The path to becoming a paramedic requires discipline and skill. Paramedics are viewed as the most qualified EMS professionals to oversee high-stress situations in an ambulance. Each day on the job is different from the last, and specific training is necessary to do the right thing in life and death situations. Paramedic school will serve as the foundation for your career.
Paramedics hold responsibilities above the duties of EMTs and AEMTs. In order to enroll in a paramedic training program, in-person and online schools ask that you show proof of EMT level certification.
An EMT program can be completed in 15-18 weeks. A combination of coursework and real-world field experience prepares individuals to sit for a certification test. Once you pass the National Registry of Emergency Medical Technicians (NREMT) exams, you may hold a license and continue your healthcare education.
So you want to be a paramedic? This exciting and rewarding career allows you to provide crucial medical care to patients in need. As an EMT or paramedic, you are often the first medical professional on the scene during an emergency. Your quick decisions and life-saving treatments can make all the difference for someone experiencing a health crisis.
Though the work is challenging being a paramedic is an incredibly fulfilling job. You get to positively impact people’s lives every single day. If you are calm under pressure have strong critical thinking and communication skills, and want to help others, paramedicine may be the perfect field for you.
This article will walk you through the typical education and training required to become a licensed paramedic. We’ll also discuss potential paths to enter the profession and details on certification and licensure. Though the specifics depend on your state, this guide outlines the general process for those considering paramedic schooling and training.
Paramedic Education and Training Overview
The education required to become a paramedic includes both classroom instruction and field training. Formal schooling provides the scientific grounding you need to understand emergency medical procedures. Hands-on training gives you the real-world experience to competently perform your life-saving duties.
Here is a quick overview of the standard training progression to become a paramedic
- Earn a high school diploma or equivalent
- Complete an Emergency Medical Technician (EMT) education program
- Obtain EMT certification
- Work as an EMT to gain on-the-job experience
- Finish a formal paramedic training program
- Pass the national paramedic exam to earn certification
- Apply for and obtain state paramedic licensure
- Participate in continuing education to maintain licensure
Some steps in this process differ based on your state’s regulations. However, the EMT, paramedic training, and certification components are fairly standardized nationwide.
Now, let’s explore each phase of education and hands-on training for paramedics in more detail.
Step 1: Graduate High School and Complete Prerequisite Courses
The first step toward becoming a paramedic is graduating high school or earning your GED. Though this may seem obvious, having a solid educational foundation is key for succeeding in your paramedic courses.
In high school or community college, make sure to take science classes like biology, chemistry, anatomy and physiology. These provide the baseline knowledge needed for medical training. Taking math, health, and communications courses will also help prepare you for paramedicine.
Some paramedic programs may require or recommend specific prerequisite college classes. These often include anatomy, physiology, biology, and basic emergency care. Taking these in advance allows you to enter your EMT or paramedic course with the required scientific background.
Step 2: Complete EMT Training
After high school, the next step is formal training to become an Emergency Medical Technician (EMT). EMT programs provide entry-level education for those seeking careers in emergency medical services.
EMT training teaches you how to assess patients, provide basic treatment, and transport the injured and ill. Course topics include:
- Anatomy and medical terminology
- Assessing vital signs
- Airway management
- Respiratory emergencies
- Cardiac care and resuscitation
- Bleeding control
- Fracture care and splinting
- Childbirth and pediatric emergencies
- Pharmacology
- Hazardous materials handling
EMT programs blend classroom learning with hands-on skills training. They typically last from three to six months if done full-time. Some community colleges and technical schools offer EMT classes alongside other associate’s degree programs. There are also accelerated EMT boot camps available.
No matter what format you choose, your EMT course will include at least 150 hours of instruction. This provides the medical knowledge foundation required to achieve certification.
Step 3: Pass the NREMT Exam and Gain EMT Certification
Once you successfully complete EMT training, the next requirement is passing the EMT cognitive exam. This computer-based test is administered by the National Registry of Emergency Medical Technicians (NREMT).
The NREMT EMT exam consists of 70-120 questions covering all topics from your training. You’ll have two hours to complete the multiple choice test.
Achieving a passing score on the NREMT exam earns your EMT certification. This allows you to work as an EMT across the country. Some states require additional testing for local licensure, which grants you permission to practice within that state.
With your shiny new EMT certification in hand, it’s time to enter the workforce!
Step 4: Get Experience Working as an EMT
Before training to become a paramedic, it’s vital to gain real-world experience as an EMT. Working on an ambulance or response team allows you to put your EMT skills into practice. This hands-on time caring for patients is the best preparation for the advanced responsibilities of a paramedic.
Most paramedic programs require at least six months to two years of EMT experience. Providing emergency care in the field will build your critical thinking, decision making, and treatment abilities. You’ll also deepen your comfort with transport vehicles, medical equipment, and team communication.
The more scenes you respond to as an EMT, the better prepared you’ll be for the fast-paced environment of a paramedic. So work as an EMT part-time or full-time for as long as you can before starting paramedic school. The patient interactions and on-the-job learning are invaluable.
