Brian Clemency DO, MBA, FACEP, FAEMS
Brian Clemency
DO, MBA, FACEP, FAEMS
Professor
Department of Emergency Medicine
Jacobs School of Medicine & Biomedical Sciences
Specialty/Research Focus
Emergency Medicine
Professional Summary:
Dr. Clemency has been involved in prehospital care for nearly 20 years, beginning his career as a firefighter and emergency medical technician. Dr. Clemency completed both medical school and an MBA in health care administration in 4 years, before coming to Buffalo to continue his medical education. He is double boarded in Emergency Medicine and Emergency Medical Services. Dr. Clemency has quickly become a local, regional and national leader in prehospital care, education and research. His research focuses on all aspects of prehospital care, with a special interest in confirming or refuting existing paradigms.
Education and Training:
- Fellowship, Emergency Medical Services, University at Buffalo (2010)
- Residency, Emergency Medicine, University at Buffalo (2009)
- Residency, Emergency Medicine, University at Buffalo (2009)
- DO, New York College of Osteopathic Medicine (2006)
- MBA, Health Care Administration, New York Institute of Technology, With Distinction (2006)
- BA, Major: Economics & Pre-Professional Studies, University of Notre Dame (2002)
Employment:
- Associate Medical Director, Rural/Metro Medical Services of Western NY (2012-present)
- Clinical Assistant Professor, Emergency Medicine, University at Buffalo (2011-present)
- Emergency Medicine Attending, Emergency Medicine, Erie County Medical Center (2009-present)
- Emergency Physician, Buffalo Bills (2006-present)
- Emergency Medicine Attending, Emergency Medicine, Veterans Administration Hospital (2011–2015)
- Assistant Medical Director, Rural/Metro Medical Services of Wester NY (2010–2012)
- Emergency Medicine Attending, Emergency Medicine, FDR Medical Services, Brooks Memorial Hospital (2009–2011)
- Clinical Instructor, Emergency Medicine, University at Buffalo (2009–2011)
- Flight Physician, Mercy Flight of Western New York (2009–2010)
- Medical House Officer, Millard Fillmore Gates Circle Hospital (2008–2009)
- Firefighter/Emergency Medical Technician, Manhasset-Lakeville Fire Department (1997–2006)
- Firefighter/Emergency Medical Technician, University of Notre Dame Fire Department (2000–2002)
Awards and Honors:
- Honorable Mention: Siegel Award for Excellence in Medical Student Teaching - University at Buffalo (2017)
- EMS 10: Innovators in EMS Award - JEMS (2017)
- President’s Award - National Association of EMS Physicians (NAEMSP) (2017)
- Fellow of the Association of EMS Physicians (FAEMS) (2017)
- Chairman‘s "Lightning” Award - University at Buffalo, Department of Emergency Medicine (2014)
- Fellow of the American College of Emergency Physicians (FACEP) (2013)
- President's Award - Rural/Metro Corporation (2012)
- Healthcare 50 - Buffalo Business First (2011)
- EMS Physician of Excellence - Wyoming-Erie Emergency Medical Services Council (2010)
- Honorable Mention: Siegel Award for Excellence in Medical Student Teaching - University at Buffalo (2007)
- "Paramedic of the Year" - Manhasset-Lakeville Fire Department (1999)
Grants and Sponsored Research:
- October 2019–September 2020
First Responders - Comprehensive Addiction and Recovery Act (FR-CARA)
Substance Abuse and Mental Health Administration
Role: Co-Investigator
$45,000 - October 2018–December 2019
Expansion of addictions treatment and rapid referrals across Western New York
Blue Cross Blue Shield Blue Fund
Role: Co-Investigator
$197,000 - April 2019–August 2019
Expansion of addiction treatment in the jail/prison system and OB/GYN practice settings
Office of Alcoholism and Substance Abuse Services
Role: Co-Investigator
$140,693 - September 2017–August 2018
Initiation of emergency department medication assisted treatment for opioid use disorder
John R Oishei Foundation
Role: Co-Investigator
$200,000 - July 2016–June 2017
Assessing the utility of face cooling to maintain blood pressure during hemorrhagic injury
University at Buffalo
Role: Co-Investigator
$19,000 - June 2016–December 2016
Conversations in the Disciplines (CID) Program: Emergency Care in the Streets: Launching a Prehospital Care Research Consortium
The State University of New York
Role: Co-Investigator
$5,000 - January 2013–December 2015
Emergency Decision-Making at Life’s End
Les Brun Pilot Funding Program
Role: Co-Investigator
$10,000 - August 2015–November 2015
2015 EMS Question Bank (Service Grant)
Rural/Metro Medical Services
Role: Principal Investigator
$8,000 - January 2010–December 2010
Operational Grant for Tactical Response Specialized Medical Assistance Response Team (Service Grant)
New York State Legislature
Role: Contributor
$60,000 - The role of oxygen breathing on carotid body sensitivity, oxygen toxicity, and performance in divers
Role: Co-Investigator - Optimizing performance during topside operations and diving at altitude
Role: Co-Investigator
Journal Articles:
- Natalzia P, Murk W, Thompson JJ, Dorsett M, Cushman JT, Reed P, Clemency BM, Clemency B. Evidence-based crisis standards of care for out-of-hospital cardiac arrests in a pandemic. Resuscitation. 2020.
