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Regulator
The regulator coordinates in real time the movements of ambulances and medical teams. A true conductor behind the scenes, they organize routes, manage unforeseen events, and ensure the safety and comfort of patients throughout their journey.
Missions: Regulator
Within a medical transport service (ambulance, VSL), the regulator is the person who receives transport requests from patients, physicians, or healthcare facilities. They then organize the interventions by optimizing human and material resources:
- Assign runs to ambulance crews and assistants based on urgency and the planned schedule.
- Monitor routes in real time, reassign teams when needed, and anticipate traffic disruptions so patients arrive on time and in good conditions.
- Coordinate vehicle fleet maintenance and availability with technical teams (servicing, repairs, fuel).
- Manage post-mission follow-ups, both administratively (transport documents, mission sheets) and on the human side (feedback from patients and teams).
- Anticipate SAMU requests and hospital needs to ensure vehicles and crews are always ready to deploy.
- Consistently ensure service quality and satisfaction for patients and healthcare professionals.
Researched profile
- Composure and quick decision-making under pressure.
- Excellent communication skills (oral and written), active listening, and team spirit.
- Strong sense of service and customer satisfaction.
- Rigor, organization, reliability, and a clear sense of priorities.
Skills and training
Experience as an ambulance driver, assistant ambulance driver, or logistics manager within a medical transport company is often the most common entry point. Additional training programs are available to specialize in regulation: the State Ambulance Diploma provides the essential foundations of medical transport (accessible without a high school diploma after three years of driving experience). The Professional Qualification for Transport Operations Supervisor offers a more technical understanding of planning and resource allocation. The BTS in Transport Management and Associated Logistics (GTLA) or the BUT in Logistics and Transport Management further strengthen skills in operations, team management, and organization.
Salary of a regulator
The salary depends on the size of the company, experience, working hours, and the type of assignments (scheduled, urgent, night shifts, 24/7 operations). At the start of their career, a regulator generally earns the minimum wage, that is €1,801.80 gross per month (around €1,426 net, as an indication). After a few years of experience and more responsibilities, earnings usually range between €2,000 and €2,500 gross. In high-demand environments (24/7 regulation, SAMU or hospital coordination), experienced profiles can reach €2,800 to €3,200 gross, or more in Île-de-France and large hospital networks.
Additional compensations often improve the net pay: night, weekend, and holiday bonuses, on-call duty, meal allowances, or performance bonuses depending on internal policies. For temporary workers, end-of-mission (IFM) and paid leave compensations (ICCP) increase overall earnings. Overall, salary progression depends on experience, the ability to handle real-time pressure, and commitment to service quality. Promotions to chief regulator or operations manager positions naturally come with higher pay and management-related benefits.
Work Environment of a Regulator
The regulator generally works in a control room or operations office, surrounded by screens, telephones, and specialized software for route and schedule management. They work closely with ambulance drivers, assistants, operations managers, and, depending on the organization, with the SAMU (emergency services) or healthcare facilities.
The job requires strong reactivity and constant focus. Unforeseen events are frequent: traffic jams, medical emergencies, last-minute cancellations, or vehicle breakdowns. The regulator must be able to reorganize schedules in real-time while maintaining smooth and high-quality service.
Work hours can be extensive, covering days, nights, weekends, and public holidays. The job therefore demands resilience, discipline, and a strong sense of priorities. Despite the intensity, it offers the satisfaction of contributing directly to patient safety and the continuity of care.
Career Development for Medical Transport Regulators
With experience, a regulator can move into positions such as chief regulator or operations manager, overseeing multiple teams. Some choose to deepen their expertise and become trainers or technical advisors within a network of companies.
This profession also serves as an excellent springboard toward managerial positions in medical transport, logistics, or operational management. Many experienced regulators eventually create their own transport company, capitalizing on their field expertise and organizational skills.
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