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SMEMSIC Region 1 Discussion Area

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  • 21 May 2016 9:23 AM
    Reply # 4032146 on 4031173
    Tom Knapp (Administrator)
    Joseph Moore wrote:

    I was informed in an email today that the Society is considering the position that there is no difference between rural and urban EMS.  The person that makes that statement needs to come spend some time on the most remote inhabited island in the Great Lakes.  When was the last time that you were responsible for an emergency patient, not a transfer, for more than five hours?  When was the last time that you were simply not able to transport your patient until the weather cleared two days later?  When was the last time that you had to wait for an emergency air transport vehicle for six hours?


    I personally think that there is a huge difference between rural EMS and urban EMS, and I have been doing this for almost thirty years.  If you haven't done rural EMS, then you don't know anything about rural EMS. When was the last time it took you six hours to get a stroke patient on the way to a hospital?  When was the last time it took two helicopter responses and two mainland ambulance services to meet the helicopters?


    Contact me if you want some truthful information.  medic5740@yahoo.com or call me 231-448-2416.


    Joe Moore

    Hello Joe:


    SMEMSIC is not considering any such position. I have a hard time understanding how information like this spreads around.  One comment was made by one board member at a board meeting relating to another discussion. I believe taking one comment from one board member at a meeting and saying SMEMSIC is considering a position my be taking that comment out of context. It was the opinion of one board member but it really is taking it out of context to say we are considering a position on it. There were other board members who disagreed and some clarification on the comment was offered.  SMEMSIC was not discussing any position on this matter when the comment was made.


    I hope that helps to clarify any issue.


    Tom Knapp
    SMEMSIC

  • 21 May 2016 1:59 PM
    Reply # 4032268 on 70569

    Joe,


    Thank you for taking the time to post about the information you were provided.  I think the context was not well framed by the person that shared the information from our last board meeting.  


    Please confirm with with your source . . .but I am certain it was my comments that you are concerned about.  


    Just a few points that I would like to make (which is difficult via a post so please reach out to me directly for additional clarification).


    1.  My Opinions:  This post and the comments that I made at the meeting are mine.  Positions and formal direction for the organization typically (as I know it) come to the membership for approval.  Our opinions shape this organization and the diverse backgrounds and experiences help drive us forward. 


    2. Our Organization:  As an organization, we are focused on education and coordination.  I feel that at times we as an organization change that focus when other very important operational, staffing and procedural issues arise. These issues are easy to discuss at our meetings because often we are all sharing in the same pain from one perspective or another.  As a member of the board I feel it important to keep our eye on our focus and redirect the topic to a more appropriate EMS group or reframe the issue specific to our focus from time-to-time.


    3. Silos:  EMS folks are problem solvers and we solve them quickly.  We like organization and structure to provide a clear path for what step or treatment comes next.  In an effort to solve or address a current problem or hot topic we tend to "silo" groups and ideas.  Again in my opinion, the action of isolating or placing groups into a silo, goes against our overall purpose as a professional organization which is the education of our future providers and the continuing education of our current.


    I feel this background context was very important to your understanding/appreciation of the board discussion.


    The conversation I remember had nothing to do with the differences between how EMS is delivered in rural or urban areas.  I respect what my fellow EMS providers do across this great state and I'm comforted to know they are there when I visit the many beautiful parts of Michigan.


    The conversation I remember was the need to keep our EMS educators from the rural and urban areas together to help address the educational needs of the learners.  It was at this point in the meeting, if my memory serves me correct, that I shared my opinion that education is not different between rural and urban areas.  


    Now, one could take me literally and go on how different our programs, buildings, and resources may be.  That was not my intent . . . I was trying to illustrate the need to stay together and address  the needs of people, students, providers and how we learn.

    • Learning disabilities know no boundaries rural or urban.  
    • Successful education programs are in rural and urban areas.  
    • Curriculum moves across our state
    I thought great discussion followed about alternative ways to break our organization up at conferences for networking, problem solving, and program building.  


    I simple disagreed with the rural and urban division, just like I disagree with paid and volunteer, municipal and private and other group divisions that I feel do not server the focus of our organization well.  


    As Tom stated above . . . other members thought the idea was a good one.


    I hope this puts a brighter light on the comments that you heard and places them in a context that make more sense to board discussion.  Your board works hard to provide value to our membership and pride in being a member.


    Cheers,


    Greg



     

    Last modified: 21 May 2016 10:36 PM | Greg Flynn
  • 24 May 2016 7:12 PM
    Reply # 4037759 on 70569

    I truly appreciate both comments, and I am very happy to find out that this person that emailed me was incorrect in what they heard at the meeting.  I do believe that the education of rural EMS needs to be different than urban EMS, but this education needs to take place after  successful  curriculum and clinical has taken place for NR exams. 


    I believe that the education for rural EMS should be more in depth regarding the special challenges of long transport times and for treatments that may not take place when the patient is less than an hour away from a licensed facility.  We have done these things as special studies and have had success.


    The needs of rural EMS are obviously different with transport times  that are much longer than those in the urban areas.  Basic education is essential for all with rural EMS being a specialty that some general practitioners may not understand.


    Tom, if you were isolated on the most remote inhabited island in the Great Lakes, and you heard that decisions were being made that might cause you problems, I guarantee you that you would be the first to question the rumor provided.  That's all I did.


    Thanks again for your comments.

  • 25 May 2016 6:01 AM
    Reply # 4038415 on 4037759
    Tom Knapp (Administrator)
    Joseph Moore wrote:

    I truly appreciate both comments, and I am very happy to find out that this person that emailed me was incorrect in what they heard at the meeting.  I do believe that the education of rural EMS needs to be different than urban EMS, but this education needs to take place after  successful  curriculum and clinical has taken place for NR exams. 


    I believe that the education for rural EMS should be more in depth regarding the special challenges of long transport times and for treatments that may not take place when the patient is less than an hour away from a licensed facility.  We have done these things as special studies and have had success.


    The needs of rural EMS are obviously different with transport times  that are much longer than those in the urban areas.  Basic education is essential for all with rural EMS being a specialty that some general practitioners may not understand.


    Tom, if you were isolated on the most remote inhabited island in the Great Lakes, and you heard that decisions were being made that might cause you problems, I guarantee you that you would be the first to question the rumor provided.  That's all I did.


    Thanks again for your comments.

    No worries Joe and I hope I did not give you the impression that you should not question what you had heard. My comments about taking the one comment out of context, were more directed at how you received the information. It appears the information was provided to you in a way that suggested that a position was being formulated based on the comment made by one board member at a board meeting. Without you having all the other discussion before and after that comment, I certainly see how you would be concerned. Thanks for posting and I am greatfull you did. I wish more members would use the forums. I hope all is well. We are looking forward to our annual flight to the remote inhabited Island in the Great Lakes you refer to.
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