Tips for medic school
Some info about me first. I'm a 25 year old black male. I have my heart set on a career in the fire service. I was a volunteer when I was in the Air Force, have FF1 and FF2 certification and have NREMT-B certification through my Air Force job. I still serve as a medic in the reserves. I have been home for about a year and a half and will be starting paramedic school in Jan 2012. I know it will ber very challenging and could really use some tips for success, especially on the medications. Any input would be appreciated. Thanks in advance.
Are your plans to get hired in Florida?????
I'm pretty flexible on that. I hadn't planned on it, but I was stationed in FL when I was active duty and I received my fire training there, so it's not something I would rule out. So, maybe.
Originally Posted by fire49
Okay...here's some free advice. My info: I'm a full time firefighter for a suburb of Houston. I'm and EMT-I and I'm just wrapping up medic school (3 weeks left before graduation).
School will revolve around doing well in 3 distinct areas:
1) Classroom: be ready to study, study, study. If you're a booksmart kinda guy, then this might not be an issue for you. Personally, I've had to read some things over and over before I kinda began to understand it. So, try to find a quiet place (library) where you can get some solid book time without distractions.
2) Hands on: this is the clinical aspect. Be ready to go all over the place learning the application of what you learn in school. Depending on the school you attend, you can look forward to alot of ambulance/ER rotations. It's alot of fun, but it can get old too. I'd recommend taking your books with you and studying in between runs. It will help to pass the time at the slower stations. Also, DIVE in and beg to do stuff. That helps to. Get as many of your reports and skills done as early as possible so that by the end of the year, you can kinda sail through and not worry about having alot of skills to knock out.
3) Paperwork: this kinda goes hand in hand with your clinicals. But, have the correct paperwork before you leave for your clinicals. Also, have it 100% ready to sign so that you can give it to your preceptor when it's time to leave. That way you can get it signed before they leave for the next run and you don't get hung on the call.
The paperwork is truly one of the most important/easy parts to keep straight as long as you're an organized person. So figure out a system that works for you and stick to it.
Medic school has been a blast. Get to know your class and become a team. Our class has developed a "no student left behind" policy. If we see someone slipping up, the stronger kids help them out.
Let me know if you have any questions. And have fun!!
Thanks for the advice. I'm glad it's free lol. Studying shouldn't be a problem. I have a job with a lot of down time and my boss, who is in school himself, allows me to study at work between tasks. An 8 hour work night goes pretty slow with so little to do, so I'll have plenty of time to study. Do you have any suggestions about learning the meds? That part of it has me a little freaked, because I don't have much experience around that. As an Air Force medical technician, we're put through a very fast paced EMT program and clinicals/ambulance runs are done on base, where the population is generally pretty healthy, so there aren't many opportunities to see ACLS done first hand.
Originally Posted by sweetpete
Thanks a lot man. I've already started making flashcards. I think I'm gonna make different sets for all the things we have to know (MOA, indications, contraindications, etc) and study the hell of them. It'll be a lot of flashcards but that's a lot of information to memorize.
Originally Posted by arharris83
On my flash cards I wen with these:
Drug Name Generic
Drug Name Trade
Classification (EX. Vasopressor, CL Channel Blocker)
Mechanism of Action
You can also do Half Life of the meds if you can find them, some are hard to find.
"Pharmacology for the Prehospital Professional" by Jeffrey S. Guy will be the best investment you ever make as a medic student.
Thank you. I'll pick one up.
Originally Posted by wre722
Welcome to the website. I went to Paramedic school 27 years ago and still maintain my license. Working on the box with a good partner was the best part of my career. Good luck in school. It won't be easy, but it will be very satisfying once you are finished.
Published in The Aspiring Firefighterís Two Year Plan
Tom Rollins, a graduate of the Daniel Freeman UCLA Paramedic program,
wrote the following article. Rollins has agreed to share his experiences with
future firefighters, so that they may make an informed decision when deciding
to go to paramedic school.
The decision to go to Paramedic School is one that should not be taken
lightly. It will be one of the most challenging periods of your life, and to jump
into it without serious thought, preparation and planning could spell disaster
to your goal of becoming a firefighter. With that said, it can also be one of the
most rewarding periods of your career in the fire service.
I thought I was ready for paramedic school when I applied a few years
back. I was working as a reserve firefighter in a very busy part of Los Angeles
County and ran multiple 911 calls every shift. I had already attained an A.S.
degree in Fire Science at a local college, put myself through a fire academy
and was working one 24-hour shift a week as the fourth person on a very
busy engine company.
