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Emergency Medical Services Professions
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Personnel Changes

All forms must be downloaded, completed, saved to your computer, and returned as an email attachment unless specified otherwise. No handwritten forms will be accepted.

Failure to Notify of a Personnel Change:  Programs are required to notify the CoAEMSP of change in personnel [i.e., President/CEO, Dean (or comparable administrator, billing contact), Program Director, Medical Director, Associate Medical Director, Assistant Medical Director, Lead Instructor ]. Failure to notify the CoAEMSP within the times prescribed in CoAEMSP Policies & Procedures, Policy XV, Personnel Changes, will be assessed a fee.

Office Contact ONLY Changes
Complete the Change in Office Contact Information Form to update the office contact (i.e., office address, email, phone, etc.) for program personnel already on file with the CoAEMSP. If the individual is not currently on file, then a Personnel Change Form is required for that specific position change.

KEY PERSONNEL. When there is a change in key personnel (Program Director, Medical Director), whether on a permanent, temporary, or acting basis, the CoAEMSP Executive Office must be notified no later than (15) calendar days following the effective date of vacancy. A Personnel Change form and supporting documentation must be submitted.

LETTER OF ACCEPTANCE/APPOINTMENT TEMPLATES:

CoAEMSP has developed a template letter that must be used for the required signed/dated letter of appointment/acceptance for changes or additions in specific key personnel positions (i.e. Program Director, Medical Director, Associate Medical Director, Assistant Medical Director, or Lead Instructor).

DOC   Program Director Appointment/Acceptance
DOC   Medical Director Appointment/Acceptance
DOC   Associate MD Appointment/Acceptance
DOC   Assistant MD Appointment/Acceptance (for programs utilizing out of state sites)
DOC   Lead Instructor Appointment/Acceptance

PROGRAM DIRECTOR:

Required Documentation

  1. Complete the PD Change Form (Office Contact Information ONLY)
  2. Signed/dated Letter of Appointment/Acceptance (CoAEMSP template
  3. Full CV showing formal education/degrees and related experience
  4. Copy of National Registry and/or State license

In addition, an OFFICIAL TRANSCRIPT documenting the award of a minimum of an earned baccalaureate degree from an accredited academic institution must be sent directly from the awarding college to CoAEMSP in either a sealed envelope or via e-transcript. If the new hire holds a Master's or Doctorate, a transcript for the highest degree is all that is required. Unofficial or scanned copies are not acceptable. Failure to do so may result in recommendation for Administrative Probation or Probationary Accreditation.

The e-transcript must be sent to
lynn@coaemsp.org.

If requesting the transcript be sent via USPS, then mail it to:

CoAEMSP
8301 Lakeview Pkwy, Suite 111-312
Rowlett TX 75088

MEDICAL DIRECTOR / ASSOCIATE MEDICAL DIRECTOR / ASSISTANT MEDICAL DIRECTOR:

Required Documentation

  1. Complete the Medical Director Change Form or Associate MD Change Form or Assistant MD Change Form
  2. Signed/dated Letter of Appointment/Acceptance (CoAEMSP template)
  3. Full CV showing formal education/degrees and related experience
  4. Copy of the State License for each State the Medical Director/Associate MD/Assistant MD is licensed

CoAEMSP will review the information and may request additional information.

LEAD INSTRUCTOR:

Any program identifying a Lead Instructor as of January 1, 2016 must notify CoAEMSP by submitting the required documentation outlined below. The official transcript must be sent as directed either as an e-transcript or via USPS. Upon receipt of ALL of the required documentation, Dr Hatch will review the information and the program will be notified if the Lead Instructor has been approved.

Adding a Lead Instructor must be done in advance of submission of self study and is viewed as addition of key personnel. If you have questions, please contact Lynn Caruthers at 214.703.8445 ext 115 or email her at lynn@coaemsp.org.

  1. Complete the Lead Instructor Change Form
  2. Signed/dated Letter of Appointment/Acceptance (CoAEMSP template)
  3. Full CV showing formal education/degrees and related experience
  4. Copy of the National Registry or State License

In addition, an OFFICIAL TRANSCRIPT documenting the award of a minimum of an earned Associate Degree from an accredited academic institution must be sent directly from the awarding college to CoAEMSP in either a sealed envelope or via e-transcript. If the new hire holds a Baccalaureate Degree or higher, a transcript for the highest degree is all that is required. Unofficial or scanned copies are not acceptable. Failure to do so may result in recommendation for Administrative Probation or Probationary Accreditation.

The e-transcript must be sent to
lynn@coaemsp.org.

If requesting the transcript be sent via USPS, then mail it to:

CoAEMSP
8301 Lakeview Pkwy, Suite 111-312
Rowlett TX 75088

ADMINISTRATIVE PERSONNEL:

President/CEO, Dean, or Billing Contact

PDF   President/CEO Change Form
PDF   Dean Change Form
PDF   Billing Contact Change Form
 
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