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uh hi iamp;#39;m tom growing iamp;#39;m one of the ems faculty and iamp;#39;m in charge of the resident ems rotation so at mcw your ems experience is spread out over the course of three years and as you move throughout residency you have more of a graduated responsibility in the ems system so as a first year youamp;#39;re doing some ride-alongs just trying to learn what ems is about as a second year you actually work as one of the online medical control physicians taking calls from paramedics in the field who need advice from a physician and then as a third year youamp;#39;re doing some quality improvement aspects of the online medical control process and still being involved with online control as needed each year as part of your ems rotation youamp;#39;ll do some longitudinal learning some some field clinical experience and then also uh participate in the ems system by doing some quality improvement projects and seeing how those drive change in the ems system around you weamp;