This. Where are you going to cram remedial English in? Add more hours? Drop the Cardiac Emergencies module?
This is one option. I think most people would be opposed to dropping "cardiac emergencies" to make space for "remedial English". Other options would include:
* Requiring a basic English course prior to admission to the program
* Extending the program length, to allow remedial English to be included without dropping other content.
It's fallacious to suggest that we can either have "remedial English" or "cardiac emergencies", and that by having one we have to exclude the other.
And what about folks who can't do basic math but who want to be paramedics?
I think we have to test and identify these people. Then we have to offer remediation to those who fail to meet a basic standard, and make successful completion of that training a requirement to receive a diploma / degree / certificate.
We just have to be very careful as to where we choose to set that level of competency. For example, should someone dyslexic be permitted to have questions given verbally, or use a calculator? Are the mathematics questions we're going to ask appropriate to the (very simple) level of math necessary for carrying out the job requirements of a paramedic?
Do you hold the other students back?
Good question. It comes down to whether you want to set a English (or in the second example, Math) course as a prerequisite. If you decide you're going to offer a remedial English course during your training, then I think you have to require everyone to take it. I guess you could have a hybrid approach where you could receive credit for the course if you have a university degree (not necessarily a guarantee of English fluency), or have completed a similar course previously.
I don't think anyone is going to suggest that if 3 students out of 20 can't meet the standard that we should make the other 17 students wait to go on practicum until the others have caught up.
As an aside, at my paramedic program, participants had to have a high school diploma, including a biology course, and meet a minimum average (although this wasn't that high). We had a basic English course, that focused on common misspellings and grammatical mistakes. I think it helped.
I'm of the opinion that you should have certain prerequisite skills prior to starting any course of study. You wouldn't take an Orgo chemistry class if you hadn't taken Chem 101 first, would you? I'm not saying we should exclude folks who have substandard English skills; I'm just saying that we should ensure those skills are at a useable level BEFORE they start EMT (or, for that matter, Paramedic) training.
I think this is a pretty reasonable stance. Unfortunately a lot of training programs are "for profit", and have to market themselves to the students. In some places a program that extends its length or requires additional prerequisites will put themselves at a competitive disadvantage.
I think this is probably an argument towards having EMS training delivered by publically funded entities, e.g. technical colleges and universities.
I just want to add that I think it would be easy to do organic chemistry without having first year general chemistry. I know a bunch of programs where you take both in parallel. There's not that much crossover, as I remember it.