"That's right. And it surely doesn't have to be rural. In fact, the economics are probably better in a suburban area, where there were (historically) more local, independent agencies. Better fodder for merger. The…"
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Justin Tilghman
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Last On: 2:23AM, 23 Apr 13
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Justin Tilghman's Discussions
Regionalization: The wave of the future?
4 Replies
As grant funding becomes more and more scarce throughout all disciplines, many organizations are moving toward regional approaches to emergency services. Emergency Management is becoming…Continue
Tags: Regionalization, EMS
Started this discussion. Last reply by Skip Kirkwood Oct 20, 2012.
Personality Tests for EMS Employees and students?
23 Replies
Many of you have probably heard of the Myers-Briggs Personality Types and the corresponding test. I've taken it a couple times and recently took it again for a graduate class. As I was reading my…Continue
Tags: Personality, EMS
Started this discussion. Last reply by Mike Bjarköy Jan 26, 2011.
Advanced Degrees and EMS
11 Replies
I hope everyone had a wonderful holiday season. I've been doing some research and reading lately in the area of Advanced Degrees and EMS. What's your take on it? I've been very interested in a…Continue
Started this discussion. Last reply by Chance Gearheart Jan 5, 2011.
ThePulse: An EMS Podcast
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Justin Tilghman's Page
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dr-exmedic replied to Justin Tilghman's discussion Regionalization: The wave of the future?"It's pretty much a matter of time in many places, though everyone trying to protect a fiefdom can slow it down some (or a lot, depending on local politics, which is why my county has 1 PSAP, while Cuyahoga Co OH has 47).
It doesn't have…"
Justin Tilghman's discussion was featuredRegionalization: The wave of the future?
As grant funding becomes more and more scarce throughout all disciplines, many organizations are moving toward regional approaches to emergency services. Emergency Management is becoming regionalized, Public Health is regionalizing their efforts, and even communications centers are regionalizing across counties. All this is supposedly being done in an effort to increase access to grant funds by providing more "bang for the buck" through the development of regional efforts rather than…See More
Skip Kirkwood replied to Justin Tilghman's discussion Regionalization: The wave of the future?"In the USA, the average ambulance service operates 5 units and exists at the edge of survival. There are many "general managers" who have to be (and cannot possibly be) experts at all aspects of the business. There are few…"
Neil White replied to Justin Tilghman's discussion Regionalization: The wave of the future?"In the UK, we went from something like 40 EMS agencies to 11, whilst it could be argued that costs are reduced from removing back office systems. It ended up with agencies spanning 200 - 300 miles and therefore having to create a uniformed service…"
Justin Tilghman posted a discussionRegionalization: The wave of the future?
As grant funding becomes more and more scarce throughout all disciplines, many organizations are moving toward regional approaches to emergency services. Emergency Management is becoming regionalized, Public Health is regionalizing their efforts, and even communications centers are regionalizing across counties. All this is supposedly being done in an effort to increase access to grant funds by providing more "bang for the buck" through the development of regional efforts rather than…See More
Justin Tilghman replied to William Charles Cote''s discussion Fake Pot"I picked up a patient in a similar situation a few months ago. The product was called "Spice" and was actually sold as potpourri/incense. He presented much the same way: 17 y/o male, hypertensive ~178/110, SVT at 168,…"
Justin Tilghman's discussion was featuredPersonality Tests for EMS Employees and students?
Many of you have probably heard of the Myers-Briggs Personality Types and the corresponding test. I've taken it a couple times and recently took it again for a graduate class. As I was reading my results, and becoming a little unsettled as to how well it described me, I began to think about the different personality types and how they might, or might not, be helpful in determining who would make a successful EMT. I know some employers in certain industries actually encourage their employees…See More
Justin Tilghman's blog post was featuredWhere Can We Affect Change?: Part 2
Last time I discussed briefly the importance of change in our profession. The profession that doesn’t change and adapt with the times will soon find itself outdated, inefficient, ineffective, and maybe even replaced. That’s why it’s so important that we consider how we can move forward and do our best to enact policies and protocols to see that our profession prospers in the coming future of reformed healthcare. We’ve already looked at the opportunities and possibilities for improvement in…See More
Justin Tilghman's discussion was featuredPersonality Tests for EMS Employees and students?
Many of you have probably heard of the Myers-Briggs Personality Types and the corresponding test. I've taken it a couple times and recently took it again for a graduate class. As I was reading my results, and becoming a little unsettled as to how well it described me, I began to think about the different personality types and how they might, or might not, be helpful in determining who would make a successful EMT. I know some employers in certain industries actually encourage their employees…See More
Mike Bjarköy replied to Justin Tilghman's discussion Personality Tests for EMS Employees and students?"I did a couple of"
Alyssa Woods replied to Justin Tilghman's discussion Personality Tests for EMS Employees and students?"Here's my problem with using personality tests to determine employment (for EMS, Fire, and the Police Department): it assumes that someone's personality is static.
Unfortunately, the truth is that everyone's personality is…"
Tom Bouthillet replied to Justin Tilghman's discussion Personality Tests for EMS Employees and students?"I see the value in an EMS system weeding out an EMT or paramedic candidate who has irrational health fears, and if that's all the MMPI-2 (or the test that NEMSMA is developing) does, then I'm wrong and I don't mind saying so.…"
dr-exmedic replied to Justin Tilghman's discussion Personality Tests for EMS Employees and students?"Skip, I don't think anyone's denying that organizations have the right to choose who works for them. The debate is over whether MMPI is a valid way of doing so, or (perhaps more specifically) whether MMPI is more useful than other ways.…"
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- Lenoir County EMS
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- http://www.lenoircountyemergencyservices.com
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- 2
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- Sand Hill Fire Department
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- Bachelors Degree in Spanish Language and Culture
Graduate Certificate in Emergency Management
NC EMT-P
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- it affords me the opportunity to help people in their darkest moments and I think it's a great profession that has the potential to become even greater and I would love to be a part of that
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Justin Tilghman's Blog
Where Can We Affect Change?: Part 2
Last time I discussed briefly the importance of change in our profession. The profession that doesn’t change and adapt with the times will soon find itself outdated, inefficient, ineffective, and maybe even replaced. That’s why it’s so important that we consider how we can move forward and do our best to enact policies and protocols to see that our profession prospers in the coming future of reformed healthcare. We’ve already looked at the opportunities and possibilities for improvement…
ContinuePosted on January 17, 2011 at 4:30pm
Where Can We Affect Change? : Part 1
I think we would all agree that EMS is currently at a crossroads. Much of the nation’s healthcare entities are in the…
ContinuePosted on January 4, 2011 at 4:44pm
Comment Wall (1 comment)
- At 6:31pm on January 10, 2011,
aaron said… - just came bye to say hi & be safe out there
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