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Incident Medical Specialist Manager

Position Description

Duties

  • Provides general oversight, coordination, and supervision of incident medical support on incidents.
  • Assesses numbers/capabilities and coordinate with local EMS and other health care providers.
  • Develops medical unit plans and procedures.
  • Prepares all medical reports and submit reports as directed.
  • Coordinates emergency medivacs utilizing incident and/or local resources.
  • Ensures all medical personnel follow established protocols for patient evaluation, treatment, documentation, and use of non-prescription medications.
  • Maintains personal responsibility for prescription medications (i.e. Epi-Pens®) issued under the authority of the advising physician.
  • Establishes and organizes the medical field unit to efficiently provide medical care.
  • Provides adjunct services, such as coordination of prescription refills or dental support items needed by incident personnel.
  • Maintains readiness for dispatch to line for medical emergencies.
  • Supervises Incident Medical Specialist (IMS) assistants and other assigned personnel.
  • Coordinates physician/hospital visits for personnel needing additional medical care.
  • Keeps MEDL informed of any major injuries or illnesses, emergency responses or transports, identified trends of injury or illness among crews, and makes recommendations for no duty/light duty status or medical DEMOB.
  • Works closely with COMP to insure accurate and timely completion of forms/documents.

Position Knowledge and/or Requirements

  • Annual incident medical specialist training
  • Maintain EMT certification
  • Maintain S-132 Standards for Survival currency
  • WCT at moderate level

NWCG Latest Announcements

2026 Updates to the NWCG Standards for Wildland Fire Position Qualifications, PMS 310-1

Date: January 23, 2026
Questions? 
Please contact: Incident and Position Standards Committee

The Incident and Position Standards Committee has updated the NWCG Standards for Wildland Fire Position Qualifications, PMS 310-1.

These updates address changes to incident position names and requirements for qualification, training, and experience. Updates related to the implementation of Complex Incident Management (CIM) and Incident Performance Training Modernization (IPTM) are also included.

The NWCG Wildland Fire Position Qualification Flowchart, PMS 308 has also been updated to reflect the recent changes.

References:

NWCG Standards for Wildland Fire Position Qualifications, PMS 310-1

NWCG Wildland Fire Position Qualification Flowchart, PMS 308

IPSC Memo 26-01: January 2026 Updates to the NWCG Standards for Wildland Fire Positions Qualifications, PMS 310-1

Incident Business Committee Memo 26-01: Updated Emergency Equipment Shift Ticket, OF 297

Date: January 22, 2026
Questions? 
Please contact: Incident Business Committee

The Incident Business Committee (IBC) has released Memorandum 26-01: OF 297 and 2026 Fire Use. This memo informs the wildland fire community that the updated Emergency Equipment Shift Ticket, OF 297 is available for download and can be ordered through the Great Basin Cache.

Beginning January 15, 2026 the previous version of the OF 297 form has been discontinued.

For further details, please contact your IBC representative.

References:

Incident Business Committee Memorandum 26-01

Great Basin Cache

NEW! S-390, Introduction to Wildland Fire Behavior Calculations (Blended) Available Now

Date: December 22, 2025
Questions about RT-130? 
Please contact: Fire Behavior Subcommittee

NWCG is excited to announce that the new S-390, Introduction to Wildland Fire Behavior Calculations (Blended) training is now available on the Wildland Fire Learning Portal.

This third course in the series combines online and instructor-led training components aimed at individuals who are involved in planning, managing, and executing wildland fire and prescribed burn operations; who require a thorough understanding of fire behavior calculations to enhance effectiveness and safety. This includes students who require the knowledge and skill necessary to perform the duties of a Type 3 Incident Commander (ICT3), Division/Group Supervisor (DIVS), or Prescribed Fire Burn Boss Type 2 (RXB2).

Students are required to be qualified as any Single Resource Boss position and complete the prerequisite S-290, Intermediate Wildland Fire behavior (Blended) course, before enrolling in S-390.

References:

S-390, Introduction to Wildland Fire Behavior Calculations (Blended)

Wildland Fire Learning Portal

NEW! S-320, Introduction to Incident Management Teams (Blended) Available Now

Date: December 18, 2025
Questions about RT-130? 
Please contact: Incident and Position Standards Committee

NWCG is excited to announce that S-320, Introduction to Incident Management Teams (Blended) is now available on the Wildland Fire Learning Portal!

This blended course combines online learning with instructor-led training, designed for individuals seeking to build leadership skills and gain experience in incident management.

Students are required to complete the prerequisite trainings ICS-100, Introduction to Incident Command System (ICS), ICS-200, Basic ICS for Initial Response, and ICS-700, An Introduction to the National Incident Management System (NIMS) prior to attending S-320.

References:

S-320, Introduction to Incident Management Teams (Blended)

Wildland Fire Learning Portal