*1.What is your role/occupation in the air ambulance flight industry?(Required.)

Pilot

Paramedic

Nurse

Respiratory Therapist

Doctor/Physician Assistant

Communications Specialist

Management/Leadership

2.What area of AMRM/CRM are Air Ambulance crews collectively the weakest? (pilots AND medical crew – as a team)

Communication – clear/explicit, announce/acknowledge actions, verified/understood

Situational Awareness – phases of flight, aircraft environment (ground/air), weather, etc.

Manage/prioritize crew workload – sequence/timing, offer/direct assistance

Cross-monitor crew performance – aviation tasks/duties, attitudes, fatigue

Team relationship (teamwork/building) – positive and professional work relationships that allow crew members to communicate openly, freely, and effectively.

Other (please specify)

3.What contributes most to the area of AMRM/CRM you identified as the weakest in the air ambulance industry?

Pilots lack of communication

Medical crew member lack of communication

Lack of collective crew member training (pilot, nurse, medic, doctor, etc.-together)

Lack of accountability and enforcing CRM principles

Differences in the professional cultures (aviation and healthcare)

Medical crew excessive professional courtesy, toward pilots

Harmful or toxic attitudes, egos

Relaxed work environment, informal settings, work friendships

Other (please specify)

4.Which of the following could best improve AMRM/CRM in the air ambulance industry?

Increased collective aircraft crew training (pilots and medical crew members)

Regulation reform and more strict training/recurrency requirements by FAA

Emphasis by professional organizations and associations (HAI, AAMS, NEMSPA, etc.)

Mandated formal training/certification by the FAA of all aircraft crew members

Other (please specify)