Glib attended the CoROM Remote Paramedic programme whilst working at the Ministry of Health in Ukraine. He brought that curriculum back to his country and requested that the College create an instructor and transition programme to convert the Ukrainian EMS into the US model of the ALS paramedic. 
In 2019, the College of Remote and Offshore Medicine Foundation collaborated with the Ternopil National Medical University to offer paramedic instructor programmes. Additionally, they set up TSMU to provide ITLS trauma courses for their doctors and medics. 
Aebhric and Glib discuss the current EMS situation in Ukraine and options for improvement as the conflict continues.