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EMT PARAMEDIC

 

 

 

 

 

                           

                                

FAQs/Questions to ask before choosing a program:

 

 

While we would obviously recommend that you attend our program, these questions are provided for you to determine the best fit for you.  Ask several programs, then make the best choice (we’ll be waiting for your application!).

 

Click here for a spreadsheet you can print out and use when comparing programs.

 

Applying for the program: 

Are there any pre-requisites?

How do I apply for the program?  

Do I need references or an interview?

Do I need to complete any tests before applying?

 

General course questions:

How much does the program cost?

Is there financial aid available?

Are scholarships available?

Are you accredited?

What standard does your program follow?

Do you offer a degree?

Are there any non-traditional or alternative delivery methods?

What educational materials do you use?

How long is the course?

Do students earn any other certificates?

Is any travel required?

How many students are in the program?

 

Classroom questions: 

How are paramedic skills presented in class?

Who teaches the course?

What is the school's setting?

How do I acquire the hands-on skills I will use on patients?

Does the course have dedicated classroom space?

How much and what kind of specialized equipment does the course use?

 

Internship questions:

The true test of any paramedic program is its dedication to the practical side of the instruction you receive.  The school should integrate the two halves (classroom and practical) into a whole, complete package.  A program that has a magnificent set of classroom instruction will still fail if it doesn’t have good clinical sites, an emphasis on actually doing the skills you learn, and then evaluating how well you perform them. 

How are your internships timed compared to the lectures?

Who contacts the clinical sites for availability and scheduling?

Where can I complete my clinicals?

How are internships scheduled and tracked?

How do I keep track of those skills I have performed?

How many hours of clinicals will I complete?

 

Post-graduation questions:

What is your job placement rate?

Where do your graduate medics work?

Where do your students take their practical exams?

What are your NREMT paramedic exam pass rates?

Comparison of programs who use FISDAP and their reported average skills performed compared to DOT requirements and to F-M Ambulance average skills performed.

 

 

Applying for the program:

Are there any pre-requisites?

 

·   At least 18 years of age;

·   High school diploma or equivalent;

·   Current national or accepted state EMT-Basic certification;

·   Valid drivers license;

·   Clear criminal history;

·   Successful completion of admission procedures; and the

·   Ability to meet technical standards of the program.

 

 

How do I apply for the program? 

            Go to our application page.

 

Do I need references or an interview?

Usual Answer(s): Yes.  The school will say this is to pick the best candidates.  This usually excludes people with little to no experience in the medical field.

Better Answer:  No.  As a partner of Bismarck State College (BSC), a community college, our philosophy is a first-come, first-served basis.  FM Ambulance encourages people to enter the program because they desire to be a paramedic, not just because they want to leave some other medical field.  Those who complete the application process first get the slots that are available. 

Do I need to complete any tests before applying?

Usual Answer(s): For non-college programs, usually not.  For college courses, the school may require an ACT or SAT, plus a HOBET or other healthcare related exam.

Better Answer:  FM Ambulance partners with BSC, which requires an ACT or SAT for younger students, or a COMPASS placement test for older students.  These tests may be waived if the student has any college level math and English classes completed prior to enrollment.

 

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General course questions:

 

How much does the program cost?

Usual Answer(s):  Tuition ranges from $8,000 to $20,000.

Better Answer:  FM Ambulance publishes an estimated course cost list for each cohort prior to taking applications.  This list includes all of the costs that will be charged to the student: tuition, books, lab fees, internship fees, uniforms, insurance, computer fees, etc.  The student should also consider living expenses in the area and any driving expenses to get to labs and clinicals before choosing a program.   

 

Is there financial aid available?

Usual Answer(s):  Non-college courses are unable to provide federal financial aid. 

Better Answer:  As an affiliate of BSC, all usual Federal, state, local and college financial aid is available to our students.  Remember to complete a FAFSA as soon as you file your taxes each year.

 

Are scholarships available?

Usual Answer(s):  Non-college courses may have local scholarships, especially from ambulance services with employment needs.

