<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 30.03.03.03" title_num="30" subtitle_num="03" chapter_num="03" heading="EMS Operational Program Medical Directors.">
  <paragraph num="A.">
    <text>An EMS operational program shall have an EMS operational program medical director appointed by the EMS operational program.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Qualifications of an EMS Operational Program Medical Director. An EMS operational program medical director shall:</text>
    <paragraph num="(1)">
      <text>Be a Maryland-licensed physician or a physician employed in the service of the federal government performing duties incident to that employment;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Be familiar with the design and operation of EMS operational programs and systems including medical dispatch and communications;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Have experience in and current knowledge of emergency care of patients who are acutely ill or injured; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Possess current knowledge of the Maryland EMS System including:</text>
      <paragraph num="(a)">
        <text>Applicable laws and regulations,</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The Maryland Medical Protocols for Emergency Medical Services Providers,</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Applicable EMD protocols,</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Disaster and mass casualty plans,</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Organization and structure, and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Medical quality assurance process.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Duties of an EMS Operational Program Medical Director.</text>
    <paragraph num="(1)">
      <text>The EMS operational program medical director shall:</text>
      <paragraph num="(a)">
        <text>Be responsible for providing medical oversight of patient care, including emergency medical dispatch, in the EMS operational program;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Approve, participate in, and provide medical expertise for the EMS operational program in:</text>
        <paragraph num="(i)">
          <text>A comprehensive quality assurance plan covering all aspects of EMS patient care, including emergency medical dispatch under COMAR 30.03.04,</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Standard operating procedures for the EMS operational program under the Maryland Medical Protocols for Emergency Medical Services Providers,</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Appropriate EMS provider remedial and continuing educational programs,</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Credentialing of EMS providers,</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Timely review and approval of medical equipment used by the EMS operational program to implement the Maryland Medical Protocols for Emergency Medical Services Providers, and</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>All aspects of the EMS operational program which impact patient care, including planning, development, and operations;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>Provide timely approval of applications to MIEMSS for licensure and certification and renewal of licensure and certification for all EMS providers affiliated with the EMS operational program;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Review patient care disciplinary matters under COMAR 30.02.05 concerning EMS providers affiliated with the EMS operational program; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Provide a liaison to the medical community as well as regional and State EMS medical directors.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The EMS operational program medical director may delegate any of the duties listed in §C(1) of this regulation to an assistant medical director.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>The EMS operational program shall notify MIEMSS immediately of any proposal to change its medical director.</text>
  </paragraph>
</regulation>