Definitely take pharmocology and A&P. I'm not going to beat the "get exp as an EMT before medic school thing", but if you want to come out OK after medic school, you should check into a few things: Will your ride alongs have a high call volume? Will this call volume involve a desireable ratio of legit ALS calls? Are you're ride alongs in the inner city setting, suburban, or rural? If you had to choose one venue only, it should be inner city. You stand the chance to see good traumas, psychs, and a myriad of severe medical conditions. From my experience, the population from a poor socioeconomic background are not able to look after their health as well as others. Plenty of diabetics, CHFers, chronic cardiacs, asthmatics, COPDers, etc. I was lucky to attend medic school in NYC. All rigs are double medic, and I had a choice of 8, 12, or 16 hr clinicals. ALS units in the city are generally busy and dispatched to ALS job types only. In VA and SC, in my experience, ALS units are dispatched to everything. I felt bad if the student was with us for 12 hours and treated a stubbed toe, allstateitis, runny nose x 2 weeks, drunks, medication seekers, etc.