Win, Lose or Draw. The Current State of California EMS Education. EMSAAC Conference 2018 San Diego CA

Transcription

1 Win, Lose or Draw The Current State of California EMS Education EMSAAC Conference 2018 San Diego CA

2 Disclosures Paramedic Program Director CoAEMSP site visitor NREMT exam representative No financial disclosures My Opinions are my Own Bar

3 Historical Perspective

4 Accidental Death and Disability - Single year auto death rate - Better chances of survival in war theater - Preparation of nationally acceptable texts, training aids, and courses of instruction for rescue squad personnel, policemen, firemen, and ambulance attendants.

5 Instructional Beginnings 1969: EMT-Ambulance Curriculum 1970: Wedworth-Townsend Paramedic Act 1977: EMT-Paramedic Curriculum 1980: CA EMS Authority

6 EMS Agenda for the Future 30 years post White Paper Outlines Education Recommendations Integrated with public health and public safety Basic level in tradition/nontraditional settings Advanced level in post secondary institutions Quality through accreditation Licensure through completion of accredited program

7 2000: EMS Education Agenda for the Future- A Systems Approach Reverse the Tail wagging the dog syndrome Established National EMS Core Content Scope of Practice Education Standards Certification Education Program Accreditation

8 EMS Education Agenda (2000)

9 EMS Education Agenda (2000)

10 EMS Education Standards (2009) Eliminate National Standard Curriculum Transition to regional practice Dependent on educator expertise

11 National Certification National Registry of EMTs Formed First EMT-A Exam 1978 First Paramedic Exam 1990 (?) California adopts NREMT Paramedic Exam 2005 EMT Exam ~22,640 active CA paramedics ~80,000 CA EMS providers

12 National Accreditation Commission on Accreditation of Allied Health Education Programs 611 accredited programs nationally 78 in the pipeline 30 accredited in CA; 3 Letters under review First Paramedic Program? Committee on Accreditation of Education Programs for the EMS Professions California Required (2004) New programs required to apply within 12 months; receive and maintain within 2 years of operation

13 Where are we are today?

14 Up Side Greater Consistency in education Paramedic: Course Identification Numbering System (C-ID) complete EMT: Just beginning National Registry Pass Rates EMT 2017 First Time attempt = 73%; National avg 69% Paramedic 2017 YTD 1st Time = 84%; National avg 74%

15 Up Side Professionalization of educators Increasing resources Communication with system stakeholders Blurring of practice consistent with patient care

16 Challenges Certificates vs. degrees Not about the money Health professions currency Technician/Clinician conflict Institutional housing Not about Public versus Private Focus is on the student not the curriculum Financial aid Academic counseling Disability resources

17 Challenges Equity Workforce does not reflect community Cultural curriculum lacking Barriers to minority success Active recruitment Students Hybrid and Distance programs Changing motivation Changing learning expectations

18 Challenges Education as a system Paramedic supply and demand Internship placements Regulatory environment not reflective of educational changes

19 EMS Agenda 2050 Emphasis on technology, interconnectivity, data, research Interprofessional and interdisciplinary education systems comprehensive orientation to public health, social services, mental health and social determinants of health in a way that truly empowers them to provide integrated care.

20 EMS Agenda 2050 Educational Setting The education of all EMS professionals occurs in an academic setting, with a focus on clinical and operational problem-solving and decision-making. EMS educational programs are led by qualified teams of EMS physicians and educators who themselves have been carefully selected, groomed and educated to prepare future EMS providers to deliver people-centered care. These teams include experts in the design and delivery of educational programs.

21 EMS Agenda 2050 Greater emphasis Critical thinking abilities and resiliency in learning Implicit bias and effects on patient care Behavioral health issues Palliative and hospice care Socially equitable future for patients AND for providers

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23 Art Hsieh, MA NRP Santa Rosa Junior College Paramedic Academy