Missouri Department of Health and Senior Services
P.O. Box 570, Jefferson City, MO 65102-0570 Phone: 573-751-6400
FAX: 573-751-6010
RELAY MISSOURI for Hearing and Speech Impaired 1-800-735-2966 VOICE 1-800-735-2466
Gail Vasterling
Jeremiah W. (Jay) Nixon
Acting Director
Governor
Date:
August 8, 2013
To:
Missouri EMS Agencies and Training Entities
Regional EMS Committees
RE:
Missouri EMS for Children, EMS Instructor Scholarship
The Missouri EMS for Children Grant is pleased to announce its
sponsorship of a new program to develop a sustainable network of
instructors available to provide education in pre hospital pediatric care.
This effort will increase the availability and sustainability of Pediatric targeted education throughout the state, as
well as provide an avenue for Missouri to contribute in the development of educational programs and treatment
guidelines based on research and evidence based evaluations.
Any EMS professional from any location in the state may submit application for the “EMS Instructor
Scholarship” via their Regional EMS Committee. Once approved by the Committee and forwarded to the EMSC
Advisory Committee for review, the successful applicant will be reimbursed for the cost of EMS Instructor
training up to $380.00 on completion of the training. EMSC will award up to 10 Scholarships annually. Courses
may be selected by the individual or his/her agency and may include traditional or electronic-internet based
programs that meet current 2002 National EMS Educational Standards.
Attached are the instructions and application for the Scholarship and a list of the current EMS Regional
Committee chairs and their email contacts. Please share this information with any and everyone and if you have
any questions or needs please contact the EMSC Program Manager anytime. Be Safe.
Jerry Kirchhoff
Jerry Kirchhoff, NREMT-P
Inspector I
EMS for Children Program Mger.
Missouri Department of Health and Senior Services
Bureau of Emergency Medical Services
3418 Knipp Dr., Suite F
PO Box 570
Jefferson, City. Mo. 65102-0570
Telephone: 573-751-6356
Fax: 573-751-6348
Jerry.Kirchhoff@health.mo.gov
http://www.health.mo.gov/safety/ems/
www.health.mo.gov
Healthy Missourians for life.
The Missouri Department of Health and Senior Services will be the leader in promoting, protecting and partnering for health.
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER: Services provided on a nondiscriminatory basis.
Missouri Emergency Medical Services for Children
EMS Instructor Scholarship Program Application
The MO Emergency Medical Services for Children (EMSC) Grant provides funding for EMS professionals from across the
state, to receive scholarship awards toward completion of an approved EMS Instructor program that meets National EMS
Education Standards. Individuals may apply via their Regional EMS Committees who, along with the EMSC Advisory
Committee, will review qualifications and then make recommendation for award of the scholarship.
The goal of the EMSC EMS Instructor program is to develop a broader base of EMS Professional Educators who can
participate in and develop programs, related to Pediatric emergency care in rural and underserved areas of our state.
________________________________________
Applicant’s Name/Licensure level and number
_________________________
Date
Applicant’s EMS affiliation/service
___________________________________
Phone number
__________________________________________
e mail address
Home Address and City
EMS Instructor Program you wish to attend (if known)
Briefly describe why you wish to become and EMS educator and how you will apply your training
Please attach your current CV/Resume and 2 letters of recommendation to this application
Missouri Emergency Medical Services for Children
EMS Instructor Scholarship Program
The Missouri EMS for Children Grant has budgeted funds to facilitate Education and Training for EMS
professionals from across the state to receive EMS Instructor status. This effort will increase the
number of individuals in all parts of the state, especially rural underserved areas, who will be able to
develop and present all types of EMS educational offerings but particularly pediatric related content.
This sustainable program will benefit EMS for many years to come and increase the number and quality
of Pediatric Educational programs while increasing the number of EMS clinicians receiving Pediatric
education.
Missouri EMSC will award a Scholarship toward the cost of EMS Instructor training to 10 individuals
annually for the period of the current EMSC Grant. The maximum dollar amount of each individual
scholarship will be $380.00 and will be awarded and paid on a reimbursement basis. Individuals who
receive the scholarship will be responsible for obtaining the training, successfully completing such, and
providing proof of completion along with a request or invoice for reimbursement. EMS Instructor
training may be in the form of classroom education or via a web based program. All EMS Instructor
Scholarship submission will be approved by the EMSC Advisory Committee and the Bureau of EMS
(Grant Administrators) only if the EMS Instructor training is a recognized program such as the National
EMS Educators Association EMS Instructor Course.
Steps to obtain the EMS Instructor Scholarship are as follows;
1. Complete the EMS Instructor Scholarship Application; attach your current CV and 2 letters
of recommendation.
2. Forward your application to the Regional EMS Committee for your area.
3. Once selected, choose the EMS Instructor training program, location, dates etc and forward
that to the EMSC Advisory Committee member in your Region and the EMSC Grant
Manager for review and approval.
4. Schedule your EMS Instructor training.
5. On successful completion, submit your certificate and written request for reimbursement to
your Regional EMSC Advisory Committee member. If your agency paid for your program
then that EMS Service will need to prepare an invoice for reimbursement. All requests for
reimbursements, whether to individuals or Agencies, will need to be addressed to:
Missouri Department of Health and Senior Services
Bureau of EMS
EMSC Grant
3418 Knipp Suite F
Jefferson City, MO. 65109-5701
Please email completed form to Your Regional EMS Committee Chair and to the Missouri EMSC
Program Manager:
jerry.kirchhoff@health.mo.gov
If you have any questions please contact the MO EMSC at 573-526-3511
Missouri Regional EMS Committee Chairs
Central
James Baysinger RN, NREMT-P
573-634-5678 ext. 9225
573-634-5677 (fax)
jbaysinger@colecounty.org
East Central St Louis
Douglas J.E. Schuerer, MD
Washington University, School of Medicine
schuererd@wustl.edu
South East
Charles Ogan
oganchuck@air-evac.com
417-274-0337
South West
Robert Patterson, EMT-P, Committee Chair
rpatterson@mercy.net
417-820-5450
Kansas City
David Gustafson, MD
dsges19@yahoo.com
North West__________
Mark Hill, EMT-P
mark@cameronems.net
816-632-6377