The final straw was when I spent two nights in line to get a job application
for a local fire department. The first night of the line-up, a battalion chief walked
the entire line with a handful of applications, handing them out to anyone who
could show him a paramedic card. The rest of us stood in line another 30
hours. By the time I got to the front of the line, they had run out of applications.
Instead of taking tests with 2000 of my closest friends, I told myself that this
was going to be the last time I slept on a sidewalk just to see the job go to a
paramedic. I was convinced that the next natural progression to becoming a
firefighter was attending paramedic school.
I was overly confident in my abilities as a student because I had sailed
through the courses toward my college degree with very little effort. In addition,
EMT classes were a breeze for me. I had completed some upper division
college classes at the state university level in Biology and Pre-Dentistry (I
had aspirations of becoming a dentist before I realized my true calling was in
the fire service). I was actively instructing first aid and CPR classes for about
eight years prior to applying. Little did I know what lay in store for me. I came
to find out that my story was quite typical of my future classmates as well.
This brings up a good point. Are you going to paramedic school just to be
able to check a box on your job application? Or are you going because you
have a real desire to learn more about pre-hospital care? I saw many ďbox
checkersĒ fail out of the program because the effort it took far exceeded the
desire to have a ďPĒ nailed onto the end of their EMT card. If you are hired
as a firefighter/paramedic, you will be expected to work as a medic probably
for quite some time. If you donít like being a medic to begin with, itís bound
to show. You are going to be a very unhappy person who is being scrutinized
on every call. Itís hard enough to be a rookie firefighter without the pressure
of being a paramedic at the same time. So give some serious thought about
jumping into paramedic school if youíre not ready or not really willing.
To get into a paramedic school you have to meet some basic requirements.
Since they vary greatly from school to school and state to state, I wonít go into
them here. After these requirements are met, a typical program will require
you to take a basic EMT-1 level test. This is the first weeding out process you
will encounter. My school had a minimum acceptance level of 85% to go on
in the process. After that you are invited to take basic math, reading, writing
and comprehension tests. The third step is an oral interview similar to a fire
department oral board, where they ask you a few situational questions and
your reasons for wanting to become a paramedic.
If you are accepted, you go in for an orientation and receive your books.
I suggest bringing a large backpack and parking as close to the front door
as possible. You will most likely be assigned some study material before the
first day of class. The first morning you walk in, expect a quiz. The instructors
are testing your ability to follow directions. If you donít score well on your first
quiz after having weeks to prepare, the instructors will have a nice one-sided
conversation with you in which you do most of the listening. ďHow are you going
to keep up throughout the program with only hours of study time instead of
weeks and score above 80% on every quiz?Ē
On the first day of instruction a doctor spoke to our class and told us that
he demanded excellence in us. We were going to learn at a pace that was
similar to a first year medical student and would be expected to perform at
that level as well. If anyone didnít think that they could hack it, he invited them
to quietly leave at the end of his address, no questions asked and receive a
full refund of their tuition. He said that for the rest of our lives (yes thatís right,
the rest of our lives) we would remember paramedic school and what we had
to endure to graduate. And I can assure you, truer words were never spoken.
You will always remember your time spent in medic school.
Itís not that the subject matter is all that hard; if given two years to prepare
and study, Iím sure that most people could graduate. The problem is that
many programs teach the course in six months. Talk about putting a ten-pound
chicken in a five-pound bag! So as you can probably see, medic school is all
about mastering a vast amount of information in a short amount of time.
A paramedic program is typically broken up into three phases: didactic
(classroom), clinical and field internship phase. I was tested every day with
written quizzes or skill stations. The minimum passing level in my program
was 80%. No grading curves, no excuses, no missing classes and no sleep.
OK, Iím joking. I was able to sleep one to three hours on most nights during
the classroom phase.
The following suggestions will help you prepare for and get the most out
of each phase of school. Through planning and preparation you can increase
your chances of graduating and getting your paramedic license.
Before even applying to paramedic school, I suggest you take a semester
course of Anatomy & Physiology (lecture and lab) at a local community college.
In fact, many programs are starting to include this as a prerequisite. This is a
good foundation class and you should work hard in it. Keep in mind that most
paramedic schools demand at least 80% to pass; you should be in the upper
90% in every pre-paramedic course you take.
Next is a basic EKG (Electrocardiogram) course. You donít need to master
12 lead EKGís yet, but it wouldnít hurt. Basic EKG courses are taught in three
days or less. Know every cardiac rhythm taught to you and know it well. Be able
to read a rhythm strip at a glance, not with five minutes of debate with calipers
in one hand and flash cards in the other. Your field internship instructors will
expect you to know this cold.
