What other practical means do you have to limit entry to a class besides prerequisites? I see no upside to expensive education when it is simply for the sake of being expensive.
I think prereqs are the best.
Particularly sophmore college level.
The current medic curriculum is written at the 10th grade level. EMT-B at 8.
I would suggest general chemistry for science majors and a bio for science majors, both with labs providing that the medic class has an A&P component.
Otherwise I would add that to chem and bio.
Pharm would be a bonus, but I wouldn't make it a prereq.
I think the hobet would then become obsolete, because the additional education would more than prove fitness.
Not merely for the sake of making the education more expensive, but for having initial coursewrok in health related classes that would make medic class less of a struggle while also lengthening the commitment.
In the last 6 years one of the things I have noticed is a shift in medic school students from people who wanted to be medics for whatever reason, to adults in other careers looking for the quickest and cheapest way into the health field, which is EMS.
I am not opposed to people changing careers, but flooding the market with minimumly qualified people just looking for a job hurts EMS as an aspiring profession.