- Hess HW, Hostler D, Clemency BM, Johnson BD, Clemency B. Carotid body chemosensitivity at 1.6 ATA breathing air versus 100% oxygen. J Appl Physiol. 2020; 129(2).
- Johnson BD, Schlader ZJ, Schaake MW, O'Leary MC, Hostler D, Lin H, St James E, Lema PC, Bola A, Clemency BM, Clemency B. Inferior Vena Cava Diameter is an Early Marker of Central Hypovolemia during Simulated Blood Loss. Prehosp Emerg Care. 2020.
- Campos A, Ernest EV, Cash RE, Rivard MK, Panchal AR, Clemency BM, Swor RA, Crowe RP, Clemency B. The Association of Death Notification and Related Training with Burnout among Emergency Medical Services Professionals. Prehosp Emerg Care. 2020.
- Waldrop DP, Waldrop MR, McGinley JM, Crowley CR, Clemency B. Managing Death in the Field: Prehospital End-of-Life Care. J Pain Symptom Manage. 2020.
- Filipescu R, Powers C, Yu H, Yu J, Rothstein DH, Harmon CM, Clemency B, Guo WA, Bass KD. Improving the performance of the Revised Trauma Score using Shock Index, Peripheral Oxygen Saturation, and Temperature-a National Trauma Database study 2011 to 2015. Surgery. 2020; 167(5).
- Filipescu R, Powers C, Yu H, Rothstein DH, Harmon CM, Clemency B, Guo WA, Bass KD. The adherence of adult trauma centers to American Pediatric Surgical Association guidelines on management of blunt splenic injuries. J Pediatr Surg. 2020.
- Waldrop DP, McGinley JM, Dailey MW, Clemency B. Decision-Making in the Moments Before Death: Challenges in Prehospital Care. Prehosp Emerg Care. 2019; 23(3).
- Clemency B, Martin-Gill C, Rall N, Patel D, Myers J. US Emergency Medical Services Fellows. Prehosp Disaster Med. 2018; 33(3).
- Cairo SB, Fisher M, Clemency B, Cipparone C, Quist E, Bass KD. Prehospital education in triage for pediatric and pregnant patients in a regional trauma system without collocated pediatric and adult trauma centers. J Pediatr Surg. 2018; 53(5).
- Waldrop DP, McGinley JM, Clemency B. The Nexus Between the Documentation of End-of-Life Wishes and Awareness of Dying: A Model for Research, Education and Care. J Pain Symptom Manage. 2018; 55(2).
- Waldrop DP, McGinley JM, Clemency B. Mediating Systems of Care: Emergency Calls to Long-Term Care Facilities at Life's End. J Palliat Med. 2018; 21(7).
- Clemency B, Martin-Gill C, Rall N, May P, Lubin J, Cooley C, Van Dillen C, Silvestri S, Portela R, Cooney D, Knutsen C, March J. Association between EMS Question Bank Completion and Passing Rates on the EMS Certification Examination. Prehospital Emergency Care. 2017; 21(4).
- Mirarchi FL, Cooney TE, Venkat A, Wang D, Pope TM, Fant AL, Terman SA, Klauer KM, Williams-Murphy M, Gisondi MA, Clemency B, Doshi AA, Siegel M, Kraemer MS, Aberger K, Harman S, Ahuja N, Carlson JN, Milliron ML, Hart KK, Gilbertson CD, Wilson JW, Mueller L, Brown L, Gordon BD. TRIAD VIII: Nationwide Multicenter Evaluation to Determine Whether Patient Video Testimonials Can Safely Help Ensure Appropriate Critical Versus End-of-Life Care.. Journal of Patient Safety. 2017; 13(2).
