In this high-energy, informal and candid roundtable, medical directors and EMS executives will discuss where their goals and strategies align and where they sometimes collide. Topics on the table include quality improvement, implementing new technologies, evidence-based medicine, oversight of EMS clinicians and much more. Medical directors and chiefs from the same systems are encouraged to participate in the conversation together, but the forum is open and complimentary to all. Doug Hooten is the CEO of Emergency Services District 11, the newly stood-up EMS agency serving Harris County, Texas, where Dr. Casey Patrick is the medical director.