Welcome to Emergency Associates Consulting

Dr. James P. Winter is qualified as a certified medical review officer (MRO). Winter is the director of Acute Care Services of North Idaho Medical Care Centers, a division of Kootenai Health.

Recently for 2009-2010, Dr. Winter was honored by the Consumers' Research Council of America as one of a compilation of Top Emergency Medicine Physicians throughout the United States.

Coeur d' Alene, ID - Dr. James P. Winter, MD, RPH, MRO, AACT, FACEP of Coeur d'Alene affiliated with North Idaho Medical Care Centers - is qualified as a certified Medical Review Officer (MRO) for Drug-Free Workplace Testing and Programs. Dr. Winter serves as the Medical Director of Acute Care Services of NIMCC, a service of Kootenai Medical Center-Kootenai Health and practices as an Emergency Physician with the healthcare system.

Dr. Winter was re-certified by the Medical Review Officer Certification Council (MROCC), an independent physician-based certifying body which conducts an extensive application process and written examination to identify licensed physicians with the highest professional standards of medical expertise and practical skills necessary to evaluate drug and alcohol test results in public and private sectors of the workplace.

The U.S. Department of Transportation, and U.S. Department of Health and Human Services, most Fortune 500 corporations and many smaller companies require employee drug and alcohol testing today. Federal law mandates that a qualified MRO must make the final determination of whether a positive laboratory test represents substance abuse. The certified MRO may also act as a valuable resource to protect the company, helping with policies and regulatory issues, as well as providing related services such as drug testing collections, breath alcohol testing services, coordination of laboratory services, laboratory performance testing, and preparation of summary reports for employers. MROCC certification indicates that a physician is well prepared to handle workplace drug and alcohol testing programs and to help mange chemical dependency.

The MROCC Board of Directors represent a multi-specialty partnership among a variety of medical specialty groups - the American College of Occupational and Environmental Medicine, the American Academy of Clinical Toxicologists, the American College of Medical Toxicology, the American Society of Addiction Medicine, the College of American Pathologists - as well as the American Medical Association.

Dr. Winter has continued an Associate Medical Directorship for the Washington
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State Poison Control Center system for the past 20 years, is past Emergency Department Medical Director of Valley Hospital, Spokane, WA and served for almost a dozen years as the Medical Director of EMS-Paramedic Services of Valley Fire Department. He continues to practice Emergency Medicine for a nationally recognized company.

Dr. Winter also continues his consulting firm, EMERGENCY ASSOCIATES CONSULTING, with emphasis in emergency medicine, urgent care medicine, EMS-prehospital emergency care, toxicology and poisonings, pharmacy practice and law, herbal and alternative medicine problems, and medical legal opinions. He continues to write on various topics. Hewas honored receiving the Silver Mortar Award, from the National President of Kappa Psi Pharmaceutical Fraternity, for 25 years of professional contribution. He has been highlighted at National Meetings, which this year included a national presentation to physicians, nurses, and officers on the epidemic problem of methamphetamine, entitled: "Meth - Still a Cookin." He has been an invited guest instructor at Harbor View Medical Center for Advanced Trauma, at Washington State University's College of Pharmacy Doctor of Pharmacy's Toxicology Program. Dr. Winter has given professional commencement and inspirational lectures.

Dr. Winter is a contributing author to the inaugural and 2nd editions of the "Handbookof Urgent Care Medicine." He recently authored a chapter in the new nationally published "Toxicology Handbook for Clinicians."

Recently for 2009-2010, Dr. Winter was honored by the Consumers' Research Council of America as one of a compilation of Top Emergency Medicine Physicians throughout the United States by utilizing a point value system. This method uses a point value for criteria that CRCA deemed valuable in determining Top Emergency Medicine Physicians. The criteria that was used and assessed a point value is as follows: Experience, Training, Education and Continuing Education, Professional Associations, and Board Certification including completing an approved residency program and passing a rigid examination on that specialty. Consumers' Research Council of America, a Washington, D.C. based research organization, provides consumers' information guides for professional services throughout America. It is our purpose to help educate and assist consumers in obtaining the finest professional services. CRCA does not accept fees, donations, sponsorships or advertising from any individuals, professionals, corporations or associations. This policy was enacted to ensure an unbiased selection of top emergency medicine physicians.

Consulting emphasis in:
  • Emergency medicine
  • Urgent care medicine
  • Professional medical-pharmacy liability opinion
  • Medical Review Officer (MRO)
  • Drug free workplace policy review
  • EMS-prehospital emergency care
  • Toxicology and poisonings
  • Pharmacy practice and law
  • Herbal-alternative medicine information
  • Teaching and lecture keynote speaker