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Paramedic educational program attrition accounts for significant loss of potential EMS workforce
Objective Recent concerns for the strength and stability of the emergency medical services (EMS) workforce have fueled interest in enhancing the entry of EMS clinicians into the workforce. However, the educational challenges associated with workforce entry remain unclear. Our objective was to evalua...
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| Published in: | Journal of the American College of Emergency Physicians Open 2023-04, Vol.4 (2), p.e12917-n/a |
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| cited_by | cdi_FETCH-LOGICAL-c5157-54320e8411b0eb074ea615218020187044004dcf5da6b7559b275793879c5b093 |
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| container_issue | 2 |
| container_start_page | e12917 |
| container_title | Journal of the American College of Emergency Physicians Open |
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| creator | Ball, Matthew Powell, Jonathan R. Gage, Christopher B. Kapalo, Katelynn A. Kurth, Jordan D. Collard, Lisa Miller, Michael G. Panchal, Ashish R. |
| description | Objective
Recent concerns for the strength and stability of the emergency medical services (EMS) workforce have fueled interest in enhancing the entry of EMS clinicians into the workforce. However, the educational challenges associated with workforce entry remain unclear. Our objective was to evaluate the educational pathway of entry into the EMS workforce and to identify factors that lead to the loss of potential EMS clinicians.
Methods
This is a cross‐sectional evaluation of all US paramedic educational programs, with enrolled students, in the 2019 Committee on Accreditation of Educational Programs for the EMS Professions annual report survey. This data set includes detailed program characteristics and metrics including program attrition rate (leaving before completion), and certifying exam pass rates. Descriptive statistics were calculated, and multivariable logistic regression analysis was conducted to evaluate the association between high program attrition rates (>30%) and program specific characteristics.
Results
In 2019, 640 accredited programs met inclusion with 17,457 students enrolled in paramedic educational programs. Of these, 13,884 students successfully graduated (lost to attrition, 3,573/17,457 [21%]) and 12,002 passed the certifying exam on the third attempt (lost to unable to certify, 1,882/17,457 [11%]). High program attrition rates were associated with longer programs (>12 months), small class sizes ( |
| doi_str_mv | 10.1002/emp2.12917 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_69547e858cdd48ac8d830e7e4c6191a6</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_69547e858cdd48ac8d830e7e4c6191a6</doaj_id><sourcerecordid>2799174545</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5157-54320e8411b0eb074ea615218020187044004dcf5da6b7559b275793879c5b093</originalsourceid><addsrcrecordid>eNp9kkFvFSEUhYnR2KZ20x9gSNyYJq8CAwOsjGme2qSNTWzX9A7DPHnOG0ZgbPrvZTq1aV24glw-Dod7LkJHlJxQQtgHtxvZCWWayhdon9VKrSgV7OWT_R46TGlLCiwolUq9RnuVJBXnutpHN5cQYedab7FrJwvZhwF6PMawKXUMOUc_1zBYG6YhJ9yFiJPfDL7zFoaM-5ASDh0eQ3ZD9uXy-uI7vg3xZyGte4NeddAnd_iwHqDrz-ur06-r829fzk4_na-soEKuBK8YcYpT2hDXEMkd1MU7VYQRqiThnBDe2k60UDdSCN0wKaSulNRWNERXB-hs0W0DbM0Y_Q7inQngzX0hxI2BmL3tnam14NIpoWzbcgVWtaoiTjpua6op1EXr46I1Tk3pjS3_itA_E31-MvgfZhN-m5LIbLgqCu8fFGL4NbmUzc4n6_oeBhemZJjUJTEuuCjou3_QbZhiCaFQqsSkNVEzdbxQNpZ-R9c9uqFkfpaZeRDM_SAU-O1T_4_o39gLQBfg1vfu7j9SZn1xyRbRPzQVvCQ</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2803499085</pqid></control><display><type>article</type><title>Paramedic educational program attrition accounts for significant loss of potential EMS workforce</title><source>PubMed Central Free</source><source>Publicly Available Content (ProQuest)</source><creator>Ball, Matthew ; Powell, Jonathan R. ; Gage, Christopher B. ; Kapalo, Katelynn A. ; Kurth, Jordan D. ; Collard, Lisa ; Miller, Michael G. ; Panchal, Ashish R.</creator><creatorcontrib>Ball, Matthew ; Powell, Jonathan R. ; Gage, Christopher B. ; Kapalo, Katelynn A. ; Kurth, Jordan D. ; Collard, Lisa ; Miller, Michael G. ; Panchal, Ashish R.</creatorcontrib><description>Objective
Recent concerns for the strength and stability of the emergency medical services (EMS) workforce have fueled interest in enhancing the entry of EMS clinicians into the workforce. However, the educational challenges associated with workforce entry remain unclear. Our objective was to evaluate the educational pathway of entry into the EMS workforce and to identify factors that lead to the loss of potential EMS clinicians.
