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Speaking of career development, how do organizations facilitate their BLS providers to become ALS providers?  Are they given time off?  Are they paid to go to school?  Are they helped at all?

I'm especially interested in learning how our international colleagues handle this.

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Historically it was an internal route you would join as an EMT train spend 12 months in probation and then another 2 working. From there, you would undertake entry exam and if successful undertake a paramedic course, register and commence work as a paramedic. 

Probably since 2006 there has been a culture shift moving towards University based education and now its reasonable to say that the lionshare of clinically trained staff enter the profession via an undergraduate education of some format, be it full time university or a blend of employment and study release. 

It is envisaged that in the near future that all clinical staff will come through university training, we struggle with workforce demands in that University placements are low, demand is high and competition exceeds both. At present University Students receive a government bursary to study as a paramedic this is equiv to $800 a month. Tuition fees are paid for by the government BUT there is to buy back clause (I know illegal) but people can train and then are not obliged to spend any time in the UK. Some drifting towards Australia and their demand for trained paramedics. 

So for colleagues already employed as an EMT it is becoming necessary for them to resign their post and join as a university student. There have in the past been nursing students who have been experienced and time served Nursing Assistants who are seconded to go to university at remain on their NA wage and benefits whilst training. 

As government budgets tighten I envisaged that the support for students to study in health professions will vanish and students will be like any other with tuition fee loans and commercial debt. But then its worked for student physicians for a long time so....why not?

No private I've worked for has had any method for accommodating, much less assisting, an employee to advance. They all felt if you wanted to go to school, it's your own problem for their benefit.

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