Paramedic vs Doctor Watch

Mdc22
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I am currently working as an emergency care assistant (ECA) for the ambulance service alongside paramedics. I did a BSC psychology undergraduate with a voluntary sandwich year gaining work experience with a neurologist.

I decided through my experience on placement that I would love a career in medicine and started as an ECA to get experience and exposure whilst I apply for a GEM course. I am very lucky to be able to say I have been offered a place to start in September.

Whilst I was putting my application in, I started to love the idea of working as a paramedic or even a emergency technician and really enjoy the challenges of the prehospital environment. This doesn't seem to be accesible until 3rd year specialist training as either A&E or an anaesthetist and I would like to keep my hand in with the prehospital care but can't see me being able to financially afford to spend rare spare time on a band 3 ECA wage whilst doing FY1-> specialist training. Not to mention very minimal clinical responsibility.

Is there any way of doing both? We cover so much of the same content and skills in medicine to paramedics so could it not be as simple as dual-regulation? Does anyone have any ideas? Doing Tech on the side would be great but I don't see much info on tech courses now (I know my trust don't employ them now).
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Helenia
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(Original post by bmd2)
I am currently working as an emergency care assistant (ECA) for the ambulance service alongside paramedics. I did a BSC psychology undergraduate with a voluntary sandwich year gaining work experience with a neurologist.

I decided through my experience on placement that I would love a career in medicine and started as an ECA to get experience and exposure whilst I apply for a GEM course. I am very lucky to be able to say I have been offered a place to start in September.

Whilst I was putting my application in, I started to love the idea of working as a paramedic or even a emergency technician and really enjoy the challenges of the prehospital environment. This doesn't seem to be accesible until 3rd year specialist training as either A&E or an anaesthetist and I would like to keep my hand in with the prehospital care but can't see me being able to financially afford to spend rare spare time on a band 3 ECA wage whilst doing FY1-> specialist training. Not to mention very minimal clinical responsibility.

Is there any way of doing both? We cover so much of the same content and skills in medicine to paramedics so could it not be as simple as dual-regulation? Does anyone have any ideas? Doing Tech on the side would be great but I don't see much info on tech courses now (I know my trust don't employ them now).
For now, there is no dual training option, or way to get previous paramedic skills recognised within medicine. If you want to do medicine, then do that, and think about specialist training further down the line. If you want to be a paramedic, then go down that path. PHEM is a relatively new specialty, and it is exciting and sexy, so quite competitive. Things might have changed by the time you complete medical school and ACCS.

Not sure why you say you couldn't "financially afford" to do ECA work while also being an FY1. FY1s get paid a reasonable amount, so money shouldn't be a worry. The time pressure would be far more of a consideration. It is possible to do some out-of-hospital work on a voluntary basis before PHEM training, though restrictions on registration are changing how much of that would be possible.
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MonteCristo
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Congratulations on the medical school offer and it's great that you're enjoying your current role.

Helenia is right that PHEM is "sexy" and has a reputation for being popular. However, it generally draws from A&E and intensive care medicine, both of which struggle to recruit trainees. I am told that the local PHEM fellowship in my region (50% A&E doctor; 50% helicopters) barely had enough serious applicants to fill the places this year.

Would the local ambulance service be willing to have you on the "bank" while you are at medical school? It would be more interesting/useful as a part-time job than bar work!
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