Our sponser hospital is pro-ems thankfully. Any course they offer to their staff is offered to us and vise versa. We have a unit that is stationed in the hospitals location and when some (not all mind you) of us ride that particular truck we hang out at the ER and give them a hand. We make beds up, obtain VS and the like. We bring them food, coffee or whatever they need when we can. Its amazing how much these things alone will nourish a good relationship between the two.