Trauma, your current company wants meat on the seat and billable reports. That's it. If you want to develop, find a new job. ED tech, government service, anything else. If you really want PSD, you need to start looking at the military, because PSD is a very small market with a very selective process and they really don't care what you've done if you're an alternative entrant. Without green hats or tridents or whatever weird thing PJs wear, I wouldn't waste the time applying. With that being said, the vast majority of a "tactical medic" job is not medical at all. If you want to fly like Vent, you need to go to medic or RN school and get some experience as such, stay light and apply. Of you can't do that at your current employer, move.