Better Answer:  Along with accepting the above scholarships, BSC may award scholarships based on need.  Additionally, the student should apply for the following scholarships, if eligible:

·        ND: Technology Occupations Student Loan Forgiveness Program

·        MN: Timothy L. Correll Foundation

·        Children of Firefighters/EMTs:  BoundTree Medical 

 

Are you accredited?

Usual Answer(s):  Non-college programs are usually not accredited.  College programs are almost always accredited by a college accreditation program through their school, but the actual paramedic program may not be nationally accredited.

Better Answer:  The Commission on Accreditation of Allied Health Programs (CAAHEP) is a national body that awards accreditation to paramedic programs. Only 233 programs carry this accreditation in the US.  FM Ambulance is proud to be one such program.  We regard accreditation as a process and not just a certificate.  We strive to improve our program continuously with input from CAAHEP, the students, faculty and, possibly most importantly, the employers who hire our product: entry-level competent paramedics.


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What standard does your program follow?

Usual Answer(s):  State guidelines.

Better Answer:  FM Ambulance meets the DOT, NREMT, state, and CAAHEP guidelines.  By meeting NREMT guidelines, our students qualify to sit for the National Registry exam.  FM Ambulance is also a North Dakota EMS Training Center.

 

Do you offer a degree?

Usual Answer(s):  Non-college courses cannot offer degrees.

Better Answer:  FM Ambulance, as well as most college level paramedic courses, offer a choice between a certificate only program or a college degree (Associate in Applied Science).  The certificate program still requires application to BSC and payment of tuition.  The certificate program is 43 credits.  An additional 17 credits will confer the AAS degree.

 

Are there any non-traditional or alternative delivery methods?

Usual Answer(s): None - day classes at the college campus only.

Better Answer: While face-to-face day classes are admittedly the best way to learn, FM Ambulance recognizes that not every student can devote an entire year without employment to learning a new profession.  Correspondingly, we offer other options for a one night a week non traditional course

1.      Local students can take night classes face-to-face in Fargo.

2.      Rural students can view the lectures by inter-active video conferencing in many communities. (click here for a map of current and past satellite sites). Additional sites can be added as necessary to fill demand.

3.      If you are not local to Fargo or one of the video sites, FM Ambulance now also offers an internet delivery option.  Even though it is on-line, it is still interactive, meaning you are required to be on-line during the lectures, but it allows you to receive those lectures in your own home via the internet.

 

Remember, even if the classes are held at night, the clinical sites may only be available during a weekday (operating rooms, for example).  Any program that offers a “nighttime only” or “weekend only” course may be misleading you about the real requirements (or they just don’t have any clinical sites).   FM Ambulance’s night programs still require some day hours for class (all night students attend lab on the second Saturday and Sunday of each month in Fargo) and clinicals (OR, Homeless Health, etc.).  The student is given several weeks of notice prior to having to fulfill these requirements.

 

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What educational materials do you use?

Usual Answer(s): A single, large paramedic textbook that has been in use by the program for years.  Tests are given on paper in class.  Emphasis on the “benefits” of face-to-face only instruction.

Better Answer:  FM Ambulance uses hybrid education in our classes.    What does this mean?  Unlike traditional classes, hybrid courses move testing and additional resources into an on-line course management system.  Without having to take time to pass out, administer, and hand-correct quizzes, the instructors can spend more time actually teaching.  Students take the tests on-line at home.  Hybrid education also allows us to move beyond teaching to the “slowest” students.  We can lecture to the “average” student.  Then, students who are struggling can utilize the additional on-line resources to better their understanding of the material.  Instructors also have more time to spend with that student.  High performers can also access more advanced resources to improve or expand their knowledge base.  An additional benefit of on-line course management is that everyone knows what their grades are whenever they want to look them up.  Finally, NAEMT, NAEMSE, and the NREMT (along with the Education Standards committee) are recognizing that hybrid education is a better way of providing EMS education now and in the future.  We have been doing so for at least 6 years.  The rest of the nation is just starting to realize the benefits and following us.  We also believe there is a benefit to on-line testing in the course, as this is how the NREMT exam is now administered.

