As far as putting Lights and sirens in their personal vehicle, i am against it. However in an ambulance service close to mine, has like an emergency response vehicle (ALS equipped) for the EMS director. I guess the same conditions can be applied to a medical director/physician. First responders in our area cannot even run their hazard lights going to a call, and must follow all rules of the road. Also is running your lights and sirens going to save that much time for a physician, when an ambulance should be on the way, or on scene? If they wind up with an emergency response vehicle, they should have to go through an EVOC course like EMTs do in order to drive.