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Insider analysis: EMS leadership burnout and instability

When leadership turnover is persistent, is this a personnel issue or a deeper systemic problem?

What happened: Cheshire EMS Chief Charles McMurrer, who was appointed in June 2023, has resigned, marking the second chief to leave the department in just over a year. His departure, in part due to burnout, raises concerns about whether the issue stems from leadership choices or deeper systemic problems within the 30-member department.

While a potential vote of no confidence was considered by union members, it was ultimately not pursued. The repeated turnover raises questions every organization should consider about the hiring process and organizational stability.

| More: N.H. EMS chief resigns over cost to family due to long hours, stress

Highlights

Watch as Ed Bauter, MBA, MHL, NRP, FP-C, CCP-C; and Daniel Schwester, MICP, highlight the significance of this development, including:

  • Leadership turnover signals deeper concerns. With two chiefs resigning in a short span, it is unclear whether leadership selection is the issue or if the system itself is causing burnout and instability.
  • Root cause analysis is necessary. The department and town leadership must evaluate the reasons behind repeated leadership struggles – whether operational inefficiencies, cultural challenges or structural flaws.
  • The need for organizational self-reflection. Leadership – for every department – must assess if the department is achieving its mission effectively or if systemic changes are needed to ensure long-term stability.

The path forward

Cheshire EMS must take a hard look at its leadership structure and working conditions to determine if systemic burnout or hiring missteps are at play. Conducting a thorough root cause analysis, engaging staff, and involving community stakeholders will be crucial steps in stabilizing leadership and ensuring long-term effectiveness. Addressing these concerns proactively will prevent further instability and create a stronger foundation for future leadership – for any organization.

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Ed Bauter, MBA, MHL, NRP, FP-C, CCP-C

Ed is a managing partner and chief executive officer of Overrun Productions, LLC; and co-host of The Overrun Podcast. Ed is a recovering medical student and paramedic.

His academic interests are in healthcare policy, team leadership and development, resuscitation and EMS medicine. Before attending medical school, he was a field preceptor and EMS educator for 10 years.

A second-generation paramedic, Ed works to inform the public about the importance of EMS and strives to encourage other EMS providers to move the profession forward using the most up-to-date data and technology.

He is a fan of old movies, the New Jersey Devils and the Philadelphia Eagles.

Daniel Schwester, MICP

Daniel Schwester has been a paramedic since 2000. He has served in a variety of roles including education, field training, clinical supervision and active practice as a paramedic.

He is the managing partner of Overrun Productions, LLC; and a co-host of The Overrun Podcast.

He is married to Jennifer, and is father to Caroline and William. He resides in Toms River, New Jersey.