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UEMR is run by a dedicated group of all-volunteer officers who have taken on extra roles within the agency. UEMR leadership ultimately reports to the UT Dallas Chief of Police.

To maintain 24/7 emergency response, UEMR has an In-Charge credentialed provider on-call at all times that can respond to and handle medical emergencies independently. New members begin in a probationary status and must complete a rigorous 10-week training program to earn their In-Charge rank.