Dr. Smith is currently the Operational Medical Director for the Arlington County (VA) Fire Department, an Associate Professor of Emergency Medicine at the George Washington University School of Medicine, and an attending physician at the Virginia Hospital Center in Arlington, VA. He attended medical school at the Georgetown University, completed his residency training in Emergency Medicine at the George Washington University, and has spent the last 12 years developing training and programs to address regional emergency preparedness and operational gaps in the National Capital Region.

As faculty, he was the Program Director for the George Washington University Emergency Health Services program and then led the Division of Special Operations Medicine where he oversaw the development of unique custom educational programs and medical operations for civilian and military special operations teams. He was the operational medical director for the former National Medical Response Team - National Capitol Region where he helped to develop new medical response models to atypical disasters in the NCR, and was a medical team manager for the Virginia Task Force-1 Urban Search and Rescue team. Additionally, he has served as the Medical Director for large scale events such as the National Marathon, the Nations Triathlon, the AT&T National Golf Tournament, and most recently the 2011 USGA US Open Championship.

In his current position as OMD for Arlington County, he oversees all medical operations, provider education, QA and medical protocols, and has developed new programs including unique operational EMS sub-specialty teams and Rescue Task Force, an innovative pre-hospital response to active violence and explosive scenarios,. Dr. Smith frequently presents at national and international medical conferences and delivers training to many groups ranging from tactical to operational to hospital-based. Most recently, he co-founded and now co-chairs the non-profit Committee for Tactical Emergency Casualty Care to facilitate medical knowledge transfer from combat to civilian use, and is co-developing the Arlington County High Threat program. Reed is a former EMS provider and Navy Corpsman and has strong interests in Operational & Tactical Medicine.