The hottest topic in NYC EMS. Training and Education.
Now in the past, EMTs and Paramedics who worked for the NYC Fire Department were re-certified on the 3yr cycle as required by the state. Until 3yrs ago, when the Fire Department and the union agreed to enter into a 5yr Re-certification Pilot Program.
This program allowed the fire department EMTs and Paramedics to automatically become re-certified for 5yrs without having to take the NYS Certifying Exam for each title or test on the skills for each certification. Rather than every 3yrs go through a re-certification course of 2 weeks for EMTs and 3 weeks for Paramedics, they could attend mandatory 1hr sessions at their stations per month called “Drills” and 1 7hr lecture/practice session per 6 month period called “Core” training.
The underlying thought behind this is that since NYC is the busiest EMS system in the world, the EMTS and Paramedics of NYC constantly practice, and therefore can bypass the basic testing of skills and knowledge.
At a quicklook, it seems like a feasible idea with real-world application. The city knew that these re-certification courses cost money, time and manpower. It was to the city’s advantage that they discard the normal training methods and employ the above.
The union obtained a small amount of money for their members for participating in this program. (very small)
Why is this a problem? Well, here goes…
On the EMT level,this method of training is not bad. Its not great but its not bad…
On the Paramedic level this method of training is a disaster. Why?
Well, the entire program should have encompassed the Basic Life Support requirements plus the Advanced Life Support requirement for Paramedics. It didn’t..
Out of all the “Core” Training” programs, only 2 really contained any level of Paramedic Skills or training. Those contained very little time on skills, and not much information on Paramedic Skills. Almost every Core Training, and almost every Drill were centered and concentrated on BLS skills.
On 1 or 2 occasions, the State, which reserved the right to randomly test participants in the program and oversee the program itself, the people failed the most basic skill they were tested on.
This author could tell you that with almost 21yr experience as a Paramedic, almost 25yrs on the job, if I was to sit for a state test today, I would either barely pass or fail altogether.
Bottom line, this program is a failure. It provides very little knowledge, and very little training for the field personnel.
Currently the City and the union will meet again on changes the city will make with regards to the program.