i work ems in the bronx and the job of the bosses is to follow and make sure the protocol is being followed properly. u dont have to be a medic to do that. and believe me, ive seen medics who shouldnt even be allowed to to give oxygen. i think its unfair to not allow emts to be promoted to boses...theres alot of great emts who would be terrific bosses. better than most medics would