Career roadmap
How to Become a Paramedic
The education, training, certifications and steps it takes to start working as a paramedic, plus how long it takes and where the career can lead.
To become a paramedic: (1) become an EMT, (2) gain field experience, (3) complete an accredited paramedic program, (4) pass the National Registry exams, (5) get licensed and specialize. Most people need about 12–24 months. BLS lists “postsecondary nondegree award” as the typical entry-level education.
5 steps to become a paramedic
Become an EMT
Complete an EMT course and pass the National Registry EMT exam.
Gain field experience
Many programs prefer six months or more as a working EMT.
Complete an accredited paramedic program
Finish classroom, clinical and field internship requirements.
Pass the National Registry exams
Pass the cognitive and psychomotor exams.
Get licensed and specialize
Work as a paramedic, then pursue critical care, flight, tactical or community paramedicine.
Education and training requirements
Paramedics usually earn EMT certification first, then complete an accredited paramedic program that combines classroom, lab, hospital clinical and field internship hours. Programs often take 12 to 24 months; some award an associate degree.
| Typical entry-level education (BLS) | Postsecondary nondegree award |
|---|---|
| Related work experience | Less than 5 years |
| On-the-job training | None |
| Typical training time | 12–24 months |
Certifications and licenses
- National Registry Paramedic (NRP): The national certification exam used by most states.
- State paramedic license: Required to practice; issued by the state EMS office.
- ACLS and PALS: Advanced life support certifications for adults and children.
- PHTLS or ITLS: Prehospital trauma life support training.
Skills to build now
Start with advanced airway management, 12-lead ecg interpretation, and iv/io access, and practice decisiveness under pressure and teamwork. Learning the paramedic vocabulary early makes training and interviews easier.
Where the career can lead
- EMT: Gain field experience providing basic life support.
- Paramedic: Provide advanced life support on an ambulance or fire engine.
- Critical Care, Flight or Tactical Paramedic: Earn specialty certifications and treat the sickest patients.
- EMS Supervisor, Educator or Nurse: Lead crews, teach or bridge into nursing or physician assistant roles.
Get a head start
Our self-paced Paramedic training gives you a realistic, practical overview of the job (duties, terminology, step-by-step tasks, safety and interview prep) so you can decide with confidence and show employers you’re serious.
Common questions about getting started
How long does paramedic school take?
Usually 12 to 24 months after EMT certification, depending on the program.
Do paramedics need a degree?
Not always. Many programs award a certificate; some award an associate degree, which can help with advancement.
How long does it take to become a paramedic?
Most people need about 12–24 months of training. Paramedics usually earn EMT certification first, then complete an accredited paramedic program that combines classroom, lab, hospital clinical and field internship hours. Programs often take 12 to 24 months; some award an associate degree.
Do you need a degree to be a paramedic?
No four-year degree is typically required. BLS lists “postsecondary nondegree award” as the typical entry-level education.
Sources
- U.S. Bureau of Labor Statistics, BLS Occupational Employment and Wage Statistics (OEWS), May 2025, SOC 29-2043 (Paramedics).
- U.S. Bureau of Labor Statistics, BLS Employment Projections, Table 1.2 (2025–35).
- O*NET OnLine summary for Paramedics (U.S. Department of Labor).
- BLS Occupational Outlook Handbook.
Reviewed by the Career Education Institute Curriculum Team. Pay figures are national estimates; local pay varies. See our editorial policy.