Step 5: Complete Paramedic Training
Once you’ve gotten experience under your belt as an EMT, it’s time for formal paramedic education. paramedic programs build hugely on your EMT foundation, taking your medical knowledge and practical skills to the next level.
Paramedic school options include:
- Vocational paramedicine programs at community or technical colleges – These usually lead to an associate’s degree after two years of study.
- Accelerated bachelor’s degree programs in paramedicine or EMS – These condense training to around 12-18 months.
- Post-baccalaureate paramedic certificates – For those who already hold a bachelor’s degree in a science field.
No matter what type of program you choose, paramedic education includes at least 1,200 hours of training. This includes a mix of classroom lectures, practical labs, hospital clinical rotations, and field training.
You’ll take advanced courses in:
- Anatomy, physiology, and medical terminology
- Advanced patient assessment
- Respiratory management
- Cardiology and electrocardiography
- Trauma care
- Pharmacology for paramedics
- Pediatric and geriatric emergency care
Hands-on clinical rotations in hospitals let you work alongside doctors and nurses. You’ll get experience with medications, starting IVs, advanced airway procedures, and more. Ambulance field training also allows you to team up with a licensed paramedic to practice your skills.
After completing your paramedic program, you’ll be thoroughly prepared for the certification exam and state licensure process.
Step 6: Pass the NREMT Paramedic Exam
Similar to becoming an EMT, passing the national NREMT exam is required for paramedic certification. The paramedic NREMT test consists of around 120-150 questions covering the many topics from your training.
You’ll have 2.5 hours to complete the computer-based exam. It may feel daunting after finishing school, but thoroughly reviewing your course materials will help you succeed.
A passing score on the paramedic NREMT exam earns your National Registry certification. Submitting this documentation to your state EMS office lets you move forward with gaining your paramedic license.
Step 7: Become Licensed as a Paramedic
The final step to becoming a working paramedic is obtaining state-level licensure. This ensures you meet your state’s requirements to legally work as a paramedic.
The licensure process varies, but usually involves:
- Submitting your National Registry paramedic certification
- Completing any additional state exams
- Providing fingerprints and background check info
- Finishing other application paperwork and fees
If approved, you’ll be granted an official state license as a paramedic! This allows you to begin applying for paramedic jobs and start your exciting career.
Step 8: Maintain Licensure Through Ongoing Education
Getting licensed is just the beginning. Most states require paramedics to complete continuing education courses annually or biannually to maintain licensure.
You’ll need to document regular training hours or refresher courses on new medical protocols, equipment, pharmacology, and more. Some states also mandate a certain number of patient contact hours to make sure your skills stay sharp.
Fulfilling these requirements ensures you keep your paramedic knowledge totally up-to-date. The field of emergency medicine progresses rapidly, so ongoing education is essential. Make the most of any training opportunities offered by your employer too.
Paramedic licensure must be periodically renewed as well, often every 2-3 years. Renewal may require taking refresher exams and submitting any required fees or paperwork.
Alternative Paths to Becoming a Paramedic
If becoming a paramedic as fast as possible is your goal, the ideal path is getting EMT certified, working in the field, and going straight to paramedic school
How Many Years of School for Paramedic Certification?
On average, it takes between 1,200 and 1,800 hours of instructional time before students are ready for paramedic certification testing. That usually translates to one to three years depending on whether you’re going to school part-time or full-time.
Paramedics in Texas must pass NREMT cognitive test before they are eligible for licensure. Students can build up the knowledge and experience necessary for success through labs and internships organized through the school or program of their choice. Organizations like Texas EMS School can get you through a paramedic program within 18 months.
What Classes Do You Need to Be a Paramedic?
Those interested in working as a paramedic must be at least 18 years old. The majority of paramedic programs in Texas will check that you have a high school diploma or GED as well as experience working as an EMT before you start. Paramedic training schools will also make sure you are certified in CPR, which is covered in EMT level courses.
Some community colleges will organize a two-year associate degree program that goes over paramedic training as a part of your education. College-level biology and math courses may be prerequisites in these scenarios.
Should You Become an EMT or Paramedic? | EMT School VS Paramedic School
How do I become a paramedic?
1. Meet requirements for EMT training To begin, you must be a minimum of 18 years old and have either a high school diploma or GED. Paramedic applicants usually have to pass a physical examination, get a background check and undergo screening for hepatitis B and tuberculosis.
How long does it take to become a paramedic & EMT?
The relatively broad educational requirements for paramedics and EMTs can provide flexibility when choosing paramedic and EMT programs. While you must pursue a state-approved course at minimum, your training may lead to a certificate or a degree. Depending on your choice, your program could take a few weeks or several years to complete.
How old do you have to be to become a paramedic?
Completing relevant courses such as physiology and anatomy can provide you with useful foundational knowledge for your paramedic career. Besides a high school education, it’s also a requirement to be at least 18 years old before you can start with your professional training. Related: How To Put Your GED on Your Resume 2.
Can you become a paramedic with an AEMT degree?
Many AEMT careers require professional EMT experience. Many schools offer AAS degrees in paramedicine or emergency medical services, which can qualify you for the EMT and paramedic certification exams and state licensure. This degree typically appeals to learners who want to become paramedics and may pursue further training down the line.
