EMS: Interface Between Out-of-Hospital & Hospital-Based Providers

  • Continuing Education
Emergency doctors in front of hospital.

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Registration Deadline: November 18

Explore advanced, evidence-based approaches to EMS and hospital integration in this dynamic 2-day course led by emergency medicine experts from Beth Israel Deaconess Medical Center and Harvard Medical School.

  • Live Online

This course is taught online in real time.

$650

This is the standard price, for a full list of profession pricing see below.
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Early Registration Deadline:

Continuing Education Credits

Earn up to: 
17.00 AMA PRA Category 1 Credit(s) ™
17.00 Pre-hospital Continuing Education (CAPCE) Credits.
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Two Days

Please view the Schedule for a full description of the program.

On This Page

Overview

This course is a 2-day, 17-hour course that provides participants with the knowledge and skills to expand their knowledge of out-of-hospital medicine. Through a dynamic and interactive format, the course focuses on lecture, panel, and QA-based formats to optimize provider knowledge around the pre-hospital system and the hospital’s integration with EMS. This course is designed for physicians, PAs, NPs, and RNs who interact with the prehospital health care system frequently, likely emergency, critical care, or internal medicine providers. This course is also designed for EMTs, paramedics, and other pre-hospital care providers who would like to gain knowledge in EMS-hospital systems integration. 

The goal of this course is to teach providers to improve their EMS knowledge on: 

  • EMS certification, scope of practice, and limitations of different provider levels. 
  • EMS system design and systems of care. 
  • Protocols and online medical control with basic federal/regional rules and regulations. 
  • Provider awareness of their responsibilities and liability for medical control, as well as interfacility transportation. 
  • Awareness of upcoming controversies and expansions in EMS. 

Learning Objectives

  • Identify EMS provider-level scope of practice and limitations.
  • Explain basic EMS system organization.
  • Recognize provider and hospital legal responsibilities and risks related to EMS.
  • Understand helicopter vs ground EMS capabilities and limitations.
  • Apply knowledge to choose the optimal transport modality for patients.
  • Learn about mass casualty and disaster incidents, and how hospital based providers participate and integrate into systems.
  • Identify and appraise upcoming EMS controversies, and potential for expansion.
  • Understand best practices for pediatric pre-hospital transport.

Developed and Offered By:

  • Beth Israel Deaconess Medical Center Logo

Continuing Education courses are developed by faculty from Harvard Medical School's teaching hospitals and accredited by Harvard Medical School. This course is offered by Beth Israel Deaconess Medical Center.

Participant Types

Emergency Physicians, Critical Care Physicians, Hospitalists, EMTs, paramedics, and other pre-hospital care providers, Specialty Physicians, Physician Assistants, Nurse Practitioners, and Nurses, Residents, Medical Students, and Trainees

Schedule

All agenda sessions are in Eastern Time.

Day 1

Monday, November 17, 2025

Welcome

Stephen Thomas; Christie Fritz

7:45-7:55 am

Keynote: Pre-hospital Preservation of Circulating Volume and Minimizing Blood Loss

TIM HARRIS

7:55-8:50 am

History of EMS

Matt Bivens

8:50-9:30 am

Break

9:30-9:35 am

Prehospital Provider Types

William Porcaro

9:35-9:55 am

EMS System Types/Design

Daniel Willner

9:55-10:15 am

Systems of Care (Trauma, STEMI & Stroke)

Nichole Bosson

10:15-10:35 am

Medicolegal Pitfalls & EMTALA

Jonathan Burstein

10:35-11:30 am

Rural EMS

Daniel Davis

11:30 am-12:00 pm

Lunch

12:00-12:55 pm

IFT vs Scene Response

Colby Redfield

12:55-1:20 pm

Online Medical Control Pearls

Christie Fritz

1:20-2:00 pm

Prehospital Cardiac Arrest

Jason Cohen

2:00-2:25 pm

Break

2:25-2:40 pm

ECMO, Advanced Cardiac Topics

Paul Rees

2:40-3:15 pm

HEMS Safety/Selection

Ira Blumen

3:15-3:40 pm

Pearls and Pitfalls of IFT

Andrew Reimer

3:40-4:15 pm

Panel - Challenges/Choosing the Optimal Transport Mode

Edward Ullman; Stephen Thomas; Christie Fritz; Lincoln Zernicke; Jonathan Burstein; Andrew Reimer; Jason Cohen; Matt Bivens

