The Franco-German model operates in most places in Europe and Russia, but not in the United Kingdom. In this model, the medical director is typically more of a leader of physicians, and an advisor on the training of, and quality control for, subordinate staff. In Germany, the term "Ärztlicher Leiter Rettungsdienst" is used. This physician's role is to oversee EMS personnel in a defined area, typically a bigger city or county, and it corresponds to the position of medical director in North America.