- McGinley J, Waldrop DP, Clemency B. Emergency medical services providers' perspective of end-of-life decision making for people with intellectual disabilities. J Appl Res Intellect Disabil. 2017.
- Clemency B, Tanaka K, May P, Innes J, Zagroba S, Blaszak J, Hostler D, Cooney D, McGee K, Lindstrom H. Intravenous vs. intraosseous access and return of spontaneous circulation during out of hospital cardiac arrest. The American Journal of Emergency Medicine. 2017; 35(2).
- Clemency B, Cordes CC, Lindstrom HA, Basior JM, Waldrop DP. Decisions by Default: Incomplete and Contradictory MOLST in Emergency Care.. Journal of the American Medical Director's Association. 2017; 18(1).
- Clemency BM, Bart JA, Malhotra A, Klun T, Campanella V, Lindstrom HA. Patients Immobilized with a Long Spine Board Rarely Have Unstable Thoracolumbar Injuries.. Prehospital Emergency Care. 2016; 20(2).
- Waldrop DP, Clemency B, Lindstrom HA, Cordes CC. "We Are Strangers Walking Into Their Life-Changing Event": How Prehospital Providers Manage Emergency Calls at the End of Life.. Journal of Pain and Symptom Management. 2015; 50(3).
- Lindstrom HA, Clemency BM, Snyder R, Consiglio JD, May PR, Moscati RM, Clemency B. Prehospital Naloxone Administration as a Public Health Surveillance Tool: A Retrospective Validation Study.. Prehospital and Disaster Medicine. 2015; 30(4).
- Clemency BM, Tanski CT, Rosenberg M, May PR, Consiglio JD, Lindstrom HA. Sufficient catheter length for pneumothorax needle decompression: a meta-analysis.. Prehospital and Disaster Medicine. 2015; 30(3).
- Clemency BM, Ott JA, Tanski CT, Bart JA, Lindstrom HA,. Parenteral Midazolam Is Superior to Diazepam for Treatment of Prehospital Seizures.. Prehospital Emergency Care. 2015; 19(2).
- Waldrop D, Clemency B, Maguin E, Lindstrom H. Prehospital providers‘ perceptions of emergency calls near life‘s end.. American Journal of Hospice and Palliative Care. 2015; 32(2).
- Waldrop D, Clemency B, Maguin E, Lindstrom H. Prehospital providers' perceptions of emergency calls near life's end. Am J Hosp Palliat Care. 2015; 32(2).
- Cooney DR, Beaudette C, Clemency BM, Tanski C, Wojcik S, Clemency B. Endotracheal intubation with a video-assisted semi-rigid fiberoptic stylet by prehospital providers.. International Journal of Emergency Medicine. 2014; 7(1).
- Clemency BM, Thompson JJ, Lindstrom HA, Gurien S, Jaison BA, Grates-Sciarrino AA,. Frequency of Manuscript Publication Following Presentation of EMS Abstracts at National Meetings.. Prehospital and Disaster Medicine. 2014; 29(3).
- Clemency BM, Roginski M, Lindstrom HA, Billittier AJ. Paramedic Intubation: Patient Position Might Matter.. Prehospital Emergency Care. 2014; 18(2).
- Waldrop DP, Clemency B, Maguin E, Lindstrom H. Preparation for Frontline End-of-Life Care: Exploring the Perspectives of Paramedics and Emergency Medical Technicians.. Journal of Palliative Medicine. 2014; 17(3).
- Clemency BM, Thompson JJ, Tundo GN, Lindstrom HA. Prehospital High-Dose Sublingual Nitroglycerin Rarely Causes Hypotension.. Prehospital and Disaster Medicine. 2013; 28(5).
Books and Book Chapters:
- Ellis DG, Tanaka KP, Clemency B. Telemedicine and Emerging Telecommunications. 2015; 2.
- Clemency B. Patient Safety and Continuous Quality Improvement. 2015.
- Clemency B, Bradley A. Human Resources and Employee Relations. 2015.
Abstracts:
- Clemency B, Tanski C, Gibson Chambers J, O’Brien M, Knapp A, Clark A, McGoff P, Innes JC, Hostler D, Lindstrom H. Compulsory Use Of The Backboard Is Associated With Increased Frequency Of Thoracolumbar Imaging [Abstract]. Prehospital Emergency Care. 2017; 21(1).
