an on-site check-in and help shape the next improvement cycle. Format and frequency are agreed with the agency.

Bring the questions.
Talk through the calls.
Leave with a next step.

Crew-centered teaching and conversation—not a public case-review forum.

Keep learning

Useful places to start.

All resources

ProtocolsOfficial source

Academy of Medicine EMS protocols

Browse the Academy’s published EMS protocols and supporting materials for Southwest Ohio, Northern Kentucky, and the region.

Open resource

Academy of Medicine of Cincinnati
Follow your agency’s adopted protocols and local guidance.

UMD Teaching ToolsPrintable field guide

The five-minute team debrief

A short, constructive conversation about what worked, what got in the way, and what to do next.

Explore resource

Unified Medical Direction
UMD teaching tool · Not approved agency policy.

UMD Teaching ToolsPlanning worksheet

The 12 + 1 improvement cycle

Turn a broad improvement goal into a defined priority, a practical work cycle, and a scheduled reset.