Paramedic: Overview of Education for Paramedics

May 05, 2021

To become a paramedic, prior experience as an EMT, licensure, and official certification are required. Paramedics must also complete an additional associate training program that integrates advanced emergency medical procedures.

Essential Information

Paramedics are the highest level of emergency medical personnel. They provide advanced emergency care to patients who are being transported to hospitals. Those interested in becoming a paramedic usually need to first receive training as a basic emergency medical technician (EMT) and gain some work experience. They can then enroll in a paramedic training program, which provides hands-on training and often leads to an associate's degree. Graduates usually need paramedic certification from the National Registry of Emergency Medical Technicians (NREMT) to become state licensed, although states have their own exams for this purpose.

Required Education Completion of a paramedic training program
Prerequisites EMT-Basic training and work experience
Other Requirements Paramedic certification and state licensure
Projected Job Growth (2019-2029)* 6% for all EMTs and paramedics
Median Salary (2021)** $50,401 annually for paramedics

Sources: *U.S. Bureau of Labor Statistics, **

Overview of Education Required for Paramedics

Paramedics are required to complete formal training programs offered by community colleges, technical schools, 4-year colleges and universities. These programs can last anywhere from nine months to two years, sometimes culminating in associate's degrees.

The prerequisites for admission into paramedic training programs usually include a high school diploma or its equivalent, completion of basic-level emergency medical technician (EMT-Basic) training and six months of experience as an EMT-Basic within the last year.


Paramedic training programs combine in-class instruction and practical training. The classroom instruction component often includes courses in anatomy and physiology, pre-hospital pharmacology and advanced life support. The practical training typically comprises an internship in a clinical, pre-hospital setting, as well as an internship in the field with a working paramedic unit.

Licensing Requirements for Paramedics

All paramedics must be licensed in accordance with their individual states' licensing requirements. While some states administer their own licensing exams, most require paramedics to be certified by the National Registry of Emergency Medical Technicians (NREMT). Select states allow candidates to take either a state exam or the NREMT exam to become licensed.

NREMT Certification

The NREMT certifies EMT-Paramedic/Paramedics who complete a state-approved paramedic training course after attaining national or state EMT-Basic certification ( Paramedic certification candidates must also pass both cognitive and psychomotor exams. Certified paramedics generally must maintain licensure by fulfilling continuing education requirements and taking refresher classes.

Career Outlook for Paramedics

According to the U.S. Bureau of Labor Statistics (BLS), employment of paramedics and other EMTs is predicted to grow 6% for the years 2019-2029 ( This growth will be due to an increasing aging population and, in effect, an increasing number of emergency medical calls. reported that paramedics took home a median annual salary of $50,401 in April 2021.

Once the necessary EMT training and job experience is complete, aspiring paramedics must then enlist in another training program. After a degree is earned, exams are taken to obtain certification and licensure.

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