 

                        The main text we use is one that is not only written by people we know personally, but we also had a hand in editing it.  The text is a single volume, but incorporates many web-based additional materials.  It is the first paramedic text based on Evidence Based Medicine and the first to truly integrate a hybrid education style. 

Our Anatomy and Physiology text is one of the first to be written expressly for a paramedic course.  Previous texts were borrowed from nursing or pre-med courses. 

Additional texts are required for specialty areas like cardiology, 12 lead interpretation, medical terminology and the certificate courses.  For students who are looking for additional material, either to help with weak areas, or just to improve their knowledge, we also offer texts in drug calculations, pharmacology, and heart rhythm interpretation.

 

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How long is the course?

Usual Answer(s): Anywhere from 6 weeks to 3 years.  Non-college courses without college credit are usually shorter.  College campus based programs are normally 2 full academic years.

Better Answer: Our day program is 11 months and the night program is 16 months long.  The class is long enough to allow for clinical experiences while short enough to get the student into the workforce rapidly.

 

Do students earn any other certificates?

Usual Answer(s): Most programs only offer Advanced Cardiac life Support (ACLS), Pediatric Advanced Life Support (PALS) certificates or they charge for “optional’ certificates.

Better Answer: FM Ambulance includes all of these certificates in its required curriculum: Advanced Cardiac life Support (ACLS), Pediatric Advanced Life Support (PALS), Pre-Hospital Trauma Life Support (PHTLS), Nonviolent Crisis Intervention (NCI), and AHA BLS Instructor (allows students to teach AHA CPR and First Aid courses).

 

Is any travel required?

Usual Answer(s):  This one varies.  Non-college schools in small towns may require commutes to class and to all clinicals.  Courses in larger cities allow for all of the class and clinicals to be completed locally.

Better Answer:  FM Ambulance allows the student to choose.  Moving to Fargo and taking the day program allows the student to have a very low mileage course.  Students in rural areas can attend lectures by video or internet, but will have to drive to urban areas for some clinicals.  All of the students may sign up for any of the clinical sites.  So a Fargo student still has the option of attending a clinical in Minneapolis/St. Paul (or vice-versa) if they choose. 

 

How many students are in the program?

Usual Answer(s):  Varies widely.  Non-college courses can have as few as 3 students.  College programs are usually limited enrollment with maximum enrollments of 20 to 25 students.

Better Answer:  FM Ambulance’s total enrollment averages 60 students in 3 cohorts.  A cohort is a section of students who start and graduate at the same time.  With a day cohort and 2 night cohorts, we have about 20 students in class at a time.  Lab sessions split this further into small groups.  Our classes are small enough for individual attention while large enough for lively interaction.  Very small classes don’t allow enough variety or discussions.  Class sizes that are larger than 25 allow some students to “slack” and fall through the cracks.

 

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Classroom questions:

 

How are paramedic skills presented in class?

Usual Answer(s):  “My way or the highway” approach.  This uses instructors who follow “the local practices as the only good practices” method of instruction.  This method encourages paramedics who only follow local protocol without much innovation (called “cookbook medics”).

Better Answer:  FM Ambulance recognizes that we produce medics who work all over the country.  We strive to eliminate any local or regional bias from our instruction.  Experts in procedures that aren’t performed at our service are brought in to teach those practices.  This broadens our instruction and makes it more universal.  It also teaches the student that there may be more than one “right’ way to care for a specific patient.  Our instructors also encourage students to read the latest research and incorporate Evidence Based Medicine (EBM) into their treatments.

 

Who teaches the course?

Usual Answer(s):  Non-college courses are usually taught by a part-time instructor without much experience as an instructor.  College courses may have 1 or 2 full-time instructors.  These instructors are usually paramedics.

Better Answer:  FM Ambulance has a full time education department – the Emergency Medical Education Center (EMEC).  We have 8 full-time instructors and an administrative assistant.  The paramedic program has 3 full time staff dedicated to it.  For some specific topics, experts in the local medical community provide lectures as well.  These include firefighters, law enforcement officers, flight medics, doctors, nurses, and anesthetists. 

