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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.
Continuing education courses can cover a variety of topics, provided that they cover relevant material, including college courses covering anatomy, physiology, or psychology, to more applied courses that are either standardized, such as a Prehospital Trauma Life Support (PHTLS), or tailored to the needs of an individual EMS system or region.
A voluntary self-regulated system and a peer-review process are used to regulate and accredit medical education providers. The primary responsibilities of the ACCME are to: [3] serve as the body accrediting institutions and organizations offering continuing medical education (CME)
Generally, credentials are listed from most to least prestigious. A degree, once earned, cannot be taken away. Sometimes, licensure and certifications must be periodically renewed by examination or the completion of a prescribed number of continuing education units (CEUs). EMS providers may also hold non-EMS credentials, including academic degrees.
The number of clinical hours for both time in an ambulance and time in the hospital vary depending on local requirements, the level the student is obtaining, and the amount of time it takes the student to show competency. [23] [39] [40] In addition, a minimum of continuing education (CE) hours is required to maintain certification.
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Therefore, in most all rescue environments, whether it is an EMS or fire department that runs the rescue, the actual rescuers who cut the vehicle and run the extrication scene or perform any rescue such as rope rescues or swift water rescue, etc., are emergency medical responders, emergency medical technicians, or paramedics, as most every ...
Smith Ambulance Service president says low EMS reimbursement rates are harming the industry.
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