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Leadership in Action by Donnie Woodyard

Leadership in Action: The Wisdom and Stories of EMS Innovators

 

A collection of leadership wisdom, written by over 40 experienced EMS
leaders
and innovators that shaped Emergency Medical Services.

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Leadership in Action hardcover book
New Release by Donnie Woodyard

About The Book

Leadership in Action: The Wisdom and Stories of EMS Innovators is a powerful compilation of personal leadership experiences, hard-earned lessons, and transformative insights from some of the most respected leaders in emergency medical services. This book brings together real-world wisdom from industry pioneers who have dedicated their lives to advancing the profession.

With a foreword by Secretary Leon Panetta, this collection captures the essence of leadership in EMS—offering guidance, inspiration, and mentorship for the next generation of leaders.

Compiled and edited by Donnie Woodyard, Jr., this book captures the essence of leadership in EMS—offering guidance, inspiration, and mentorship for the next generation of leaders.

Who Should Read This Book?

  • Aspiring and current EMS leaders

  • EMS clinicians looking to transition into leadership roles

  • Public safety professionals seeking inspiration from proven leaders

  • Anyone passionate about leadership, resilience, and the future of EMS

What You’ll Discover

  • Firsthand leadership experiences from top EMS professionals

  • Lessons on resilience, adaptability, and decision-making in high-pressure situations

  • Strategies for leading teams, building strong EMS cultures, and navigating industry challenges

  • Stories of success, failure, and the defining moments that shape great leaders

Book Cover Leadership in Action
Hon. Leon Panetta, Foreword to Leadership in Action book

Leon E. Panetta, Chairman
The Panetta Institute for Public Policy

Foreword

Dear Mr. Woodyard: I am honored to be invited to contribute an opening letter to future EMS leaders for the book you are compiling: Leadership in Action: The Wisdom and Stories of EMS Innovators, that celebrates leadership and innovation in Emergency Medical Services and features the advice, lessons, and stories from more than forty of our nation’s most respected EMS leaders who have shaped the system we know today. The aim and objective of your efforts coincide with the goals and objectives of The Panetta Institute for Public Policy, which is to attract thoughtful men and women to lives of public service, helping them master the policy process and develop their skills as future leaders. Each year the Panetta Institute sponsors two programs that especially focus on leadership, the Congressional Internship Program and the Education for Leadership in Public Service Seminar, the latter which invites student body presidents from the California State University System and three private universities to learn from exceptional leaders representing all walks of society. Recently, we invited Admiral William McRaven to speak on the foundation for his Navy Seals’ success in bringing Osama bin Laden to justice. He highlighted non-partisan teamwork; fact-based analysis; relentless focus on a national priority; self-sacrifice; rigorous and objective debate among a team striving for a clear goal; and humility in the face of victory. During that same seminar, a student asked me my five best leadership lessons and I answered: set clear goals; develop the best strategy to achieve those goals; build a strong team and empower them to do their job; be honest with your team; and be honest with yourself. I believe that your collection addresses and amplifies the key elements of both Admiral McRaven’s and my insights. But let me emphasize an aspect of the EMS experience that is not always explicitly or publicly highlighted and is crucial at this moment in America’s history. And that involves the question of Taking Action: Is it wise to step forward against criminal aggression and hooligans in a public setting? Is it a moral duty to do so? This issue correlates with what many scholars see as a major social evil today, the breakdown of community—a reduction in the people’s sense of mutual responsibility and concern as members of society. Further, given the commonality of weapons in the United States, more of our citizenry are inclined to think that the person who turns away instead of stepping forward with courage is not being cowardly but rational. It seems like common sense now not to get involved. This is where I believe the EMS example is particularly salient—more and more of our citizens witness the effectiveness, the courage, and the successes of EMS personnel, and are implicitly persuaded to help others. In an important way, then, the sense of belonging in our society is vitally enhanced, which is the richest sustenance that any people can have. Again, Mr. Woodyard, thank you for this opportunity to address the leaders and members of the illustrious EMS organizations. One of the aims of our great democracy is to raise people as closely as possible to the ideal of excellence in their chosen calling and that means providing the leadership of the best and most demanding kind. That is what you are admirably trying to do, and this book is a great step forward in that direction. Yours very sincerely, Leon E. Panetta, Chairman The Panetta Institute for Public Policy

Meet the Authors!