While there are specific duties outside of the paramedic program for the remaining staff, all of the EMEC instructors share their “street” experience with the program.   EMEC as a group teaches over 6,000 students annually in courses from CPR to EMT to ACLS.  Our audience includes lay persons to nurses to doctors in the local area and the region.  Our instructors also present as speakers at regional, state and national conferences.  Several of our instructors are active in local, state and national associations as well.

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What is the school's setting?

Usual Answer(s): Non-college courses are usually taught in a hospital or community center.  College courses are normally taught on campus as part of a nursing building.

Better Answer: FM Ambulance is a working Non-college ambulance service.  EMEC is co-located with this service and courses are taught in our main station.  Currently working field paramedics serve as adjunct instructors and assist with labs and skills when they are in-house.  Our only focus is emergency education.

 

 How do I acquire the hands-on skills I will use on patients?

Usual Answer(s): Practice skills on mannequins during artificial scenarios.

Better Answer: We start with minimal examples in the lab using mannequins and fellow students.  However, all of our DOT required skills are performed on actual patients in emergency rooms and, more importantly, in the field.  These “live skill acquisitions” allow our students to graduate with a much higher confidence when treating their first patients.

 

Does the course have dedicated classroom space?

Usual Answer(s):  Non-college courses usually do not have a dedicated space.  Some college courses share or rent space for their programs.  This leads to problems with storage and security of equipment, availability of rooms, and other issues related to not owning your own space.

Better Answer:  FM Ambulance’s EMEC has dedicated classroom space including a room specifically set up for the delivery of video lectures and rooms set up for instruction in paramedic skills.  We have secure storerooms and a computer lab for our students.

 

How much and what kind of specialized equipment does the course use?

Usual Answer(s):  Whatever the college allowed in the budget or whatever the local ambulance service uses.  Some equipment may not even be the school’s (on loan from the local service) and thus may be unavailable during class or lab sessions.

Better Answer:  FM Ambulance uses modern equipment found in many services in the US.  We use several styles of each type of equipment to prepare the student for employment across the country.  All of the equipment is owned by the program and is stored in or near the classrooms.

 

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Internship questions:

 

 

How are your internships timed compared to the lectures?

Usual Answer: Consecutive – provide classroom lecture for a semester (or all at once), then a semester of internships only.  Classroom instructors are usually only available on an “appointment” basis during clinical phase.

Better Answer: Concurrent – FM Ambulance starts hospital and ambulance internships within the first several weeks of starting the course.  This allows students to immediately apply the classroom knowledge to the field.  Students can then identify weaknesses in their knowledge base and ask their instructors in the next class period (which benefits all of the students).  Immediate application always makes for better understanding and retention. 

 

Who contacts the clinical sites for availability and scheduling?

Usual Answer(s): Student is given a list of area sites and must schedule with the facility.

Better Answer: FM Ambulance has a full-time clinical coordinator.  Her function is to ensure that clinical sites are available to our students, to schedule those sites, and to maintain the schedule on FISDAP

 

Where can I complete my clinicals?

Usual Answer(s):  Locally at a short list of sites.

Better Answer: FM Ambulance has clinical contracts with over 70 sites/departments of all types across Minnesota and North Dakota.  Some are rural, some are urban. This will give you a wide range of experiences.  Click here for a map of those sites.  FM Ambulance is the only program with clinical sites in the Fargo-Moorhead area.  We also have sites in Minneapolis including North Memorial Hospital, North Memorial Ambulance and St. Paul Fire EMS.  Our clinical coordinator can set up clinical sites in other places based on need and proximity to training sites.

 

How are internships scheduled and tracked?

Usual Answer(s): Student does it on their own or school uses paper calendars.  Scheduling can range from the school mandating when and where a student attends a clinical to schools that completely ignore when and where student’s schedule their shifts.

Better Answer:We use the FISDAP Scheduler program.  Signing up, tracking, and  reminders are all on-line. Student’s are given a timeframe and available shifts and then choose those that match their schedule.

 

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How do I keep track of those skills I have performed?

Usual Answer(s): Use your own paper or a computer spreadsheet.

