Good to see a lot of answers for me here, but I'm a little down in the mouth that most of them are negative. Not down on you guys at all, I need to hear it like it is. Thanks for taking the time to hash this out with me.
What does it mean when you said, 'sign off on their protocols'? Not follow them, and work within an MD's scope of practice?
Triemal makes a good point with the cost to the dept. to equip an ambulance with all the equipment a physician would need/use. I considered the salary issues a department might have but not that. Thanks for pointing that out. The whole 'medical director' thing sounds cool, but if I can't work directly (ha) in EMS then I'd rather not do it.
ParamedicMike also made some good points that I appreciate; I guess what I was specifically looking for was whether I could work within the scope of practice of a physician on an ambulance, and even though I didn't really state that in a way I feel was clear enough you've all given me solid answers.