There is a recurrent debate on various EMS related forums regarding college degrees in EMS. A lot of my friends are very much in favor of that, but I’m very much skeptical of the utility and Return On Investment for paramedics who earn degrees.
The problem is what degrees will advance careers and more importantly, which will increase salaries enough to offset the cost of a college degree?
The truth is that EMS specific programs don’t provide paths to either career advancement or more pay. In fact, the one offered by Columbia Southern University specifically says,
Multiple factors, including prior experience, geography and degree field, affect career outcomes. CSU does not guarantee a job, promotion, salary increase, eligibility for a position, or other career growth.
This might be in part so that people can claim deductions on their income tax, if that’s still allowed by the IRS.
Total cost for the Bachelor of Science Degree in EMS is $32,400.00. The website doesn’t say if that includes books or other fees, but I’d guess it doesn’t.
Keep in mind that a BS degree is a good place to start, but what the degree is in is more important. If I were to give advice, I’d suggest a more generic degrees such as a Bachelor’s degree in business. For that matter, any degree in business management is helpful in EMS and just about any other career field.
Case in point. A close friend is a now retired dentist. He graduated from dental school in about 1975, took his boards, and bought into an established practice. I’ll attest that he was a very good dentist as he was mine for close to 30 years. Once he was settled in his practice, this is what he did.
He went back to school and took courses in how to run a business. The truth is most doctors and most dentists aren’t very good at running the all important business side of their practice. Some hire business managers, but my friend didn’t have the money to do that so he took community college level courses and learned how to run his business as he built his practice.
He ended up building the most profitable dental practice in the eastern half of his staff. He had a stable patient base, a reliable staff of hygienists, brought his younger brother on board as another dentist. All because he learned to run a business.
Just about anyone can do something similar no matter what their field.
So, where does a new paramedic go for education? If you don’t need a BS degree, check out your community college.
Here is one,
Here is what they say about their Associated Degree in Business Administration.
Earn your associate degree in business administration at ACC and learn what it takes to have a successful career in any industry. Basic business knowledge is the foundation for any profession, whether you want to be an artist, entrepreneur, sales executive, or business leader.
Their “Program Map” is here,
Which brings me to another point about paramedic programs and paramedics in general. I base the following on over twelve years of doing EMS Quality Improvement. That means I read anywhere from 50-75 EMS charts in a week.
Here are my two main observations. First writing skills are sadly deficient among EMS providers. My employer does not allow me to correct bad spelling, none existent sentence structure, or lack of punctuation.
I’ll be the first to admit that I am not the greatest speller in the world. In fact, I live by spellchecker. That said, I know how to put an sentence together. I could and maybe will write some posts with creative spelling and terminology.
So, my second piece of advice here is learn to write a well structured narrative. Just about every EMS PCR system has a plethora of check boxes and drop down lists that cover assessment, treatment, patient outcome, hospital destination, and so on.
The one part of an EMS report that needs to be in narrative form is the “History of Present Illness.” The story that the patient, family member, bystander, or other witness tells the providers often determines what the medic or medics will do.
The problem there is that the stories are so varied there is no drop down list that can capture all of the information related by the above people. The saying we use is “You just can’t make this up.”
The other problem is mathematics. There is what we call “paramedic math” and now with phones with calculators and even medication calculation apps built in it’s even easier. Still, you need to have the basics of mathematics in your brain just in case.
Even if you don’t plan on a degree, take a couple of courses to fix your weak spots.
Now, more medical advise. You go to paramedic school to learn paramedicine, but you don’t really learn how to be a paramedic. As I tell new medics, passing the paramedic exam is your ticket to start learning how to be a paramedic.
To quote Winston Churchill after the Battle of Britain, “Now this is not the end. It is not even the beginning of the end. But it is, perhaps, the end of the beginning.”
Your job now is to learn all the things that they probably don’t teach you in paramedic school. Or if they did, they did a lousy job of it.
First, learn the common medications that our patient base takes. Our patient base, another thing they don’t teach well in paramedic school, is elderly patients. Elderly patients are the largest consumer of medical services, including EMS.
Almost every report I read has a list of common medications that are prescribed for patients. There is also a list of allergies, which is a good practice. That said, I’ll see a list of a dozen or so medications, and under PMH I’ll see “Diabetic” or “Hypertension” or “Cardiac.” I’ll glance at the medication list see a couple of medications and know that the PMH is woefully incomplete.
The good thing is that the list of common meds isn’t horribly long. Once you look up a medication and see what it’s for, you’ll remember that. After you see that same medication 100 times, you won’t even have to think about it.
When I’m doing a class for medics at a new client I’ll tell them this and then ask them if they know what Sildenafil is used for. I have yet had anyone raise their hand to tell me. Going back to our bread and butter of patients (the elderly) a good number of them have this prescribed for them. I’ll leave it to the reader to look that up.
Here is another thing that they don’t teach in paramedic school. Patients lie. Why they lie is less important than the fact that they may not be completely honest. Especially if they are taking Sildenafil and their wife doesn’t know that they are taking it. I had that happen once because the patient’s wife was standing their when we asked. Patient said no and we gave Nitroglycerin for his chest pain. Fortunately nothing bad happened to him.
Lesson learned, sometimes a patient doesn’t want to say things that family members might hear.
This is getting a bit long, so I’m going to break it into two posts. I’ll publish this one now and start on Part II afterwards.