Methods
This is a cross‐sectional evaluation of all US paramedic educational programs, with enrolled students, in the 2019 Committee on Accreditation of Educational Programs for the EMS Professions annual report survey. This data set includes detailed program characteristics and metrics including program attrition rate (leaving before completion), and certifying exam pass rates. Descriptive statistics were calculated, and multivariable logistic regression analysis was conducted to evaluate the association between high program attrition rates (>30%) and program specific characteristics.
Results
In 2019, 640 accredited programs met inclusion with 17,457 students enrolled in paramedic educational programs. Of these, 13,884 students successfully graduated (lost to attrition, 3,573/17,457 [21%]) and 12,002 passed the certifying exam on the third attempt (lost to unable to certify, 1,882/17,457 [11%]). High program attrition rates were associated with longer programs (>12 months), small class sizes (<12 students), and regional locations.
Conclusions
Nearly 1 in 3 paramedic students were lost from the potentially available workforce either owing to attrition during the educational program or failure to certify after course completion. Attrition represented the largest loss, providing an avenue for future targeted research and interventions to improve EMS workforce stability.</description><identifier>ISSN: 2688-1152</identifier><identifier>EISSN: 2688-1152</identifier><identifier>DOI: 10.1002/emp2.12917</identifier><identifier>PMID: 37034493</identifier><language>eng</language><publisher>United States: John Wiley & Sons, Inc</publisher><subject>Accreditation ; Annual reports ; attrition ; Certification ; Curricula ; Education ; Emergency medical care ; Emergency Medical Services ; Emergency services ; Infrastructure ; Internships ; Original Research ; paramedic education ; Paramedics ; Response rates ; Student retention ; Variables ; Virtual offices ; Workforce</subject><ispartof>Journal of the American College of Emergency Physicians Open, 2023-04, Vol.4 (2), p.e12917-n/a</ispartof><rights>2023 The Authors. published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians.</rights><rights>2023 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians.</rights><rights>2023. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5157-54320e8411b0eb074ea615218020187044004dcf5da6b7559b275793879c5b093</citedby><cites>FETCH-LOGICAL-c5157-54320e8411b0eb074ea615218020187044004dcf5da6b7559b275793879c5b093</cites><orcidid>0000-0001-5150-0740 ; 0000-0001-7382-982X ; 0000-0003-3443-0247</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2803499085/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2803499085?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37034493$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ball, Matthew</creatorcontrib><creatorcontrib>Powell, Jonathan R.</creatorcontrib><creatorcontrib>Gage, Christopher B.</creatorcontrib><creatorcontrib>Kapalo, Katelynn A.</creatorcontrib><creatorcontrib>Kurth, Jordan D.</creatorcontrib><creatorcontrib>Collard, Lisa</creatorcontrib><creatorcontrib>Miller, Michael G.</creatorcontrib><creatorcontrib>Panchal, Ashish R.</creatorcontrib><title>Paramedic educational program attrition accounts for significant loss of potential EMS workforce</title><title>Journal of the American College of Emergency Physicians Open</title><addtitle>J Am Coll Emerg Physicians Open</addtitle><description>Objective
Recent concerns for the strength and stability of the emergency medical services (EMS) workforce have fueled interest in enhancing the entry of EMS clinicians into the workforce. However, the educational challenges associated with workforce entry remain unclear. Our objective was to evaluate the educational pathway of entry into the EMS workforce and to identify factors that lead to the loss of potential EMS clinicians.
Methods
This is a cross‐sectional evaluation of all US paramedic educational programs, with enrolled students, in the 2019 Committee on Accreditation of Educational Programs for the EMS Professions annual report survey. This data set includes detailed program characteristics and metrics including program attrition rate (leaving before completion), and certifying exam pass rates. Descriptive statistics were calculated, and multivariable logistic regression analysis was conducted to evaluate the association between high program attrition rates (>30%) and program specific characteristics.
Results
In 2019, 640 accredited programs met inclusion with 17,457 students enrolled in paramedic educational programs. Of these, 13,884 students successfully graduated (lost to attrition, 3,573/17,457 [21%]) and 12,002 passed the certifying exam on the third attempt (lost to unable to certify, 1,882/17,457 [11%]). High program attrition rates were associated with longer programs (>12 months), small class sizes (<12 students), and regional locations.