This book would not be possible without the generous contributions of over 40 EMS leaders and authors, who have shared their time, wisdom, and experiences to inspire the next generation of EMS leaders. Click on each author’s photo to read their bio and learn more about the voices behind these powerful stories.

Table of Contents

Foundations of Leadership

1- From Fascination to Innovation: Lessons in EMS Leadership  
    ~ Roger White, MD [View Sample]

2- Pioneering EMS: Lessons in Leadership, Resilience, and Mentorship

     ~John Moon, EMT-P(retd) [View  Sample]

3- The Grace of Resilience 
    ~Doug Wolfberg, JD [View Sample]

4-  Leadership Lessons from the Streets
    ~Nitin Natarajan, MA, EMT-P(retd) [View Sample]

5- The Path of Purpose: Bridging Military Service, EMS, and Public Leadership
    ~Leroy M. Garcia, MA, NRP

6-  Leading with Purpose in EMS: The Fragile Gift
    ~John R. Clark, JD, MBA, CMTE, NRP, FP-C, CCP-C, WP-C

7- The 5Rs of EMS Success: A Leader’s Legacy 
   ~ Joseph Schmider, EMT  

8- Rooted in Purpose: Leadership Lessons for Aspiring EMS Leaders

    ~ Keith Wages, BS  

9- I was hired into a leadership position. Now what?

    ~ Fred Claridge, EMT-P(retd)  

10- The Marker Light Principle
   ~ Shannon Gollnick, DBA, NRP, FP-C

11- Leading with Purpose: Strengthening EMS Teams and Communities
   ~ Sean Caffrey, MBA, BS, NRP

12- Leadership Essentials: Short Notes for Rising Leaders

    ~ Alan Arguello, MBA, PMP, NRP, ICE-CCP

13- Carrying The Torch: Lessons For Emerging EMS Leaders
   ~ Douglas Kupas, MD, NRP, FACEMS, FACEP

14- Bridging the Gap Between Clinician and Leader

    ~ Daniel Gerard, MS, RN, NRP

Timeless Lessons

15- Tools for the Arena: Leadership Principles and Personal Growth
   ~ Justin Romanello, MA, NRP

16- Good to Great: The Questions That Shape Leaders 
   ~ Tad Rhodes, BSc, BA

17- Leadership By Evolution
   ~ Jon Krohmer, MD, FACEP, FAEMS

18- Leadership's Hard-Won Wisdom: 10 Truths for Aspiring Leaders
   ~ Donnie Woodyard, Jr., MAML, NRP, WP-C

Defining Moments: Growth, Challenges, and Opportunities 

19- Rising from Setbacks: Perseverance on the Path to EMS 
   ~ Kraig Kinney, JD, EMTP

20- Imposter Syndrome
   ~ John Barrett, DNP

21- A Humble Beginning
   ~ Gayan Chaturanga, MSc, EMT

22- Leading with Purpose: Lessons from an Unexpected EMS Journey
   ~ Maria Beermann-Foat, PhD, MBA, NRP

23- From Farm to Frontline: An Unlikely Journey to EMS Leadership
   ~ Jeanne-Marie Bakehouse, BA

24- The Road Less Traveled: Lessons in Leadership, Growth, and Resilience
   ~ Ryan Thorne, NRP

25- Listening, Leading, and Learning in Rural EMS Systems

    ~ Brandon Chambers, NRP

26- Live, Love, Laugh and Leave a Legacy
   ~ Mike McEvoy, PhD, NRP, RN, CCRN

27- It Starts with You: It’s Not Too Late 

    ~ Moriah A. Washington, MPA, EMT

28- Seen, Known, Loved: The Heart of EMS Leadership

    ~ Zach Alvey, EMT​​

​​Building and Empowering Teams

29- Shaping Outcomes: The Transformational Power of EMS Culture
   ~ Dominique Wong, MD

30- Onboarding New EMS Employees: A Path to Success or the Edge of Failure?

