Affiliates · Partner organizations · Founded initiatives

Organizations TPF works with, founded, and continues to staff

TPF’s work goes beyond consulting projects. TPF has co-founded organizations and given startup funding to others. It staffs some of their work. It also works closely with partner organizations whose missions match its own.

2005
Year Gary Wingrove founded the International Roundtable on Community Paramedicine, before TPF existed
Inaugural convener: Gary Wingrove
2019
Year Nick Nudell founded the American Paramedic Association (APA)
Succeeded by the American College of Paramedics
6
Partner organizations spanning clinical education, GIS, policy, and international CP
Current active partnerships
20+
Countries represented in IRCP meeting history
Anglo-American and international participation

Organizations TPF or its principals founded or funded

Founded

International Roundtable on Community Paramedicine

ircp.info →

The International Roundtable on Community Paramedicine (IRCP) is an international forum on community paramedicine and Second Generation Paramedic practice. Practitioners, researchers and policymakers take part. It has met every year since 2005. TPF principals co-founded it. TPF administers it and still provides its organizational leadership. The 22nd Forum was held in Regensburg, Germany, in October 2026.

Learn about IRCP on this site →
Founded

International Paramedic

internationalparamedic.org →

International Paramedic coordinates the Paramedic G5. The G5 is an informal alliance of the five Anglo-American, or English-speaking, paramedic jurisdictions: the U.S., Canada, the U.K., Ireland, and Australia and New Zealand. Gary Wingrove convenes the G5 Meeting and serves on the Steering Committee. The site carries links to affiliated organizations, background documents and international resources. These directly inform TPF’s governance work.

Founded

American College of Paramedics

americanparamedics.org →

Nick Nudell founded the American Paramedic Association in 2019 as the first U.S. membership organization organized around the individual practitioner rather than the agency. He led the APA through 2024, when its professionalization mission advanced into the American College of Paramedics, which he currently chairs. The American College of Paramedics is a registered name under which TPF operates; it pursues that work at the legislative and regulatory level alongside TPF’s EMS policy services.

Learn about TPF’s EMS policy work →
Funded & staffed

kniki.org

kniki.org →

TPF provided startup funding for kniki.org and still staffs its efforts. The organization supports paramedicine work in clinical education, professional development and building capacity across systems. That work fits TPF’s broader mission.

TPF product

CommunityParamedic.org

communityparamedic.org →

CommunityParamedic.org is TPF’s training and education resource site. It was built before community paramedicine had wide legislative recognition in most states. Colleges, universities and other bona fide educational institutions use it to request the Community Paramedic curriculum from TPF. The Paramedic Network holds the copyright in the curriculum. TPF does not own or co-own that copyright. TPF’s role is to ensure the curriculum reaches those institutions. The site also carries community education content and program design guidance by TPF principals. This includes work that supported California’s 12 original community paramedic pilot sites.

Learn about TPF’s CP program design work →

Partner organizations and TPF programs

Each of these organizations shares TPF’s mission, works with TPF or has TPF principals on its staff. TPF principals staff several of them in part.

Partner

The Paramedic Network

paramedicnetwork.org →

The Paramedic Network delivers training and education, both in person and online. It builds clinical and professional skill for paramedics and emergency medical services (EMS) systems. TPF principals contribute to its education and curriculum work. It also shares many of the institutional relationships that anchor TPF’s consulting practice.

Education partner

UCLA & California CP Pilot Sites

TPF principals partnered with UCLA to develop and deliver the community paramedicine course at all 12 California Community Paramedic pilot sites. The work included writing the guidance for selecting students. It also included helping shape the methods for the statewide program evaluation.

Learn about TPF’s CP program design work →
Education partner

Paramedic Health Solutions / Mobile CE

TPF principals partnered with Paramedic Health Solutions to develop the Community Paramedic Technician curriculum. They also ran Mobile CE, a continuing education platform for paramedics. These partnerships reflect TPF’s view that educating people in practice is a tool for governance and for building the profession.

Learn about TPF’s CP curriculum work →
Research

Ultra-Endurance Sports Science & Medicine (UESSM)

uessm.org →

UESSM is a program of The Paramedic Foundation, operating under an assumed name. Nick Nudell and Dr. Martin D. Hoffman (UC Davis) co-founded it. It funds and supports research on ultra-endurance sports and shares what the research finds. Its aim is to improve the health and safety of the people who take part. UESSM covers the knowledge and evidence side of athlete safety, and the Ultra Medical Team covers the field side. Nudell’s own published work spans Sports Medicine, the British Paramedic Journal, and the National Association of EMS Physicians (NAEMSP) Newsletter.

