I am a brand new medic moving from Northern California to Pittsburgh. I have National Registry and I am moving through the reciprocity process with EMS West. I have 2 years of 911 EMT experience working for a busy, urban county in CA. I did my paramedic internship with a large, urban fire department with a very busy and "eclectic" patient population. I have applied with Pittsburgh Bureau of EMS as that is the ultimate place that I want to work. I know that it is a pretty long process as it is a civil service position. In the meantime, I want to get more experience in a volunteer/part-time position in the Pittsburgh area. I would like to find a place that has great field training and mentorship. Does anyone know of such an agency that would want someone who is determined and wanting to learn? Most paramedic job listings in the area require "Medical Command". If I understand this right, you get credentialed by the hospital to receive medical command from them? This is a new concept to me coming from a state where you would get medical command from the emergency physician at the hospital contracted with the county. As someone who is not affiliated with a EMS agency and is coming from the outside, how would you get credentialed for medical command? Any information would be appreciated. I am excited to be moving to a different place and would love any serious help that people with experience could give me.