   ~ Skip Kirkwood, MS, JD, NRP (retd)

31- Beyond the Unit Number: Understanding the Human Side of EMS Leadership

   ~ Joshua Tromp, MS, EMT

32- 10 Traits of Great EMS Field Supervisors 
   ~ John Becknell, PhD

33- Elite EMS Leadership Teams
   ~John Becknell, PhD

34- Rethink EMS Wellbeing & Mental Fitness
   ~ John Becknell, PhD

35- Leading Through the Eyes of Grace
   ~ Asbel Montes, BS

Advancing the Profession

36- Cornerstones of Competence: Shaping the Future of EMS Education
   ~ Randy Stair, MSN ED., MA, RN, NRP

37- The Three Keys to More Effective Advocacy

    ~ Gregg Margolis, PhD, NRP

38- Guiding the Frontlines: Lessons for EMS Medical Directors
   ~ Douglas Kupas, MD, NRP, FACEMS, FACEP

39- Building the Blueprint: The Legacy of Paramedic Education

    ~ Walt Stoy, PhD, EMT-P

40- A Real Career Ladder for the Paramedic Profession
  ~ Skip Kirkwood, MS, JD, NRP (retd)

41- EMS Research and Evidence-Based Practice 
   ~ Alex (Sandy) MacQuarrie, PhD, MBA, RP

42- Emerging Leaders: The Call Within the Call
   ~ Jay M. Scott, MBA, NRP

43- Innovation and Collaboration: The Journey to Prehospital Blood Transfusions 

    ~ William J. Bullock, MPA, EMT-P

44- Please Describe Your Leadership Style  

    ~ Donnie Woodyard, Jr., MAML, NRP, WP-C

45- EMS Is Worth Fixing:  Why You Should Be the One to Do It
   ~ Daniel Burke, MBA, NRP

Visionary and Transformational Leadership

46- Vision Defines Leadership 

    ~ Bruce Evans, MPA, CFO, NRP

47- Forging the Future: Lessons in Visionary Leadership   
   ~ Donnie Woodyard, Jr., MAML, NRP, WP-C

48- Figure It Out, Kid: Leadership Lessons from a Lifetime in EMS
   ~ Randy Lesher, BA, EMT-P(retd)

49- The Squad That Changed Everything: Embracing the Unexpected
   ~ Deb McDonald, BSN, RN

50- Do What You Like!
   ~ Kenneth Williams, MD, FACEP, FAEMS

51- Resilience, Culture, and Career Longevity 

    ~ John Sammons, AAS, NRP

Concluding Thoughts

52- Reflections: Words That Define Our Journey
   ~ Donnie Woodyard, Jr., MAML, NRP, WP-C

