Curious- Immediate Experience or Paramedic School?

Amelia

You're stuck w/ me now (insert evil laughter here)
Messages
457
Reaction score
86
Points
28
Hello! I was curious to see if anyone (or who) did a year of EMT-B before going on to Paramedic school, or if you went straight on to Paramedic school. Do you think that pursuing a job afterwards made it easier or harder either which way? We only have 1 ambulance system in my town so I was just curious. I'm sure its different preferences for each person.
 
I went straight to medic school, still a student on field rotations now. I don't foresee having any trouble finding a job, though medics are always in high demand in my area.

The more experience you have, the smoother the transition will be. That said, I think that if you can get an EMT-B job and work throughout medic school, that should be plenty of experience. Medic school will have been around 1.5 years from start to finish for me. If you really think you're going to enjoy EMS and are already thinking about medic school, I would say just go for it ASAP. The idea that you need to spend 2.5 year to become a competent basic (assuming 1 year experience prior to medic school and working throughout) is ridiculous.
 
Well I was thinking about working p/t as an EMT until my youngest will go to Kindergarten, then go to P school in a year. But I've heard both sides where some companies want experience and education, and others just care about education, some it doesnt matter. I was just curious about other people's plans. :)
 
I think most would agree that some experience as an EMT-B is helpful. It makes paramedic school easier because if you have some EMT experience, you can focus on EMT-P skills in medic school rather than having to still master things like talking to patients, taking BP's, writing run reports, talking on the radio, etc.

However, it is definitely not necessary. Many of us - myself included - went straight to paramedic school with no or very little experience as an EMT. While school may have been a little more challenging in some ways for us than the experienced EMT-B, we did just fine and didn't waste a year of our life working as an EMT-B for $8 a hour when we knew all along that we would eventually be going on.
 
Last edited:
Depends on how young you are and what your financial situation is. It's not easy to be a full time student with clinicals while trying to work a job to support yourself.

And unless the experience is in a 911 system, I don't see the benefits as being that great.
 
Well my husband does the supporting of the house. Just need to start training to doing what -I- want to do for myself since my kids are going to be in school. Time to focus on myself.
 
I regret not starting the road to medic school sooner. I wish I was currently in a program however I was not ready to immediately jump back into school after completing my undergrad. I think my experience so far will help my transition and my partners have all been willing to teach me the skill monkey aspects of medic school (drawing up meds, starting IVs, calculating drip rates, etc) so I can hopefully spend more time concentrating on the "how and the why" in school. I don't think this is necessary though, I'm just trying to get more value while being stuck as an EMT.
 
The responses above all are great and have worth. I believe each individual needs to make this decision based on his/her on needs, character, plans. For most people, I believe time as an EMT before Paramedic is very important. I feel if you're a good EMT, your odds of being a good Paramedic go up. But again ... this isn't for everyone. Some people do very well going straight through from EMT to Paramedic.
Best of luck to you.
 
Some people on here are passionate that you HAVE to have EMT experience before going to Paramedic school, others think exactly the opposite.

In my area, it is a requirement to have experience to get into the school so that kinda solves the debate lol. Now it's just a matter of obtaining the time and money for me.
 
I went straight through with absolutely no problems. However, I absorb science and medical information like a sponge, and am traditionally a very fast learner. I've seen some do well with no experience, and others struggle. It's all dependent on the individual. If EMT was a breeze for you, then you likely won't have much difficulty with medic.

I don't buy the "you must be a good EMT before you can be a good medic" line. Just be a good medical provider. Most places an EMT will get experience will be average experience at best. The vast majority of EMTs will gain experience doing transfers home or dialysis, and many of the EMTs that end up running 911 will become very proficient at being an extra set of hands. Neither of which will give you anything significant that you couldn't pick up during your clinical time. If you are very lucky, you'll end up with a good paramedic who will be willing to teach you and let you practice running calls. That is very unlikely, though. Make the best out of your clinicals and internship and you should be fine.
 
I was an EMT for 4 years before going to medic school.

I can assure you...

If you can master the basics the rest is gravy.

In other words: the guy above me is a special breed. They do exist. But the good ones are few and far between. Anyone can go straight through and absorb info... But not everyone can apply it in the field.

I buy the "a good EMT makes a good medics..." line. Because I did that, and as a medic I work with others who didn't. And there is a marked difference.

I agree, a good medic partner will teach you a lot.... If you work with them as an EMT (if you run in a system like that.)

Edit to add:
All of this work we do is mostly common sense... We learn the tools of the trade, and you need to have the common sense of when to apply them. That is the "minimum competency" that everyone talks about. For now...
 
Last edited:
How does having great technique with the BVM (which I would actually be impressed with because most providers are atrocious) help you understand crash airways or RSI? What basic skills, once mastered, make paramedic school easier? You could try to make the argument over patient assessment, but most EMTs treat patient assessment as a check list instead of actually understanding what they're asking and looking for- because that's taught in paramedic school. That's if their assessment ever progresses past asking the nurse for the H&P at discharge.
 
How does having great technique with the BVM (which I would actually be impressed with because most providers are atrocious) help you understand crash airways or RSI? What basic skills, once mastered, make paramedic school easier? You could try to make the argument over patient assessment, but most EMTs treat patient assessment as a check list instead of actually understanding what they're asking and looking for- because that's taught in paramedic school. That's if their assessment ever progresses past asking the nurse for the H&P at discharge.

