Researchers argued that decentralized clinical trials may require formal training for mobile clinicians, including EMTs and community paramedics, to support safety monitoring and trial procedures outside traditional sites. The analysis, published in the Journal of Clinical and Translational Science, describes how mobile integrated health and community paramedicine programs could expand trial capacity while reducing participant burden. The core proposal is MIH-CP training tailored to clinical research workflows, so EMTs can perform trial-relevant assessments and safety monitoring as key personnel within research teams. Authors also highlighted regulatory concerns around limited investigator oversight in decentralized settings, and suggested a trained mobile workforce can help maintain continuity. For trial sponsors, the takeaway is operational: decentralized models are not just technology-enabled—they depend on clinical infrastructure and standardized training to execute study requirements consistently.