4:15-5:10 pm

Learning Points of Day 1

Christie Fritz; Stephen Thomas

5:10-5:15 pm

Day 2

Tuesday, November 18, 2025

Welcome

Christie Fritz; Stephen Thomas

7:45-7:50 am

Translating Prehospital Research to Clinical Practice: Airway and Transfusion

Henry Wang

7:50-8:45 am

Pediatrics in EMS

Caitlin Farrell

8:45-9:25 am

Patient Safety in the Out-of-Hospital Setting

Russell MacDonald

9:25-9:40 am

Cutting-Edge Care and Controversies in Pre-Hospital Medicine

Russell MacDonald

9:40-10:15 am

Break

10:15-10:20 am

Pediatric Airway Management

10:20-10:40 am

Pre-Hospital Transfusion

David Schoenfeld

10:40-11:00 am

EMS Procedures: Intubation & Pedi Airway Management

Sam Galvagno

11:00-11:40 am

Mass Casualty Incidents

Paul Biddinger

11:40 am-12:20 pm

Lunch

12:20-1:15 pm

Politics in EMS and the ED

Jeffrey Goodloe

1:15-1:45 pm

Mobile Integrated Health & Future Topics

David Schoenfeld

1:45-2:15 pm

Military/Tactical Medicine (three 15-min presentations + panel)

Bill Justice; Michael McCartin; Paul Roszko

2:15-3:00 pm

Break

3:00-3:15 pm

Disaster Medicine

Gregory Ciottone

3:15-4:10 pm

Panel Discussion: Advanced Cases in EMS

Edward Ullman; Stephen Thomas; Christie Fritz; Russell MacDonald; Jeffrey Goodloe

4:10-5:10 pm

Learning Points of Day 2

Stephen Thomas; Christie Fritz

5:10-5:20 pm

Faculty

Harvard Medical School Continuing Education attracts the best and brightest faculty from all around the world. As a student in this course, you’ll have access to outstanding course directors and faculty.

Paul D. Biddinger, MD, FACEP
Chief Preparedness and Continuity Officer, Mass General Brigham
Chief of the Division of Emergency Preparedness, Department of Emergency Medicine, Mass General Brigham Ann L. Prestipino MPH Endowed Chair, Division of Emergency Preparedness, Massachusetts General Hospital

Matt Bivens, MD
Attending Physician, Beth Israel Deaconess Medical Center
Attending Physician, St. Luke’s Hospital
EMS Medical Director, St. Luke’s Hospital 
Clinical Instructor, Harvard Medical School 

Ira Blumen, MD
Emergency Physician & Medical/Program Director, University of Chicago Aeromedical Network Professor, Emergency Medicine, University of Chicago Medical Center

Nichole Bosson, MD, MPH, FAEMS
Medical Director, Los Angeles County EMS Agency
Associate Clinical Professor, David Geffen School of Medicine, UCLA
EMS Fellowship Director, Department of Emergency Medicine at Harbor-UCLA 
Instructor, J. Michael Criley Paramedic Training Institute 

Jonathan Burstein, MD
Attending Physician, Department of Emergency Medicine, Beth Israel Deaconess Medical Center Assistant Professor, Emergency Medicine, Harvard Medical School
Associate Director, Emergency Department Quality, Beth Israel Deaconess Medical Center State EMS Medical Director, Commonwealth of Massachusetts

Greg Ciottone, MD, FACEP, FFSEM
Director, Division of Disaster Medicine, Beth Israel Deaconess Medical Center
Director, Disaster Medicine Fellowship Program, Beth Israel Deaconess Medical Center Associate Professor of Emergency Medicine, Harvard Medical School
Editor-in-Chief, Ciottone’s Disaster Medicine, 3rd Edition 
Instructor, Harvard T.H. Chan School of Public Health
President, World Association for Disaster and Emergency Medicine 

Jason Cohen, DO
Chief Medical Officer, Boston MedFlight 
Intensivist, Brigham & Women's Hospital 
Emergency Physician, US Army 

