Which statement about the EMS medical director and an EMT's scope of practice is correct?

• A. The EMT's scope cannot be expanded by the medical director after proper training and state approval.
• B. The EMT's scope of practice may be expanded by the medical director after proper training and state approval.
• C. Scope expansion requires only hospital approval.
• D. Only physician assistants can expand scope.

Answer: (B)

The key idea is that the EMS medical director can broaden an EMT’s scope of practice, but only if the EMT completes the required training and the change is approved by the state. The medical director provides clinical oversight and creates protocols that define what EMTs may do. Expanding those capabilities isn’t granted by hospital approval alone, and it isn’t limited to physician assistants—the expansion must be authorized within the state’s EMS regulations. So the statement that best fits is that the EMT’s scope may be expanded by the medical director after proper training and state approval.