- Clemency B, Patel D, Martin-Gill C, Myers J, Rall N, Lindstrom HA. The 2015–16 Emergency Medical Services Fellows [Abstract]. Prehospital Emergency Care. 2017; 21(1).
- Clemency B, Martin-Gill C, Cooley C, Van Dillen C, Knutsen C, March J, Lubin J, Portela R, Cooney D, Silvestri S, Innes J, Tanka K, Lindstrom H. EMS Board Certification Question Bank [Abstract]. Prehospital Emergency Care. 2016; 20(2).
- Clemency B, Tanaka K, Hostler D, Innes JC, Zagroba S, Blaszak J, Cooney D, May P, McGee K, Lindstrom H. IV vs IO Epinephrine in the Treatment of Out-of-Hospital Cardiac Arrest [Abstract]. Prehospital Emergency Care. 2016; 20(1).
- Waldrop D, Clemency B, Lindstrom H. Crises at the End of Life: How Prehospital Providers Respond [Abstract]. Journal of Pain and Symptom Management. 2015; 49(2).
- Clemency BM, Bart JA, Malhotra A, Campanella V, Klun K, Lindstrom HA. Patients Immobilized With a Longboard Rarely Have Highly Unstable Thoracolumbar Injuries [Abstract]. Prehospital Emergency Care. 2015; 19(1).
- Clemency BM, Tanski CT, Rosenberg M, Consiglio J, Lindstrom HA. Sufficient Catheter Length for Pneumothorax Needle Decompression: A Meta Analysis [Abstract]. Prehospital Emergency Care. 2015; 19(1).
- Clemency BM, McCoy AM, Lindstrom HA. Can Paramedics Perform ESI Triage? [Abstract]. Prehospital Emergency Care. 2015; 19(1).
- Lema PC, Wilson J, O‘Brien M, Lindstrom H, Tanski C, Consiglio J, Clemency B. Ultrasound Identification of Successful Endotracheal Tube Placement by Paramedics and Residents [Abstract]. Annals of Emergency Medicine. 2014; 64(4).
- Clemency BM, McGee KM, Bart JA. Integrated EMS Didactics for Residents and Fellows [Abstract]. Prehospital Emergency Care. 2014; 18(2).
- Clemency BM, Ott JA, Tanski CT, Bart JA, Lindstrom HA. Midazolam is Superior to Diazepam for Treatment of Prehospital Seizures [Abstract]. Prehospital Emergency Care. 2014; 18(1).
- Clemency BM, Lindstrom HA, Gurien S, Janson B, Thompson JJ. Frequency of Manuscript Publication Following Presentation of EMS Abstracts at National Meetings [Abstract]. Prehospital Emergency Care. 2013; 17(1).
- Clemency BM, Tundo GN, Thompson JJ, Lindstrom HA. Prehospital Administration of Multiple Simultaneous Nitroglycerine Sublingual Rarely Causes Hypotension [Abstract]. Prehospital Emergency Care. 2013; 17(1).
- Bart JA, Clemency B, Billittier A. Traditional Operating Room vs. Cadaver Lab Experience for Paramedic Intubation Training [Abstract]. Prehospital Emergency Care. 2011; 13(1).
- Clemency BM, Billittier AJ, Pacheco K, Attwood K, Eckert A, Chamberlin S. Crew Configuration Does Not Affect HEMS On-Scene Time [Abstract]. Prehospital Emergency Care. 2011; 15(Supp1).
- Clemency BM, Billittier AJ, Pacheco K, Attwood K. An Advanced Partner Increases On-Scene Time for Single Paramedic Ambulances [Abstract]. Prehospital Emergency Care. 2011; 15(Supp1).
- Bart JA, Clemency BM, Billittier AJ, Myers J, Cooley C. Preliminary Report: Cadaver Lab vs Traditional Operating Room Experience for Paramedic Intubation Training [Abstract]. Prehospital Emergency Care. 2011; 15(Supp1).
- Clemency BM, Billittier AJ, Pereira J, Hu K. The Lay Public‘s Expectations of Prearrival Instructions When Dialing 9-1-1...A Decade Later [Abstract]. Prehospital Emergency Care. 2011; 15(Supp1).
