The Medical director plays a key role in the professional development of all aspects of the Medical Transport process. In almost all cases, the medical director will have an input into the curriculum of medical escort training at a local level. He is actively involve in choosing the right medical escort and supervising the transport process. In almost all cases, the medical director will be charged with the creation of all protocols and standing orders, and with any research that goes into their creation. The medical director will also, assisted by others, be responsible for the creation and development of the Standards of Practice for their EMS system. The Medical Director will provide the mechanism for medical quality control and conducting chart audits and reviewing medically related service complaints, and may often have the ability to de-certify individual paramedics for a reason. Medical directors will also act as advocates for their medical escort team, advising and building support within the medical community for expanded scopes of practice when appropriate. He is also actively involved in establishing alliances and cooperation agreements with other similar minded well-audited organizations. Finally, Medical directors will act as expert advisors to those in the EMS system administration and government administration, with respect to policies and legislation required by the EMS system, and in guiding its future direction.