I took an EMT class in Iowa about 7 years ago, and part of our certification requirement was that you needed quite a few hours of clinical experience--I can't remember exactly how much now, but it was in the neighborhood of 24 hours ride along and 40 hours in the ER. I'm starting a class in the Boston area in April, and every course description I've read for schools in this area says you get 1 shift in an ER, and 1 ride along (my course also offers a field extrication day). To be honest, I'm a bit blown away--is this pretty standard, to just do one or two clinical shifts? Do a lot of students go back to the hospital or EMS provider on their own and say, hey, I'd really like to do a few more observation shifts? :unsure: