MedicSansBrains
If it's the PC police then I'm not home.. got it?
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I do not work with ATCEMS yet but I'm in paramedic school in Austin (Austin Community College) where of course these details about ATCEMS are discussed. Many of my professors are ex-ATCEMS medics or current medics, FTO's, Captains, and even Commanders.Why would a new medic have this attitude? This system is forcing paramedics who want to work for ATC to first be hired as EMT-B's, this will only bring you new medics. Why would a good, well paid, Paramedic with 10 years of experience, possibly a family and financial obligations, come to this system to work as an EMT-B for far less salary. Especially for unknown period of time? Can you please tell me that? This is now what we call "a good ol boy system"
I am the person who started this thread and you can see next to my name that I have been posting on this EMS forum for over 7 years. In actuality I have been in EMS for close to 10 years, a Paramedic for a good portion of that, and now completing my undergraduate degree in Paramedicine.
I have never applied to ATC and I started with this thread to discuss the speculation surrounding the recent events. I even stated on the first post I was not sure if I have the story correct and invited people from ATC or anywhere in Texas to shine light on the matter for the rest of us.
So to reiterate, I will summarize things below and your welcome to make any corrections.
Its all over the news for the public and all of us to read. ATC is in a huge budget crises, coincidentally during this same time ATC makes the decision to start staffing an EMT with a Paramedic on every ambulance instead of the old system which was double Paramedic. Now they are hiring Paramedics and working them as EMT-Basics for an unknown period of time which is not a probation until they are promoted within ATC laterally to the Paramedic level, which in fact they are already licensed or certified as a provider? As a result nothing has changed, there still doing double Paramedic ambulances but due to the budget crisis now paying much less for the second Paramedic. There way of doing this is by not promoting him/her to paramedic or paramedic pay wage until a slot becomes available
PS: No offense to you buddy but I would never consider bragging about working for 15 bucks an hour when your forced to work overtime to make a good wage.You could pull that kind of cash at McDonalds as an assistant manager who is also working overtime.
1. Everyone, no matter your experience or certification (of course you have to be an EMT), is being hired as a Medic I with a BLS scope of practice.
2. You are kept in this position for approximately 1-2 years or until you receive your EMT-P. 1-2 years is the answer you're looking for I believe. That's accurate and what I've learned talking to them, current medics, and higher ranks.
3. The change from dual paramedic to EMT/Medic trucks was done by the medical director. The medical director has many reasons he says he did this but the important point is this.
It's being done to prepare the system for BLS ambos and ALS ambos, seperate.
Whether or not that is still the case I'm unsure. However, that is the stated purpose for the move by the Medical Director and the Chief. The idea being that most calls in our system are BLS and there are many abusers and taxi rides because there is a very large homeless population in Austin which you'd have to live here to understand the dynamics.
In the interim Paramedics who were being worked very hard to begin with have to do so now with only one set of ALS hands on board increasing their level of stress and responsibilities. From the medics I've talked to, on my rideouts etc., this is their main complaint of the current Medic/Basic trucks.
That being said there are always going to be discrepancies and speculation as to the expressed purpose of policy and the real intention. Reading between the lines is a great skill but can lead to soothsaying and palm reading so I won't participate.
There is recent talk among medics, which is gossip of course, of them changing the "probationary" 1-2 years for Medics back to being a true probationary/training period and practicing as an EMT-P from the get go. It is gossip to be sure and no one but the tops know of course.
I also suspect there's a protectionist aspect to it all as well, speculation purely.
Austin is under so much pressure, not just in EMS, from the relentless growth from people moving here for music, money, culture etc. I'm an Austin native and when I tell people that they always tell me "wow you're rare" and it kinda pisses me off. Rant.
This growth in demand has caused Austin EMS a lot of problems and the higher ups are trying to deal with it even if you might think it is hindering your ability to work or live here. Not being sassy just trying to let you in on some of the dynamics of Austin. I care very much about my city and it's people and now about its medics. Forgive my perceived xenophobia but if you were interested in moving here there's a complex endemic culture shock that is loosely connected to the subject at hand.
If you would like to live in Austin and don't want to work as a basic in a very overworked system I would highly suggest working for WilCo or San Marcos/Hays Co. WilCo is the neighboring county to the north of Austin and San Marcos/Hays Co is to the south. They are both really considered Austin area and many of the people working there live in Austin. They are both very great systems, many of my profs and instuctors are from there, and I've done many rideouts with both. I will be applying to all three when I graduate because they all have their ups and downs and cultures but in the end are representative of systems striving to serve their communities and make a good name for the profession.
If you have anymore questions specifically about Austin or the neighboring counties I can help with what I know and ask my professors and medics what the deal is.