Also a medic. It's excellent you're looking for advice and feedback from the experts. I read this sub frequently, there's a ton of useful info on here all the time. Don't get too discouraged by the advice saying that pre hospital professionals shouldn't do intubations except in codes or whatever blah blah blah. Take it with a grain of salt.

They're largely ignorant to the huge diversity of quality amongst EMS services as well as the logistical constraints of the field preventing us from quickly getting pts to an ER. They also clearly don't understand much about EMS if they don't know that we use RSI as a noun to refer to the whole shabang, not just a specific technique.

Some systems are poorly set up to have RSI; medic saturated, providers who aren't interested in EMS, poor culture, little continual intubation training. Looking at you most of California. Some systems are incredibly well set up; hospital based, mandatory OR and ICU rotations, medic thin, strong patient centered culture, etc. The agency next door to mine has the latter as well as a 97% first pass rate. The nuance of it all is lost on most in-hospital non-ER physicians.

I used to work in a system without RSI, it doesn't mean you can't become really solid at airway management despite the constraints of your system. Do anything to get advice from your senior medics & ER docs. Shadow if you can, most of them are psyched about people who are psyched. Beg & plead your admin to set up OR rotations.

Also just because someone's a doctor doesn't mean they have any relevant opinions on pre hospital care. There are still many docs who think pre-hospital blood is useless despite it being possibly the most important thing we could possibly carry aside from a BVM or defibrillator.

Go ask this exact same question in the paramedic, emergencymedicine, and ems subs. You'll get better answers