Addressing the EMS workforce shortage: How medical students can help bridge the gap

Authors

  • Nishant Uppal, BS
  • Suhas Gondi, BA

DOI:

https://doi.org/10.5055/jem.2019.0436

Keywords:

emergency medicine, higher education, medical education, EMS workforce shortage

Abstract

The authors propose that, through innovative and mutually beneficial partnerships between medical schools and local Emergency Medical Services (EMS) agencies, medical students can help mitigate EMS shortages in areas across the country. These partnerships, which we have seen very early signs of in some places, would create channels by which medical students get their emergency medical technician certifications in the summer before matriculating and volunteer with the agency’s ambulance service, either as an extracurricular clinical experience (which are very popular among medical students) or as a way to fulfill clinical or service requirements or earn elective credit. In the attached piece, the authors (1) establish, using data, that a key factor contributing to current and impending EMS shortages is a lack of certified personnel, and (2) propose why and how medical students could provide a novel source of additional volunteers for understaffed public ambulance services, explore some of the benefits and limitations of this proposal, and provide a road-map for how to form partnerships between medical schools and local EMS agencies.

Author Biographies

Nishant Uppal, BS

Harvard Medical School, Boston, Massachusetts

Suhas Gondi, BA

Harvard Medical School, Boston, Massachusetts

References

Rasmussen E, Smith E: ‘Someone is going to die’: 25 Investigates finds dangerous ambulance shortage. Boston 25 News. November 21, 2017. Available at http://www.fox25boston.com/news/someoneis-going-to-die-25-investigates-finds-dangerous-ambulance-shortage/651046875. Accessed September 28, 2018.

Lopez R: Concerns about paramedic, ambulance shortages as 911 calls up. WFAA News. August 15, 2016. Available at https://www.wfaa.com/article/news/concerns-about-paramedic-ambulanceshortages-as-911-calls-up/298676250?fb_comment_id=913861912074187_914398508687194?fb_comment_id=913861912074187_914398508687194. Accessed September 18, 2018.

Williamson HA Jr.: Emergency care. In Geyman JP, Norris TE, Hart LG (eds.): Textbook of Rural Medicine. New York: The McGraw-Hill Companies, Inc., 2001: 93-102.

Chapman SA, Lindler V, Kaiser JA, et al.: EMS Workforce for the 21st Century: A National Assessment. Office of Emergency Medical Services, National Highway Traffic Safety Administration, 2008: 45.

Chapman SA, Lindler V, Kaiser JA, et al.: EMS Workforce for the 21st Century: A National Assessment. Office of Emergency Medical Services, National Highway Traffic Safety Administration, 2008: 9.

EMTs and Paramedics: Occupational Outlook Handbook. Washington, DC: Bureau of Labor Statistics, October 24, 2017.

Chapman SA, Lindler V, Kaiser JA, et al.: EMS Workforce for the 21st Century: A National Assessment. Washington, DC: Office of Emergency Medical Services, National Highway Traffic Safety Administration, 2008: 46.

Chapman SA, Lindler V, Kaiser JA, et al.: EMS Workforce for the 21st Century: A National Assessment. Washington, DC: Office of Emergency Medical Services, National Highway Traffic Safety Administration, 2008: 51.

Perkins BJ, DeTienne J, Fitzgerald K, et al.: Factors associated with workforce retention among emergency medical technicians in Montana. Prehosp Emerg Care. 2009; 13(4): 456-461.

Grimm R, Dietz N, Foster-Bey J, et al.: Volunteer Growth in America: A Review of Trends since 1974. Washington, DC: Corporation for National & Community Service, 2006: 3.

Associated Press: EMT shortage threatens rural communities. NBC News. May 18, 2006. Available at http://www.nbcnews.com/id/12852568/ns/health-health_care/t/emt-shortage-threatens-ruralcommunities/. Accessed September 17, 2018.

East Baton Rouge EMS: East Baton Rouge EMS offers med students pre-hospital EMS experience. J Emerg Med Serv. 2018. Available at https://www.jems.com/articles/ugc/2018/03/16/east-baton-rouge-ems-offers-med-students-prehospital-ems-experience.html. Accessed September 17, 2018.

EMS: National emergency medical services education standards. National Highway Traffic Safety Administration. Available at https://www.ems.gov/pdf/National-EMS-Education-Standards-FINAL-Jan-2009.pdf. Accessed September 17, 2018.

AAMC: About the AAMC. Association of American Medical Colleges. Available at https://www.aamc.org/about/. Accessed September 17, 2018.

AACOM: U.S. colleges of osteopathic medicine. American Association of Colleges of Osteopathic Medicine. Available at http://www.aacom.org/become-a-doctor/us-coms. Accessed September 17, 2018.

Chapman SA, Lindler V, Kaiser JA, et al.: EMS Workforce for the 21st Century: A National Assessment. Washington, DC: Office of Emergency Medical Services, National Highway Traffic Safety Administration, 2008: 54.

Chapman SA, Lindler V, Kaiser JA, et al.: EMS Workforce for the 21st Century: A National Assessment. Washington, DC: Office of Emergency Medical Services, National Highway Traffic Safety Administration, 2008: 20.

CoAEMSP: Accredited programs. Committee on Accreditation of Educational Programs for the Emergency Medical Services Profession. Available at https://coaemsp.org/Accredited_Programs.htm. Accessed September 17, 2018.

CAAHEP: Find a program. Commission on Accreditation of Allied Health Education Programs. Available at https://www.caahep.org/Accreditation/Find-a-Program.aspx. Accessed September 17, 2018.

Chapman SA, Lindler V, Kaiser JA, et al.: EMS Workforce for the 21st Century: A National Assessment. Washington, DC: Office of Emergency Medical Services, National Highway Traffic Safety Administration, 2008: 57.

NASEMSO: State EMS agency listing. National Association of State EMS Officials. Available at https://www.nasemso.org/About/StateEMSAgencies/StateEMSAgencyListing.asp. Accessed September 17, 2018.

Published

09/01/2019

How to Cite

Uppal, BS, N., and S. Gondi, BA. “Addressing the EMS Workforce Shortage: How Medical Students Can Help Bridge the Gap”. Journal of Emergency Management, vol. 17, no. 5, Sept. 2019, pp. 380-4, doi:10.5055/jem.2019.0436.