Forum Asst. Chief
This is correct, but the way to fix it is to make EMS training MORE like residency. Not to turn EMS into some kind of "med school lite" where we spend hours on topics that mean little in terms of clinical relevance in the field.
If I have a 50 year old dude in the field with altered mental status and a sodium level of 105, does it really matter whether I know what the proper workup is to rule out SIADH? Does it matter if I know WHY giving a 0.9 percent NS bolus will make his sodium level WORSE?
Ask any PRACTICING DOCTOR what shaped their real education and they will tell you residency is everything.
I don't think anyone here would advocate for less field time. I don't think it's too much to ask for a paramedic to have a better understanding of physiology, and I think paramedics should have more/longer rotations in a variety of specialties (similar to nursing). If this came to pass, along with a requirement for an associates degree and an option for a bachelors, ems could successfully lobby for reimbursements similar to nursing and RT. You might see an increase in community paramedic pilot programs and higher pay because of this. Why would it be such a problem for ems to come to equal footing with the rest of the allied health fields?