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The Future Role and Education of Paramedic Ambulance Service Personnel (Emerging Concepts)
Publications > The future role... > Current arrangements
2.
Current arrangements
2.1 The United Kingdom
benefits from a national ambulance infrastructure but it may not
have been exploited fully with regard to responsiveness to developments in
health care. Professional training is conducted mainly within the service
and usually on a single discipline basis. That training includes short
periods in various hospital departments and a requirement for prescribed
numbers of some practical procedures (such as tracheal intubation). But
the time available for hospital experience makes it impossible to
integrate paramedics into the routine provision of patient care. Thus far,
the emphasis has been on training as opposed to education and there have
been few formal academic links with medical institutions. Although
training material and operational protocols are developed with medical
advice and each ambulance service has a local Paramedic Steering group,
the direct involvement of physicians in pre-hospital patient care is
limited.
2.2 The perceived need in
1989 to provide in a relatively short time one paramedic on each front
line ambulance was a major influence in dictating the early development of
their training. There has been growing concern over the years that the
desired depth of knowledge may have been sacrificed for speed. Paramedics
have recently been granted recognition as a "Profession Supplementary
to Medicine" but there is some debate [12] as to the best way of
developing their future education and widening their contribution to meet
the future needs of patients and the National Health Service.
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