- Clemency BM, Cooley C, Roginski M, Attwood K, Billittier AJ. Prehospital Intubation: Does Patient Position Matter? [Abstract]. Prehospital Emergency Care. 2010; 14(Supp1).
- Clemency BM, Roginski M, Cooley C, Manka M, Attwood K, Billittier AJ. Emergency Department "Open With Delay" Status Does Not Affect the Rate of Ambulance Arrivals [Abstract]. Prehospital Emergency Care. 2010; 14(Supp1).
Professional Memberships:
- Council of EMS Fellowship Directors (CEMSFD) (2011–present)
- American College of Emergency Physicians (ACEP)
- National Association of EMS Physicians (NAEMSP)
- Society of Academic Emergency Medicine (SAEM)
Presentations:
- "Various EMS Board Review Topics" ACEP/NAEMSP Certification Review Course, ACEP/NAEMSP (2017)
- "Lies You ACLS Instructor Told You" Emergency Medicine Grand Rounds, University at Buffalo (2017)
- "Current Research in EMS: What Should We Expect Next?" 2017 Greater Buffalo EMS Conference, UBMD Emergency Medicine - Division of EMS (2017)
- "Pushing Ourselves to Improve the Way We Push on the Chest" Critical Care Nursing Conference, Erie County Medical Center (2017)
- "2016 EMS LLSA Review" NAEMSP Annual Meeting, NAEMSP (2017)
- "Compulsory Use Of The Backboard Is Associated With Increased Frequency Of Thoracolumbar Imaging (Oral Abstract)" NAEMSP Annual Meeting, NAEMSP (2017)
- "EMS In Training Exam Update" Council of EMS Fellowship Directors Meeting, NAEMSP (2017)
- "The 2015–16 Emergency Medical Services Fellows" NAEMSP Annual Meeting, NAEMSP (2017)
- "If It Was Easy Everyone Would Be Doing It" NY Resuscitation Symposium, AMR Foundation for Research and Education (2016)
- "Pushing Ourselves to Improve The Way We Push on the Chest" NY Resuscitation Symposium, AMR Foundation for Research and Education (2016)
- "2014 EMS LLSA Review" EMS Live Webinar Series, SUNY Upstate (2016)
- "EMS Research from the West Side (of the State)" Emergency Care in the Streets: Launching a Prehospital Care Research Consortium, University at Buffalo (2016)
- "EMS Board Certification Question Bank (Poster)" NAEMSP Annual Meeting, NAEMSP (2016)
- "EMS In Training Exam Update" Council of EMS Fellowship Directors Meeting, NAEMSP (2016)
- "IV vs IO Epinephrine in the Treatment of Out-of-Hospital Cardiac Arrest (Oral Abstract)" NAEMSP Annual Meeting, NAEMSP (2016)
- "Various EMS Board Review Topics" ACEP/NAEMSP Certification Review Course, ACEP/NAEMSP (2015)
- "Various EMS Board Review Topics" ACEP/NAEMSP Certification Review Course, ACEP/NAEMSP (2015)
- "Patients Immobilized With a Longboard Rarely Have Highly Unstable Thoracolumbar Injuries (Poster)" NY ACEP Scientific Assembly, NY ACEP (2015)
- "BLS Protocol Changes for Suspected Spinal Injury" Trauma Management for Rural EMS And Community Hospitals, New York State Department of Health ‐ Western Region & Central New York Health Emergency Preparedness Coalition (2015)
- "2014 EMS LLSA Review" NAEMSP Annual Meeting, NAEMSP (2015)
- "Building The EMS In Training Exam" Council of EMS Fellowship Directors Meeting (2015)
- "Can Paramedics Perform ESI Triage? (Poster)" NAEMSP Annual Meeting, NAEMSP (2015)
- "Patients Immobilized With a Longboard Rarely Have Highly Unstable Thoracolumbar Injuries (Poster)" NAEMSP Annual Meeting, NAEMSP (2015)
- "Sufficient Catheter Length for Pneumothorax Needle Decompression: A Meta-Analysis (Oral Abstract)" NAEMSP Annual Meeting, NAEMSP (2015)
- "Choose Wisely: Things Emergency Physicians and Patients Should Question" Emergency Medicine Grand Rounds, University At Buffalo (2014)
- "EMS Research Update" ECMC Trauma Outreach, Erie County Medical Center (2014)
- "Differentiating Based on Clinical Quality" Rural/Metro National Leadership Conference, Rural/Metro Corporation (2014)