Editor's Note

“If you want to go fast, go alone. If you want to go far, go together.” ​ This African proverb captures the essence of leadership and the spirit of this book. Leadership in EMS is not about quick fixes or individual success—it’s about the collective journey, the lessons we share, and the impact we leave behind. Whether you are stepping into leadership for the first time or seeking renewed purpose, we created this book for you. I hope the stories and wisdom in these pages will be your guide, a mentor, and a source of inspiration drawn from the real-life experiences of those who have led before you. ​ Leading an EMS agency is not for the timid. It requires resilience, vision, and a steadfast commitment to something bigger than yourself. Whether you're ascending to leadership for the first time or you're a veteran leader looking for a fresh reason to continue on the path you've chosen, this book is for you.  When I began the work of creating this book, my aim was clear: to assemble the wisdom and experiences from the EMS leaders and mentors that invested in my journey, with the next generations of leaders. I also wanted to take a moment to reflect, with the help of those leaders, on the path my life has taken—a path in which I have been incredibly fortunate to be surrounded so many incredible leaders. ​ This book is not a leadership textbook or manual of theories—it is a compilation of real-life encounters of leaders with the many facets of life and leadership. The highs, the lows, and everything in between have been lived, and these leaders are willing to tell the truth about their experiences and provide the raw and honest detail that allows us to glimpse the personal side of their leadership journeys. Each chapter stands alone, offering a unique perspective shaped by the author’s personal leadership journey.  ​ You will notice some themes—resilience, vision, collaboration—recurring throughout this book. That is by design. Leadership truths are constant; their expression is as diverse as the individuals who live them. Leadership is not a monolithic endeavor. Some authors share decades of experience, while others are earlier in their leadership journey. Yet all the insights shared here have equal value. If one chapter does not resonate, I'm confident the next will ignite your passion—or at least engage your mind more than the previous one. ​ This book results from the collective effort of over 40 esteemed EMS leaders who generously invested their time, and shared their stories, experience and wisdom—not only to aid national EMS charities but as an investment in you: the next generation of EMS leadership. Their willingness to share their experiences is a profound gift to all of us who struggle to grow in our leadership. I am deeply thankful for their contributions, and I encourage you to draw from their insights as I have. I’m especially grateful to Secretary Leon Panetta for offering a foreword for this book. I’ve long respected his service as a national leader. His career in public service stands as a shining example of two things: a bipartisan approach to solving some of the most complex problems of our time and a dedication to integrity and purpose that makes him quite the role model for anyone aspiring to lead in a challenging environment. I also wish to convey my deep appreciation for my colleagues and instructors at the Center for Homeland Security and Defense of the Naval Postgraduate School, in the Executive Leaders Program (ELP2401). This past year has been an incredible journey of shared wisdom, camaraderie, and growth. The lessons I have learned throughout this program are hard to quantify, but their impact on my leadership and perspective is beyond measure. ​ EMS leadership does not happen in isolation. It is a journey shared with many, one that is taken in close step with those who are companions in this endeavor. This is why I’m donating ~80% of the net royalties from this book to national EMS charities, including the National EMS Museum.  ​ The EMS future is bright—but only if we, as leaders, make it so. I commend you for picking up this book and thank you for being the kind of person who strives to make a difference. Your commitment to growth, resilience, and service is what inspires us to keep pushing forward. Together, we will build a legacy of leadership in EMS that lasts for generations. With gratitude and hope for the future, Donnie Woodyard, Jr. Editor

A Commitment to EMS Legacy

Supporting the National EMS Museum

💙 80% of the net proceeds from this book will be donated to national EMS charities, including the National EMS Museum.

By purchasing this book, you’re not only investing in your leadership growth—you’re also helping preserve the history of EMS and support the future of the profession.

 

Founded in 2006, The National Emergency Medical Services Museum, Inc. is a registered 501(c)(3) nonprofit organization (EIN: 20-5848176) and has been tax-exempt since August 2007. The museum opened its virtual doors with exhibits showcasing the organizations, individuals, and artifacts that highlight the development of Emergency Medical Services in the United States. Dedicated to preserving and commemorating the history of EMS, the museum also houses a comprehensive library and archives that document the evolution of the profession. Beyond preserving history, the museum is a storyteller—honoring the past, celebrating the present, and inspiring the future of EMS. Through its exhibits, research collections, and annual publication, The EMS Historian, the museum brings to life the stories of EMS clinicians, innovations, and pivotal moments that have shaped the profession. Today, the National EMS Museum thrives as a hub for EMS history enthusiasts and continues to seek out new treasures to expand its collection. To learn more about EMS history, as well as the museum’s mission and programs, visit:  www.emsmuseum.org

National EMS Museum

of the net proceeds from book sales
will be donated to support the
National EMS Museum Foundation
and EMS Charities.

80%

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© 2025 by Donnie Woodyard Jr | All Rights Reserved

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