Daniel Davis, MD
EMS Medical Director, Logan Health
Medical Director, Rural Emergency Care Alliance 
Chief Medical Officer, Logan Chester 
Medical Director, Air Methods Regional 

Caitlin Farrell, MD
Director, EMS and Prehospital Care, Boston Children’s Hospital 
Attending Physician, Emergency Medicine, Boston Children’s Hospital
Assistant Professor of Pediatrics and Emergency Medicine, Harvard Medical School 

Sam Galvagno, MD
Professor, University of Maryland School of Medicine, Department of Anesthesiology 

Jeffrey M. Goodloe, MD, FACEP, FAEMS
Professor of Emergency Medicine, EMS Section Chief, and Director of the Oklahoma Center for Prehospital & Disaster Medicine, Department of Emergency Medicine, University of Oklahoma School of Community Medicine, Tulsa, OK
Chief Medical Officer, Medical Control Board, EMS System for Metropolitan Oklahoma City & Tulsa, Oklahoma Medical Director, Oklahoma Highway Patrol
Attending Emergency Physician, Hillcrest Medical Center Emergency Center, Tulsa, OK 

Tim Harris, MD
Professor of Emergency Medicine, Queen Mary University of London
Program Director, Emergency and Resuscitation Medicine Program, Blizard Institute, Queen Mary University of London 

Bill Justice, NREMT-P, TEMS-I
Program Manager, Oklahoma Department of Public Safety Active Threat Response Programs Director, Office of the Medical Director Special Operations and Outreach
Associate Director, University of Oklahoma Department of Emergency Medicine Center for Pre-Hospital and Disaster Medicine 

Russell D. MacDonald, MD, MPH, FCFP, FRCPC, DRCPSC
Medical Director, Toronto Paramedic Services
Medical Director, Toronto Central Ambulance Communications Centre
Professor and Co-Director, Emergency Medicine Fellowship Programs, University of Toronto 

Michael McCartin, MD
Assistant Professor of Medicine, Section of Emergency Medicine, The University of Chicago 
Assistant Medical Director, The University of Chicago Aeromedical Network
Medical Team Manager, Illinois Task Force 1 Urban Search and Rescue Team 
Attending Physician, Emergency Medicine, UChicago Medicine 

William Porcaro, MD, MPH, FACEP, FAEMS 
Assistant Professor, Emergency Medicine, Harvard Medical School 
Attending Emergency Physician, Mount Auburn Hospital 

Colby Redfield, MD 
EMS Physician, Redfield EMS Medical Direction 

Paul Rees, MD 
Senior Lecturer, Emergency and Resuscitation Medicine program & Director, Tactical and Acute Medicine, Queen Mary University of London
Interventional Cardiologist & Prehospital Resuscitation Physician, Barts Heart Centre, Barts Health NHS Trust HEMS Consultant, East Anglian Air Ambulance
Surgeon Commander & Consultant Advisor in Medicine, Royal Navy UK 

Andrew Reimer, PhD, RN, CFRN
Associate Professor, Frances Payne Bolton School of Nursing, Case Western Reserve University 
Research Coordinator and Transport Nurse, Critical Care Transport, Cleveland Clinic 

Lt. Commander Paul Roszko, MD
Lead for VA 4th Mission & NDMS Telehealth Integration, VA Office of Connected Care
Emergency Physician, Johns Hopkins Medicine, Suburban Hospital and San Francisco VA Medical Center 
Assistant Professor of Military and Emergency Medicine, Uniformed Services University 

David Schoenfeld, MD
EMS Faculty, Department of Emergency Medicine, Beth Israel Deaconess Medical Center
Director, EMS Fellowship, Beth Israel Deaconess Medical Center
Attending Physician, Dept of Emergency Medicine, Beth Israel Deaconess Medical Center
Instructor, Emergency Medicine, Harvard Medical School 

Jonathan Shecter, DO
EMS and Disaster Medicine Fellow, Beth Israel Deaconess Medical Center / Harvard Medical School 

