This honors thesis project focuses upon the PEMS EMPRA program. The research question that the project seeks to answer is the following: what are the current recruiting, training, and quality control practices of the PEMS EMPRA program and how can these said practices be improved? The interest in this topic lies in providing an insightful, multi-faceted view of the day-to-day operations of a medical scribe program. The main goals of this project are to give a complete assessment of the present recruitment, training, and quality control practices of PEMS as well as provide insights and suggestions for improving the program as a whole.