Better Answer: FISDAP is rapidly becoming the standard of web-based data management for paramedic programs.  FM Ambulance has been involved with FISDAP since its beginning.  We were one of the first test sites and continue to provide assistance to the FISDAP team.  The system is easy to use by both instructors and students, it has a proven track record, is reliable, and provides a record that employers can rely on when hiring.  FISDAP also provides data for research to improve paramedic education.  Our instructors have been involved with several FISDAP Research Summits and presented findings at national conferences.

 

 How many hours of clinicals will I complete?

Usual Answer(s):  Extremely variable.  Most courses use the DOT minimum as the goal.  This is 300 hours combined between hospitals and ambulances.  Ask for an average of the last class’ clinical hours.

Better Answer:  FM Ambulance students average 1,200 hours of clinicals.  This gives the students the equivalent of 2/3 of a year of experience with actual patient encounters, not simulations.

 

Post-graduation questions:

 

What is your job placement rate?

Usual Answer(s): 100%

Better Answer:  This one is actually pretty easy. With the nationwide shortage of paramedics, it would be the rare, and poor, program that couldn’t have a 100% placement rate.  See the next question for a good follow-up.

 

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Where do your graduate medics work?

Usual Answer(s):  In this community or local rural services.  Non-college programs may actually only teach medics for their own service.

Better Answer:  FM Ambulance is very proud of our placement of paramedics in services across the country.  Our reputation as a school allows our alumni access to almost any employer in the country.  Employers know that our students learn real-life skills and spend large amounts of time practicing those skills.   We also provide an annual EMS Job Fair for our students and employers.  Local, regional and national employers attend.  This is scheduled for 9 am to 1 pm on the second Saturday in February each year.

 

Where do your students take their practical exams?

Usual Answer(s): At a state-sponsored exam with various brands of equipment you may not be familiar with.

Better Answer: As a state licensed training center, we offer practical exams at the end of every course.  You will use the same equipment that you used in class.  We also ensure that the evaluators are current with all of the skills and algorithms involved in the testing process.

 

What are your NREMT paramedic exam pass rates?

Usual Answer(s): Nat'l average  1st time = 63%, Overall = 82%

Better Answer: Our 10 year averages - 1st time = 66%, Overall = 88%.  We have also recently changed to using the Online Summative Paramedic Exam (OSPE) as our course final.  This exam is a proven indicator of success on the NREMT exam.  Last year’s numbers, only allowing students who pass the OSPE to test the NREMT, are 1st time = 81% (25 of 31), 2nd time = 87% (27 of 31).

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Comparison of national averages to F-M Ambulance skills experiences:

    DOT REQUIREMENTS:   Percent of all FISDAP programs meeting requirements: F-M 's Program Requirements: F-M'S Avg. # of Skills per Student
  1 Medication Administration 15 92% 50 90
  2 Endotracheal Intubations 5 64% 10 13
  3 Ivs 25 89% 35 60
  4 Ventilations 20 13% 15 21
  5 Pediatric Assessments 30 21% 30 40
  6 Adult Assessments 50 64% 50 112
  7 Geriatric Assessments 30 47% 30 58
  8 OB Patients 10 25% 10 12
  9 Trauma patients 40 32% 40 51
  10 Psychiatric Assessments 20 33% 17 21
  11 Chest Pain Patients 30 26% 30 35
  12 Adult SOB 20 47% 20 34
  13 Team Leads 50 40% 10 106
  Totals= 345 347 653
  Average= 46%

Remember that the other programs often report simulated patients and lab skills to meet the DOT requirements.  ALL of our students reported skills were on LIVE patients.

Ask your prospective program if their students meet or exceed the DOT requirements. 

 

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If you have any questions regarding the course, please  contact:

Ron Lawler, AAS NREMT-P
Paramedic Program Coordinator

FM Ambulance Education Dept.

2215 18th St S

Fargo, ND  58103
1-701-364-1745
1-800-642-0774 extension 745
E-Mail:
ron.lawler@fmambulance.com

 

 

Page Last Updated 12/23/08