"Who actually decides what questions are asked?" In this milestone 70th episode of Registry Insider, Bill Seifarth goes behind the scenes to help answer that question. National Registry psychometricians Brent Stevenor and Nadine McBride help to demystify the process, including the extremely important component – the ALS Practice Analysis. Discover how a rigorous, scientific blend of field observations, NEMSIS data, and Clinician interviews forms the "bedrock" of every National Registry examination. Tune in to learn how we translate real-world emergency medicine into a fair and valid assessment, and find out why your expertise might just be the "secret sauce" the National Registry needs for the next generation of Advanced Life Support testing.

Is a culture problem the real reason behind the EMS staffing crisis? Bill Seifarth sits down with Chris Holden to uncover how shifting the focus from paperwork to people can revolutionize your organization. They explore the secret sauce for keeping Clinicians engaged, from cutting out daily obstacles like truck washing to building a team where leadership stands shoulder to shoulder with the crew. Tune in to discover why culture is much more than just a buzzword and how it can become your service's greatest tool for long-term retention.

In the 68th episode of Registry Insider, Bill Seifarth sits down with Dave Page to explore the vital work of the International Paramedic Registry and its mission to strengthen EMS systems worldwide. This episode explores the creation of a global baseline that empowers every Clinician to provide life-saving care, no matter where they are stationed. Dave shares fascinating insights into the challenges of international education and explains the rigorous process behind developing a universal certification examination. Join the conversation to see how a unified approach to clinical excellence is transforming emergency response on a global scale.

In this vital episode of Registry Insider, CEO Bill Seifarth welcomes licensed clinical social worker and trauma therapist Stephanie Neuman of Leave Trauma Behind. Drawing from her own law enforcement experience, Stephanie offers profound insight into the psychological toll and accumulated trauma experienced by EMS, fire, and police personnel. She addresses the common challenge of the “full pot,” the breaking point where chronic stress and exposure overwhelm a first responder’s capacity to cope, and shares practical, healthy ways to process this deep-seated trauma. Discover simple, effective tools such as bilateral music and yoga, learn how to spot warning signs like isolation and somatic reactions, and hear Stephanie’s crucial advice on overcoming the career-defining stigma associated with seeking mental health support. Do not wait for your pot to boil over. Tune in to learn how to heal and stay healthy for the long run.

In this dynamic episode of Registry Insider, CEO Bill Seifarth sits down with Victoria Reinhartz, Executive Director for the National Association of Mobile Integrated Health Care Providers (NAMIHP), to explore one of the hottest topics in EMS: Mobile Integrated Healthcare (MIH). Discover how MIH, an umbrella term encompassing community paramedicine and "treatment in place," is not just an evolution in prehospital care but a vital cost-effective solution for the broader healthcare landscape. Victoria shares insights into NAMIHP's mission to advance MIH, discussing the shift toward national consistency, successful payer contracting, and the powerful advocacy tools they provide to members. Tune in to learn how MIH is creating long-term sustainability in healthcare and find out where the industry is headed in the next five to twenty years.

Code 3 EXCLUSIVE: From Paramedic Reality to the Big Screen!

This is a must-listen bonus episode of Registry Insider! Host Bill Seifarth is thrilled to welcome Patrick Pianezza, the co-writer and technical consultant for the new, critically-acclaimed film, Code 3. Patrick, a Nationally Registered Paramedic, offers an intimate look at how his own experiences shaped the movie's unflinching portrayal of EMS, addressing crucial issues like burnout and the recruitment crisis. Discover the unbelievable story behind the script's creation and why this film is sparking vital conversations about the profession we all love. Code 3 is available now to rent or buy. Listen to this episode to hear the story behind the movie that's getting everyone talking!

Did you know that 911 services can roll, treat, and stabilize a patient, yet walk away with $0? That's just one of the eye-opening financial hurdles facing EMS that Maria Bianchi, CEO of the American Ambulance Association (AAA), exposes in this powerful episode of Registry Insider. Join National Registry CEO Bill Seifarth as he dives deep with Maria on the AAA's critical mission: unifying the voice of ground ambulance services to drive massive change. They reveal how a decades-old reimbursement model is failing modern medicine and why a lack of knowledge on Capitol Hill is costing your service. Hear about the national effort to reform payment models, the struggle for workforce funding, and discover the simple but vital steps you can take today to move this profession forward.