Interested in partnering? Get in touch →
TPF operational

Ultra Medical Team

The Ultra Medical Team is a TPF operational initiative. It provides evidence-based field medical support, volunteer oversight, equipment standards and protocol frameworks for ultra-endurance sporting events. UESSM produces the research, and the Ultra Medical Team applies it on the ground. These events happen in places with few resources and hard physical effort, where regular emergency medical care is absent or not enough. The Ultra Medical Team is paused for now. It is looking for event and organizational partners to help restart it.

Austere and event medicine at TPF → Interested in partnering? Get in touch →

Selected programmatic work with partner organizations

TPF principals delivered the projects and programs below with organizations that share TPF’s mission. They are listed for transparency and cross-reference. They show the range of work TPF principals have contributed to over time.

Systems of care
Paramedic Systems of Care: Enhancing Value-Based Services
Work in several states on frameworks for paramedic systems of care that fit value-based service delivery. It included systems for measuring performance and protocols for quality improvement.
Community paramedicine
Statewide Community Paramedicine (CP) Stakeholder Engagement: Georgia, Wisconsin, and Indiana
Community paramedicine stakeholder work in several states. It included legislative strategy, mapping of rules and regulations, and analysis of the Medicaid State Plan Amendment path for building statewide CP programs.
System evaluation
Community, State, & Federal System Evaluations
TPF principals have carried out EMS system evaluations at community, state, and federal levels. These include assessments commissioned by state EMS bureaus, federal agencies, and regional EMS advisory bodies.
Performance improvement
Paramedic Performance Measurement and Improvement
Building, training and support for systems that measure and improve paramedic performance. The work links clinical outcome data to system design decisions and to frameworks for developing paramedics.
Data systems
EMS Links: Wisconsin Office of Rural Health
Information system design, analysis, evaluation, and consultation for EMS data systems in rural communities and in state and federal government. This work supports evidence-based EMS system decisions at the policy level.

Common questions

What is the International Roundtable on Community Paramedicine?

The International Roundtable on Community Paramedicine (IRCP) is a yearly international forum on community paramedicine and Second Generation Paramedic practice. Practitioners, researchers and policymakers take part. Gary Wingrove and TPF principals co-founded it in Halifax, Nova Scotia, in 2005. The Paramedic Foundation administers it. The 22nd Forum was held in Regensburg, Germany, in October 2026. More than 20 countries have been represented in IRCP meeting history.

Did The Paramedic Foundation found the organizations listed on this page?

TPF principals founded or co-founded the International Roundtable on Community Paramedicine (2005), International Paramedic (the Paramedic G5 coordinating platform), and the American College of Paramedics (2019, through the American Paramedic Association). International Paramedic is a separate organization with its own governance. The American College of Paramedics is a registered name under which TPF operates. The IRCP predates TPF’s incorporation in 2013, and TPF now administers it.

What is the Second Generation Paramedic (G2P) framework?

The Second Generation Paramedic (G2P) framework was developed through the IRCP. It describes paramedics working in expanded roles, outside the usual model of emergency response and transport. G2Ps use their training and skills in the community. They provide services through integrated care networks with enhanced protocols. The G2P framework has informed community paramedicine legislation and scope-of-practice design in multiple jurisdictions across the U.S., Canada, Australia, the U.K., and Ireland.

How does TPF’s relationship with the American College of Paramedics connect to EMS policy work?

Nick Nudell founded the American Paramedic Association in 2019 as the first U.S. membership organization organized around the individual practitioner rather than the agency. That organization advanced into the American College of Paramedics, which Nick currently chairs. The ACP pursues paramedic professionalization at the legislative and regulatory level, directly complementing TPF’s EMS policy and governance consulting work. The two organizations share leadership but maintain separate governance.

Partner with TPF: Start a conversation →

Partner with TPF

TPF would like to hear from organizations that work in rural health, community paramedicine, EMS governance, paramedic education, or austere and event medicine. If you see a fit with TPF’s work, start a conversation. TPF takes part in research partnerships, curriculum development and program co-design.