A course in medical terminology, ACLS (Advanced Cardiac Life Support),
PALS (Pediatric Advanced Life Support) and any other course that you can
think of that will expose you to pre-hospital medical training are all feathers
in your cap to help you get into paramedic school and succeed. If your basic
math skills arenít what they should be, make sure you do whatever you must to
get them there. Pharmacology is all about fractions, decimals and conversions
factors. Study up on your metric system, paying particular attention to volume
and mass measurements like milligrams and cubic centimeters.
Many programs are now offering a paramedic prep course to help students
be successful. All these courses count when it comes to admission time. Many
people apply to paramedic school and the competition to get in is growing
every day. If you can show that you are better prepared than the next person,
chances are you will get the slot and not end up on the ever-growing waiting
list. The school wants you to succeed.
Another good way to prepare for a paramedic program that is often
overlooked is to become the best EMT-1 you can be. Let the paramedics
that you work with know you want to prepare yourself for paramedic school.
I bet they will let you do some patient assessments and run through some
patient simulations. I spoke to a paramedic program instructor who said
patient assessment skills are severely lacking in his new students. Your field
internship will go much more smoothly if you have actually done a few patient
assessments and not merely acted like an IV pole on all of your 911 calls. The
key is to get in there and get the experience.
Some fire departments insist that their rookies do ALL the primary
assessments prior to the paramedics taking over with the advanced stuff, so you
might as well get your hands dirty. When the medics are doing something you
donít understand, ask them after the call why they chose that certain treatment.
Get to such a level of competence that you can predict what medication is
going to be administered and why. You will be doing the same thing in the near
future, so pay attention.
A huge leg up in preparing for paramedic school is knowing your drugs.
There can be over 100 pre-hospital drugs to learn and most of it is just rote
memorization. You donít have to know what the drug does to memorize its
dosage, indications and contraindications. By knowing this prior to the first day
of class, you will buy yourself some much needed time to study other subjects
(or sleep) while everyone else is struggling with pharmacology. Visit any
paramedic school and they will gladly sell you the most current pharmacology
You can also use this visit as important face time. Speak with an instructor
or sit in on a lecture if you can. Talk with some of the zombie-like students and
ask them how you could be better prepared for your class. When it comes time
to take the oral interview, you may see a familiar face on the other side of the
Another way to get experience is to volunteer for some of the simulation
stations at the school to which you are applying. Often the school is looking for
mock patients for the current class. This will give you an opportunity to see how
the students are tested and what constitutes a pass or fail in a skills station.
You would be surprised how often the program needs volunteers. And again,
this is more face time for you to talk with the instructors and get information
that other applicants will not have. The competition for that spot in the next
class is high; all the above things will hopefully tilt the odds in your favor.
When you do get that acceptance letter you need to prepare both mentally
and financially. In my paramedic class we lost right around 40% of the students
by graduation. A lot of these students were trying to work a job while in the
program. If at all possible, do not try to work while in paramedic school if you
are in a full-time, six to eight month program.
The didactic period will last from 9 to 16 weeks depending on the school
you attend. This is usually a Monday through Friday 8 a.m. to 5 p.m. schedule.
But that is just class time. Next you have to drive home and eat and then
study. You must explain to your family and friends that you are unavailable to
do anything for the next 9 to 16 weeks. No nights or weekends off; these will
be spent studying. All free time will be spent studying material, working on
your assigned project, or preparing for the next test. All of your loved ones will
have to excuse you from any other responsibilities during this time. If you fill
your plate with anything other than paramedic school, you will most likely fail.
Class failure rates in the 30% to 40% range are not uncommon.
The next step in the program is called the clinical phase, during which you
will spend about 180 hours in a busy hospital emergency room. A lot of this time
will be spent starting IVís and generally angering your patients in the process.
You will also get the chance to practice your patient assessment skills. Do as
many assessments as you can. If you donít show any aptitude, the nurses
will be more than happy to forget about you and move on to someone who is
more interested in becoming a better paramedic intern.