A.) hands on patient assessment skills (checklist or not) is invaluable.
B.) documentation procedures
C.) role expectation and leadership
D.) Familiarization with protocols
E.) Familiarization with 12/24 shift work and time away from family/etc.
F.) Life experience (most EMT-Bs are 18-22)
G.) Familiarization/practice with medical procedures/departments/terminology
H.) Familiarization/practice with pharmacology
I.) Interpersonal skills development (when trapped in a box with a person for 12/24 hours)
J.) Experiece and practice in EVOC and actually driving and manipulating an ambulance.
K.) Area familiarization.
L.) Hospital staff/MD familiarization.
M.) Lifestyle familiarity (how to deal with how others percieve your work and prolonged absence.)
O.) Again, documentation!
P.) Exposure to real life and death situations and high stress environments.
Q.) Exposure to other fields of study that may interest you.
R.) Exposure to the first time you see a dead person, sick child, of mangled body that you are forced to touch.
S.) Familiarization and practice with team work.
T.) Exposure to being uncomfortable (not eating/cutting off bathroom visits/etc.) due to responsibility.
U.) Practice and familiarization with our equipment.
V.) Ambulance information and familiarization with the layout.
W.) Experience in maintaining professionalism, even when you don't want to.
X.) Exposure to your limits and capabilities.
Y.) Unfortunately, exposure to losing your partners and colleagues in the line of duty.
Z.) Experiece/practice/exposure to being a productive and positive member of the EMS community.
AA.) Most importantly... Knowing exactly what you're getting into. Not to be a hero. Not to join the fire service. Not to be on TV. But just knowing what it is we actually do.

If you can't agree with at least some of those reasons, 27 in all, then perhaps you truly are the "forum burnout" as your self-proclaimed title expresses.
 
Last edited:
I can agree with E, R (though most EMTs won't experience that), and AA.

The rest is either: general life skills to learn anywhere, something that doesn't take years to learn (more like shifts or even hours), or something that's not likely experienced or is irrelevant. And those still don't serve to make paramedic school easier- they're more to help you decide if EMS is the correct field for you.
 
Last edited:
As others have said, it's really very individual. I think that most people should have at least some experience as an EMT before going to Paramedic School. You should have good familiarity of taking vitals. You should have a good grasp of basic first aid principles. You should have a good grasp of scene safety. You should have some level of comfort talking with patients. It also depends upon the Paramedic program too. If the program is setup for basically a "zero to hero" education, then little to no experience as an EMT would be needed. However if the program wants to polish the EMT stuff quickly and move on to the more advanced stuff earlier, then experience as an EMT would be very necessary.

It's also a good (and usually cheap) way to find out if patient care is your thing. Same with CNA, actually.

Also, a feature or bug of this process of getting some experience as an EMT is that it helps you develop an appropriately sick sense of humor...
 
Ive been a EMT for just over 2 years now. Making plans for medic school next year, by then I'll have 3 years as a EMT. The schools down where I'm at have requirements of 1,000 hours of prehospital care and 2,000 hrs. for the other school. Both have a anatomy and physiology pre req. Not sure if the prehospital hours have changed in recent years, but thats what they were last time I looked.
 
I can agree with E, R (though most EMTs won't experience that), and AA.

The rest is either: general life skills to learn anywhere, something that doesn't take years to learn (more like shifts or even hours), or something that's not likely experienced or is irrelevant. And those still don't serve to make paramedic school easier- they're more to help you decide if EMS is the correct field for you.
I'm not looking to provoke a fight, but how does medical terminology, EVOC, trapped with another person, losing partners, ambulance familiarization, etc. have to do with life skills?

I'm just asking...

Personally, I think you're very intelligent and am appreciative of the value of your posts.... I think we are just going to disagree on this due to our different walks of life.


(Ak and I are on the same page i believe. Some folks are naturals. Some folks need the experience.)
 
I'm not looking to provoke a fight, but how does medical terminology, EVOC, trapped with another person, losing partners, ambulance familiarization, etc. have to do with life skills?

I'm just asking...

Personally, I think you're very intelligent and am appreciative of the value of your posts.... I think we are just going to disagree on this due to our different walks of life.
Medical terminology: Learned in class and during clinicals. Also continuously expanded throughout your career. I'm still learning new terms every now and then.

EVOC: Learned when you apply for your job. You learn it as an EMT when you're hired, why couldn't you do so once hired as a medic? What does cert level have to do with this?

Trapped with another person: Life skills. Learn to get along with people. Learn conflict resolution. Learn to stay away from a person when you can not get along with them. Ideally learned before high school... Being in an ambulance shouldn't change how you interact with people.

Losing partners: Most will never deal with this. In nearly six years, I've never dealt with it on a personal level. I've lost coworkers, but none that were partners. Again, losing somebody and coping mechanisms are a life skill, not an EMT skill.

Ambulance familiarization: If you didn't learn this in clinicals (lord help you if you didn't...), you'll learn it on your first day on the ambulance. Again, what does cert level have to do with this?

I don't intend on changing your mind. I've argued this time and time again, and likely never changed the other party's mind. My postings are intended to give other people reading this thread varied points of view to allow them to make up their own mind.
 
These are things good to learn before medic school since they apply directly to our field.
That's all I'm saying.. Life skills/EMT skills whatever you want to call it.

You said it yourself: during the EMT hiring process.... You learn... Then as an EMT YOU APPLY it.

Just sayin
 
Perhaps there should be a poll.

Perhaps a new feature.. Polls only allowed to be participated in based on length of membership/skill level/number of posts... To gauge actual experience in EMS.

???

I'm sure someone smarter than me is already developing this.
 
Back
Top