Edward Ullman, MD
Chair, Department of Emergency Medicine at Beth Israel Deaconess Needham (BIDN)
Associate Director, Emergency Cardiology, Department of Emergency Medicine, Beth Israel Deaconess Medical Center
Director, STEMI Quality Assurance, Beth Israel Deaconess Medical Center Assistant
Professor of Emergency Medicine, Harvard Medical School 

Henry Wang, MD, MS, MPH 
Professor and Vice Chair for Research, Department of Emergency Medicine, The Ohio State University 
Editor in Chief, Journal of the American College of Emergency Physicians Open 

Daniel Willner, MD, MPH
Medical Director, Franklin County EMS
Assistant Medical Director, Carolina Air Care 
Assistant Professor, UNC School of Medicine

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Course Fees

Fee Disclaimer

You may register through our secure online environment and will receive an email confirmation upon receipt of your payment. Prices include CME credit, electronic syllabus, and access to recordings for 60 days after the course.

At the end of the registration process, a $10 non-refundable processing fee will be added to your registration.

Review the cancellation policy.

Early Registration Deadline:

Role Standard Price Early Registration Price
Physician (MD/DO) $650.00 $585.00
Nurse (RN/APRN) $450.00 $405.00
PA $650.00 $585.00
Psychologist $550.00 $495.00
Resident/Fellow $550.00 $495.00
Social Worker $450.00 $405.00
Allied Health Professional / Other $650.00 $585.00

EMT/Paramedic pricing is also available for this course: $350 / $315

Accreditation

In support of improving patient care, Harvard Medical School is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

The Harvard Medical School designates this live activity for a maximum of 17.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

In collaboration with the National Medical Education & Training Center, this course has been accredited by the Commission on Accreditation for Pre-hospital Continuing Education (CAPCE) for 17 CEH.

For the purpose of recertification, the American Academy of Nurse Practitioners Certification Board and American Nurses Credentialing Center accept AMA PRA Category 1 Credit™ issued by organizations accredited by the ACCME (Accreditation Council for Continuing Medical Education). We would also suggest that learners check with their state licensing board to ensure they accept reciprocity with AMA PRA Category 1 Credit™ for re-licensure.

The National Commission on Certification of Physician Assistants (NCCPA) states that AMA PRA Category 1 Credits™ are acceptable for continuing medical education requirements for recertification. We would also suggest that learners check with their state licensing board to ensure they accept reciprocity with AMA PRA Category 1 Credit™ for re-licensure.

The American Medical Association (AMA) has an agreement of mutual recognition of continuing medical education (CME) credit with the European Union of Medical Specialties (UEMS). Additional information regarding this agreement may be found on the European Union of Medical Specialties website.

The Royal College of Physicians and Surgeons of Canada recognizes conferences and workshops held outside of Canada that are developed by a university, academy, hospital, specialty society or college as accredited group learning activities.

Competencies

This course is designed to meet the following Institute of Medicine Core Competencies:

  • Provide Patient-Centered Care
  • Work in Interdisciplinary Teams
  • Employ Evidence-Based Practice
  • Apply Quality Improvement

This course is designed to meet the following American Board of Medical Specialties (ABMS) / Accreditation Council for Graduate Medical Educational (ACGME) competencies:

  • Patient Care and Procedural Skills
  • Practice-Based Learning and Improvement
  • Professionalism
  • Systems-Based Practice
  • Interpersonal and Communication Skills

Disclaimer & Disclosure

CME activities accredited by Harvard Medical School are offered solely for educational purposes and do not constitute any form of certification of competency. Practitioners should always consult additional sources of information and exercise their best professional judgment before making clinical decisions of any kind.

Note: AMA PRA Category 1 Credit™ is calculated based on submission of a preliminary agenda and may be subject to change.

In accord with the disclosure policy of the Medical School as well as standards set forth by the Accreditation Council for Continuing Medical Education (ACCME), course planners, speakers, and content reviewers have been asked to disclose any relationships they have to companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. In addition, faculty have been asked to list any off-label uses of pharmaceuticals and/or devices for investigational or non-FDA approved purposes that they plan to discuss.

Registration for courses managed by Harvard Medical School can only be completed through Harvard Medical School’s official registration portal: cmeregistration.hms.harvard.edu. Attendee registrations made through any other sites cannot be honored and will not be refunded. Please report any unauthorized websites or solicitations for registrations.

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