Some people use the clinical phase to coast and relax before going out
to the field internship. Donít become one of these people. When a paramedic
comes in with a patient, listen to how he or she gives report. Ask the medics
what drugs were administered in the field and why they gave them. Listen to
incoming 911 calls if you are in a base station hospital and ask the nurses for
pointers on how to talk on the radio. When a patient needs to be intubated,
make sure you volunteer for it. Sometimes the doctors forget that this is in your
scope of practice and will do it themselves, but they might let you do it if you
speak up. I got to do a number of intubations this way. When a trauma or full
arrest patient comes in, make sure youíre not off doing something else less
important. Get in there and practice your mega code skills and listen to how
others run the code. Take notes as soon as possible after the code and write
down everything you didnít understand or were confused about. Go over the
code with the nurse and ask questions.
The field internship is the 3rd and probably most challenging portion of
your schooling. You will be riding out with a busy paramedic unit for at least
20-25 shifts of 24 hours in length. Many paramedic programs have a difficult
time placing students because the paramedic preceptors are taking you on
as a favor to the school and/or program in general. Keep in mind that your
preceptors get no extra pay for accepting you into their lives and they are doing
you a favor! All they get out of the deal is more paperwork, more hassle and
more headaches. In return they get to mentor new paramedics and this is why
they really do it. If you are lucky enough to be able to do your internship at a
municipal fire department where you will be working with highly experienced
and knowledgeable paramedics, the whole crew is taking you under their
collective wing. Treat this opportunity as you would a rookie firefighter position,
because you may be one at this department if everything goes well.
I highly advise trying to find your own internship before you start paramedic
school. This way you can get a good internship in a busy fire station and get
the most out of your time. Itís better to be graded on ten calls per shift than
two. Imagine the upper hand you would have on an oral board if you were a
paramedic intern at that department. Need I say more?
No paramedic internship goes perfectly. Your preceptors donít expect
perfection on your first shift except in one area Ė pharmacology. You may have
remembered that I mentioned this at the beginning of the chapter. In your
first shift it is common for the preceptors to question you on drug dosages,
indications and contraindications to get a feel for how much you have prepared
yourself for the field internship. If you canít rattle off all your dosages like a
4th grader recites the alphabet, a whole new can of worms may be opened
up and they will start questioning everything you learned. Not a good way to
make that first impression. Know your drugs, know your drugs, know your
drugsÖthere, I said it three times.
Keep a positive attitude at all times when you are in your field internship.
When you mess up a call, and you will, learn from your mistakes and move
on. Visualize your next call going perfectly. When your preceptors tell you to
change or add something to your patient assessments, do so immediately.
Never argue with your preceptors or disagree with them in the middle of a call.
There will be plenty of time to discuss the run on the way back to the station.
During your internship you should never tell your preceptors how you will deal
with patients in the future; just keep your comments to yourself and try to learn
as much as possible in your 20 shifts.
The assessment form that your preceptors fill out every shift has a section
in it that grades your ability to take instruction and criticism. You will be amazed
that what seems like a stupid idea on shift number five makes perfect sense
on shift 18. A sure way to fail is to argue, disagree, or not follow instructions.
The valedictorian of my class failed his field internship because of his inability
to take instruction.
Make sure the rig you ride on is the cleanest, most well-stocked rig in the
city. When the next shift comes in and checks out the rig, everything should be
fully stocked and in its place. The scope is clean and shining with a new roll
of printer paper. The EKG patches are overflowing out of the pocket and the
leads are wiped clean. The drug cabinet has no expired drugs lying around
in the dark hidden corners. (A nasty little trick preceptors like to do is hide an
expired drug in the bottom of the meds box.) The drug box is scrubbed to a
shine and all the brass on the clasps is polished.
When you come back from a call, restock any item that was used on the
patient. Never let the scope batteries run low, or an audible alarm will sound off
telling everyone on the next call that you are slacking. Empty out a compartment
and wipe it clean, throw out any trash and put everything back in its proper
place. Make sure you donít leave any oxygen bottles empty. If you find any
medical equipment that you donít understand and canít give a drill on with ten
minutes notice, ask your preceptors.
When you have nothing to do, your nose is in the books. Every firefighter
who sees that rig will know a paramedic trainee is on it because it will be
shining when it comes down the street and every paramedic who works on
the rig will not have to lift a finger when it comes to restocking it. If you work
hard at everything you do in your 20 or so shifts, you are showing everyone
how much you want to be there and do well. A good trainee acts a lot like a
good firefighter rookie.
The best tip would be to relax and take a break. Like everyone else, med students need time to veg out, reconnect with friends, or catch up on sleep. Set aside a few hours each week to relax and enjoy yourself, whatever that means to you. Taking a break (even a short one) from your med school responsibilities will improve your focus when it's time to get back to work. http://www.cvconsultants.co.uk/