- "EMS Research Update" ECMC Trauma Outreach, Erie County Medical Center (2014)
- "IM Midazolam is Superior to Diazepam for Treatment of Prehospital Seizures (Poster)" NAEMSP Annual Meeting, NAEMSP (2014)
- "Integrated EMS Didactics for Residents and Fellows (Poster)" NAEMSP Annual Meeting, NAEMSP, Innovations in EMS Fellow Education (2014)
- "2013 EMS Research Update" Greater Buffalo EMS Conference, Office of Prehospital Care (2013)
- "2012 EMS Research Update" Finger Lakes Regional EMS Conference, Finger Lakes Regional EMS Council (2013)
- "Frequency of Manuscript Publication Following Presentation of EMS Abstracts at National Meetings (Oral Abstract)" NAEMSP Annual Meeting (2013)
- "Physician Scene Response as an Integrated Component of an EMS System" NAEMSP Annual Meeting, NAEMSP (2013)
- "Prehospital Administration of Multiple Simultaneous Nitroglycerine Sublingual Rarely Causes Hypotension (Poster)" NAEMSP Annual Meeting, NAEMSP (2013)
- "Clinical Excellence in EMS" Rural/Metro National Clinical Excellence Summit, Rural/Metro Corporation (2012)
- "Core Measures in EMS" Rural/Metro National Clinical Excellence Summit, Rural/Metro Corporation (2012)
- "An Advanced Partner Increases On-Scene Time for Single Paramedic Ambulances (Poster)" NAEMSP Annual Meeting, NAEMSP (2011)
- "Crew Configuration Does Not Affect HEMS On-Scene Time (Poster)" NAEMSP Annual Meeting, NAEMSP (2011)
- "Preliminary Report: Cadaver Lab vs Traditional Operating Room Experience for Paramedic Intubation Training (Poster)" NAEMSP Annual Meeting, NAEMSP (2011)
- "The Lay Public‘s Expectations of Prearrival Instructions When Dialing 9-1-1...A Decade Later.. (Poster)" NAEMSP Annual Meeting, NAEMSP (2011)
- "Emergency Department Open With Delay Status Does Not Affect the Rate of Ambulance Arrivals (Poster)" NAEMSP Annual Meeting, NAEMSP (2010)
- "Prehospital Intubation: Does Patient Position Matter? (Poster)" NAEMSP Annual Meeting, NAEMSP (2010)
- "Variations in ALS Symptomatic Bradycardia Protocols Among New York State EMS Regions (Poster)" New York ACEP Scientific Assembly, NY ACEP (2009)
- "Responding to the Medium One: The Erie County Hepatitis A Experience" NAEMSP Annual Meeting, National Association of EMS Physicians (2009)
Service Activities:
- 2017 University at Buffalo EMS Question Bank; Editor-In-Chief (2017)
- 2017 EMS In Training Exam; Editor-In-Chief (2016–2017)
- AMR Foundation for Research and Education; Board of Directors (2016–present)
- 2016 EMS In Training Exam; Editor-In-Chief (2015–2016)
- 2015 University at Buffalo EMS Question Bank; Editor-In-Chief (2015)
- Multidisciplinary Trauma PIPS; Committee Member (2014–present)
- Prehospital Emergency Care; Peer Reviewer (2014–present)
- Associate Medical Director - Southern Tier Health Care System Regional Paramedic Program (2014–present)
- Hospital Disaster Preparedness Committee - ECMC; Department Representative (2013–present)
- Standards and Practice Committee - NAMESP; Committee Member (2013–present)
- Western Regional Emergency Medical Services Advisory Committee; Chair (2012–2014)
- Interim Medical Director - Specialized Medical Assistance Response Team (2011–2012)
- Subject Matter Expert/Item Writer - Nation Registry of EMTs; February 2011, November 2012, May 2014; Consultant (2011–present)
- Council of EMS Fellowship Directors - NAEMSP; Member (2011–present)
- Associate Medical Director - Office of Prehospital Care (2010–present)
- Medical Director - The Hamburg Fire Companies (2010–present)
- Western Regional Emergency Medical Services Advisory Committee; Committee Member (2010–present)
- Fellows and Fellowship Graduates Committee - NAEMSP; Committee Member (2010–present)
- EMS Physician - Specialized Medical Assistance Response Team; Erie County Department of Health (2006–present)