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Each state is free to add or subtract levels as each state sees fit. Therefore, due to differing needs and system development paths, the levels, education requirements, and scope of practice of prehospital providers varies from state to state.
In the 21st century, rural communities with declining populations have had more problems finding EMS volunteers, as the local population skews older and has more health problems. From 2005 to mid-2019, 160 rural hospitals closed, many in states that did not expand Medicare as part of the Affordable Care Act, leading to longer drive times for EMS.
The National Practitioner Data Bank (NPDB) is a database operated by the U.S. Department of Health and Human Services that contains medical malpractice payment and adverse action reports on health care professionals. Hospitals and state licensing boards submit information on physicians and other health care practitioners, including clinical ...
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Occupational licensing, also called licensure, is a form of government regulation requiring a license to pursue a particular profession or vocation for compensation. It is related to occupational closure.
Licensing standards can differ widely from state to state, and the fields and occupations which states require to be licensed may differ widely. Some states may require a written examination for a license, while others may require several years of field experience as a student or intern, or both.
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