Peter E. Fischer MD, MS, NRP is the Trauma Medical Director of Washington Regional Medical Center in Fayetteville, AR and an Adjunct Clinical Professor of Surgery for the University of Arkansas. He completed his residency in general surgery at the University of Tennessee at Memphis and subsequently a surgical critical care fellowship at Oregon Health and Science University in Portland, OR. Prior to and during residency he worked as a Firefighter/Paramedic. He is the Medical Director for Hospital Wing Air Ambulance Service and serves as Medical Team Manager for Tennessee Task Force 1. He is Sysem Pillar Chair and serves on the Executive Committee for the ACS COT. He has a strong clinical and research interest in prehospital trauma care and trauma system development.