Tigger I agree with that differentiation. Paramedics are trained as emergency specialists. RNs (and MDs) are educated as generalists and then they specialize. That is why it is hard for paramedics to bridge to other professions without nearly the same investment as starting from scratch. It is why nursing is such a broad field and easy to switch specialties. But many don't have an interest in the broad portions of the generalist foundation that don't apply to their special interest and don't want to then spend time specializing. For those folks the targeted education of paramedics is very appealing.