The purpose of this study was to learn how leadership is learned within an international context in Emergency Medical Services (EMS) by interviewing EMS professionals working in Riyadh, Kingdom of Saudi Arabia. Those interviewed either worked in EMS or had EMS training in countries other than Saudi Arabia. Each interview sought to understand the interviewee’s experience of learning and experiencing leadership as well as their recommendations on leadership. This study began in June of 2013 and included 19 participants.