Book excerpt: Principles of Ethics and Personal Leadership (PEPL) provides EMS and mobile healthcare (MHC) practitioners at all levels with the knowledge and skills they need to effectively interact with patients and their families, other medical personnel, co-workers, supervisors, and the community. The course provides students with a deeper understanding of the basic principles of ethical leadership and service to patients, as well as an awareness of the leadership challenges facing today's EMS and MHC practitioners. This course assists students in identifying their personal responsibility and accountability for ethical decision making and for the exercise of ethical servant leadership for themselves, their patients, and their profession. Many communities are exploring new models for delivering medical care to improve patient outcomes and reduce costs. Through course presentations, discussions, and learning activities, this interactive course offers essential foundational training that advances the professional development of participants. Students successfully completing the PEPL course will be eligible for continuing education credits.