James Michael MillerLeadership · Education · Service

Paramedic · EMS Captain · Educator

Lead with purpose.
Teach for the
real world.

I’m James Michael Miller. I bring clinical practice, EMS leadership, and classroom experience together to help people become capable providers and confident leaders.

Explore my work View experience
Clinical practicePatient care grounded in compassion and readiness.
People & operationsClear expectations, accountability, and team development.
Practical educationLearning that carries from the classroom to the call.
01 / About me

A career built
around people.

I believe good leadership and good teaching begin with the same responsibility: helping others succeed when it matters.

I’m a North Carolina paramedic, EMS captain, and educator. My background spans field operations, emergency department practice, field training, and nine years in high school career and technical education.

Today, I bring those experiences into crew leadership, provider development, and EMS instruction. My goal is to build competence, confidence, compassion, and critical thinking—so learning translates into thoughtful action.

AccountabilityCompassionReadiness
02 / EMS leadership

Support the team.
Strengthen the system.

My approach combines operational readiness with a sustained investment in the people doing the work.

01

Lead with clarity

Set clear expectations, communicate with purpose, and build accountability through consistent follow-through.

02

Develop providers

Use field training, precepting, and regular practice to help providers build confidence and sound clinical judgment.

03

Improve readiness

Connect training, documentation review, and operational feedback to practical opportunities for improvement.

03 / Education & speaking

Make learning
mean something.

Practical. Engaging. Connected to real decisions.

I teach to help learners think through a problem, explain their decisions, and carry that understanding into practice.

My instructional work includes EMS skills, continuing education, online course development, and scenario-based learning. I draw on both classroom teaching and patient care to make complex ideas approachable.

EMS continuing educationSimulation & scenariosClinical decision-makingCareer explorationProvider developmentOnline learning
Discuss teaching or speaking
Course portfolio

Courses taught.
Curriculum developed.

EMS continuing education and curriculum work built around practical decisions, realistic scenarios, and thoughtful assessment.

Developed & taught · 16 hours

Street Drugs 3.0

Beyond the Textbook Overdose

Four-week online EMS continuing education using interactive learning, toxicology scenarios, knowledge checks, and applied clinical reasoning.

Course redesign & instruction · 144 hours

Medic 4401

The Refresher Shift

A paramedic refresher combining structured online content, clinical decision-making, case work, and assessment across core EMS topics.

Developed & taught · 16 hours

When Lightning Strikes

EMS Response to Nature’s Electrical Emergency

Lightning science, scene safety, injury mechanisms, assessment, resuscitation, reverse triage, and system preparedness.

Instruction · Four-week online course

EMS in the Hot Zone

Operating Safely and Effectively in High-Threat Environments

Threat recognition, tactical emergency casualty care principles, hemorrhage control, evacuation, interagency coordination, and resilience.

Curriculum development · Four-week course

Beyond the Chart

EMS Quality Assurance & Compliance Review

A fictional-agency case experience covering chart review, bias, evidence, quality measurement, root-cause analysis, and EMS QA program design.

Curriculum concept · 16-hour design

Dialysis Danger Zone

EMS Management of the Renal Patient

A course concept focused on dialysis emergencies, hyperkalemia, fluid overload, sepsis, vascular access, and clinical decision-making.

Developed & taught · James Sprunt Community College

EKG Technician

Developed and launched online EKG Technician curriculum as part of Allied Health instruction, with learner mentoring and certification preparation.

Developed & taught · James Sprunt Community College

ECG Review

Developed and delivered ECG Review coursework, connecting cardiac concepts with practical application and learner assessment.

Additional teaching experience

Initial EMS education across EMR, EMT, and AEMT levels; continuing education for providers through paramedic and critical care levels; computer science; business and marketing; and career readiness. Specific course titles vary by institution and teaching assignment.

Professional experience

Clinical leadership.
Educational depth.

Experience across field EMS, hospital operations, continuing education, and career and technical education.

CURRENT LEADERSHIP

Captain & Paramedic

Lenoir County EMS

Shift leadership, operational readiness, provider development, and patient care. Previous responsibilities include shift lieutenant, field training officer, and field preceptor.

EMS EDUCATION

EMS Instructor & Course Developer

Sampson Community College

Online EMS continuing education and paramedic refresher curriculum, including scenario-based learning, interactive course materials, assessments, and learner support.

2021–PRESENT

Continuing Education Instructor

James Sprunt Community College · Computer Science, Allied Health & EMS

Designed and delivered hybrid curricula, developed online EKG Technician and ECG Review courses, and provided individualized mentoring, remediation, and certification preparation.

CONTINUING EDUCATION

EMS & Business Instructor

Lenoir Community College

Developed and delivered continuing education, simulation-based EMS skills training, competency assessments, skills validation, and targeted remediation in collaboration with EMS and healthcare partners.

2024

Lead Paramedic

UNC Health Wayne

Directed a team of 20 paramedics, supported emergency department operations, and developed provider training and performance evaluation activities.

Led development and launch of a convalescent ambulance service, including budgeting, staffing, operational policies, and coordination with clinical and administrative partners.

FIELD EMS EXPERIENCE

Paramedic & Field Training Officer

Duplin County EMS

Advanced life support, patient assessment, treatment, transport, and transfer of care. Supported new-provider onboarding through structured field training, evaluation, coaching, and remediation.

HOSPITAL EXPERIENCE

Emergency Department Paramedic

ECU Health Duplin

Assessment and care of ill and injured patients in an emergency department, interprofessional collaboration, patient and family support, and equipment readiness.

2012–2021

Career & Technical Education Teacher

Richlands High School · Onslow County Schools

Nine years of instruction in business and related career and technical education. Integrated technology and project-based learning, coordinated internships and job shadowing, and built partnerships with local employers.

Education

A foundation in
teaching and practice.

East Carolina University · 2012

Bachelor of Science

Business Education and Marketing Education

Concentration: Communication Technologies
North Carolina Teaching Fellow

Lenoir Community College · 2020

Paramedic Certification

Professional preparation in advanced prehospital emergency care.

Professional strengths

People, learning & operations

Staff supervision · Provider mentoring · Curriculum development · Skills assessment · Remediation · Quality review · Scheduling · Budgeting · Educational technology

05 / Selected projects

Ideas put
into practice.

Examples of my work at the intersection of EMS operations, education, and learning design.

ReadyRounds
Microlearning · Ongoing development

Small challenges.
Purposeful practice.

A recurring EMS training approach using short clinical and skills challenges. Current development explores timed questions, immediate feedback, and crew participation.

My focus: challenge design, practical learning, and provider engagement.

EMS Online Learning
Course development · Continuing education

Bring clinical reasoning
into online learning.

Interactive EMS course development, including Street Drugs 3.0 and paramedic refresher content, using scenarios, knowledge checks, and structured progression.

My focus: curriculum design, learning activities, and assessment.

Operational Readiness
Training design · In development

Practice the coordination
before the incident.

Scenario planning centered on mass casualty response, scene command, triage, resource requests, interagency coordination, and transfer of command.

My focus: objectives, scenario flow, and observable performance criteria.

06 / Let’s connect

Better teams.
More confident learners.

For EMS leadership opportunities, continuing education, guest speaking, or course collaboration, use the contact form below. Include your organization, the opportunity or topic, and any proposed dates.