Help with Reciprocity

[bstone]

+1 to this, this is an even better idea. However he does not need NREMT, NYS will not accept it. Your idea is the backwards version of mine which might work out better for him if NREMT gives him a hard time. NYS will accept almost any other U.S. state certification. Each state has completely different reciprocity rules and standards.

I was just thinking of challenging the NREMT so he can be portable. Also I know NJ takes NREMT and NY will accept NJ for reciprocity. In case he has to get a license in like, I dunno, Wyoming then getting NREMT is a good idea.

 

[ExpatMedic0]

Yeah I am saying if the NREMT will not grant him reciprocity, then start going directly state to state trying to file reciprocity from Canada. Once you have any state certification use that to file reciprocity into NY.

Of course if NREMT grants you reciprocity this will be much easier and save you a lot of leg work.

 

[bstone]

Yeah I am saying if the NREMT will not grant him reciprocity, then start going directly state to state trying to file reciprocity from Canada. Once you have any state certification use that to file reciprocity into NY.

Of course if NREMT grants you reciprocity this will be much easier and save you a lot of leg work.

And, for the purposes of portability, once (and if) he gets a state license then take the NREMT. Never hurts.

 

[MrBrown]

It may be important to mention it is almost guarenteed to be 100% impossible to obtain a work visa as a Paramedic.

Brown gave up because it was too hard.

 

[jjesusfreak01]

It may be important to mention it is almost guarenteed to be 100% impossible to obtain a work visa as a Paramedic.

Brown gave up because it was too hard.

I'll bet if you had shown up in person in a bright orange jumpsuit...

Yes I have spoke with 2 U.S. guys from this forum who now work in Oz. They normally make you a lower level "paramedic" and take another year of training of theres to get there "ICP" which is there highest level paramedic. One guy said they just preceptored him for several months before giving him his ICP. Its on a case to case basis and depends on your Paramedic programs hours, credits, and training, other college education, and experience.

Seems to me that makes sense as US medics practice at the same level as in other countries, regardless of how long they spent in school.

 

[MrBrown]

I'll bet if you had shown up in person in a bright orange jumpsuit...

If your bright orange jumpsuit has "DOCTOR" (or RN, or PA or MN etc) written on the back in big green letters its suprisingly easy! Other countries like the UK, Australia, NZ and Canada recognise Paramedic / Intensive Care Paramedic as skill shortage or immigration assist providable occupations howver not in the US. Now should you one day require an advanced degree to practice ALS then that might change!

Seems to me that makes sense as US medics practice at the same level as in other countries, regardless of how long they spent in school.

Yes we have some US Paramedics down here, they just go through an individualised reciprocity and equivalency process; generally this involves some mentoring and a bit of a portfolio to get up to our Intensive Care level.

 

[Frenchie]

First of all... Thanks for everyone's input


I can see there are a lot of good people in this Forum. I'm very new to EMTLIFE, but its good to able to seek out advice from fellow Paramedics and not damn pencil pushers - they just drive me up the wall! The reason why I want to work with the FDNY is for two reasons - 1) To work and live in NYC, its a cliché I know, but man I love NY! -2) Despite all its shortfalls, there has got to be some adventures to be had in that City. I just want a change - Ive been working as a Paramedic in Niagara Region (Niagara Falls) and Toronto for five years now - both cities are KRRRAAAPPP. Id like to do the Flight Medic thing, but here you have to cut your teeth for a year in a place called Moosonee (accessible only by plane or train) - so thats on hold. I am also seriously looking into London Ambulance Service and their student paramedic program... does anyone know if Ive already taken a two year course if I can accelerate through the three year program there? And I would work in Montreal my home town - but they are still in the dark ages in terms of scope of practice... many people trained as Advanced Care Paramedics who can only practice at the equivalent of an emt... so till their Ministry gets with the times I will not go there. EMT could you imagine?!



P.S. Any advice on the process for The London Ambulance Service, Uk would be very much appreciated. Also I wont settle for surrounding towns no matter how close or how good they may be.


Frenchie PCP

 

[MrBrown]

The shape of EMS worldwide seems to be on increasing education and deliniation of what has been "traditional?" boundaries between levels of provider (again, measured by the American standard).

To that end, I really support what Canada (and Ontario specifically) has done moving toward the NOCP PCP and ACP however Canada seems to lag a little behind nations like Australia, New Zealand and South Africa. I say this because the NOCP PCP in Canada is about the level of our entry Ambulance Technician (although they have more education) however such a level does not exist anymore in Australia or the UK.

What does that mean? It means if you want my two cents that if you are a dedicated practitioner of prehospital medicine forget about moving to the US which is still twenty years behind everybody else and move somewhere that you can experience a comparable, if not in some ways more advanced, system.

Having invested the last two years looking on-and-off at moving to the US and speaking to people including hiring managers and regulators its simply that the US system is just not worth the effort. Having had the opportunity to travel around and experience the US extensively it is unfortunate to say that because I really do like the US.

Can't speak to the UK specifically but generally they have two levels; Emergency Care Assistant (read: driver) and Paramedic (ALS). You may be able to approach the HPC for reciprocity but this would require ACP.

Good luck bro.

 

[BEorP]

It would probably be easy to do one of those EMT-B "boot camps" in a couple weeks rather than trying to get them to recognize your current training and education. Best of luck!