Conclusions
Nearly 1 in 3 paramedic students were lost from the potentially available workforce either owing to attrition during the educational program or failure to certify after course completion. Attrition represented the largest loss, providing an avenue for future targeted research and interventions to improve EMS workforce stability.</description><subject>Accreditation</subject><subject>Annual reports</subject><subject>attrition</subject><subject>Certification</subject><subject>Curricula</subject><subject>Education</subject><subject>Emergency medical care</subject><subject>Emergency Medical Services</subject><subject>Emergency services</subject><subject>Infrastructure</subject><subject>Internships</subject><subject>Original Research</subject><subject>paramedic education</subject><subject>Paramedics</subject><subject>Response rates</subject><subject>Student retention</subject><subject>Variables</subject><subject>Virtual offices</subject><subject>Workforce</subject><issn>2688-1152</issn><issn>2688-1152</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp9kkFvFSEUhYnR2KZ20x9gSNyYJq8CAwOsjGme2qSNTWzX9A7DPHnOG0ZgbPrvZTq1aV24glw-Dod7LkJHlJxQQtgHtxvZCWWayhdon9VKrSgV7OWT_R46TGlLCiwolUq9RnuVJBXnutpHN5cQYedab7FrJwvZhwF6PMawKXUMOUc_1zBYG6YhJ9yFiJPfDL7zFoaM-5ASDh0eQ3ZD9uXy-uI7vg3xZyGte4NeddAnd_iwHqDrz-ur06-r829fzk4_na-soEKuBK8YcYpT2hDXEMkd1MU7VYQRqiThnBDe2k60UDdSCN0wKaSulNRWNERXB-hs0W0DbM0Y_Q7inQngzX0hxI2BmL3tnam14NIpoWzbcgVWtaoiTjpua6op1EXr46I1Tk3pjS3_itA_E31-MvgfZhN-m5LIbLgqCu8fFGL4NbmUzc4n6_oeBhemZJjUJTEuuCjou3_QbZhiCaFQqsSkNVEzdbxQNpZ-R9c9uqFkfpaZeRDM_SAU-O1T_4_o39gLQBfg1vfu7j9SZn1xyRbRPzQVvCQ</recordid><startdate>202304</startdate><enddate>202304</enddate><creator>Ball, Matthew</creator><creator>Powell, Jonathan R.</creator><creator>Gage, Christopher B.</creator><creator>Kapalo, Katelynn A.</creator><creator>Kurth, Jordan D.</creator><creator>Collard, Lisa</creator><creator>Miller, Michael G.</creator><creator>Panchal, Ashish R.</creator><general>John Wiley & Sons, Inc</general><general>John Wiley and Sons Inc</general><general>Wiley</general><scope>24P</scope><scope>WIN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-5150-0740</orcidid><orcidid>https://orcid.org/0000-0001-7382-982X</orcidid><orcidid>https://orcid.org/0000-0003-3443-0247</orcidid></search><sort><creationdate>202304</creationdate><title>Paramedic educational program attrition accounts for significant loss of potential EMS workforce</title><author>Ball, Matthew ; Powell, Jonathan R. ; Gage, Christopher B. ; Kapalo, Katelynn A. ; Kurth, Jordan D. ; Collard, Lisa ; Miller, Michael G. ; Panchal, Ashish R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5157-54320e8411b0eb074ea615218020187044004dcf5da6b7559b275793879c5b093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Accreditation</topic><topic>Annual reports</topic><topic>attrition</topic><topic>Certification</topic><topic>Curricula</topic><topic>Education</topic><topic>Emergency medical care</topic><topic>Emergency Medical Services</topic><topic>Emergency services</topic><topic>Infrastructure</topic><topic>Internships</topic><topic>Original Research</topic><topic>paramedic education</topic><topic>Paramedics</topic><topic>Response rates</topic><topic>Student retention</topic><topic>Variables</topic><topic>Virtual offices</topic><topic>Workforce</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ball, Matthew</creatorcontrib><creatorcontrib>Powell, Jonathan R.</creatorcontrib><creatorcontrib>Gage, Christopher B.</creatorcontrib><creatorcontrib>Kapalo, Katelynn A.</creatorcontrib><creatorcontrib>Kurth, Jordan D.</creatorcontrib><creatorcontrib>Collard, Lisa</creatorcontrib><creatorcontrib>Miller, Michael G.</creatorcontrib><creatorcontrib>Panchal, Ashish R.</creatorcontrib><collection>Wiley-Blackwell Open Access Collection</collection><collection>Wiley Online Library Free Content</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Journal of the American College of Emergency Physicians Open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ball, Matthew</au><au>Powell, Jonathan R.</au><au>Gage, Christopher B.</au><au>Kapalo, Katelynn A.</au><au>Kurth, Jordan D.</au><au>Collard, Lisa</au><au>Miller, Michael G.</au><au>Panchal, Ashish R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Paramedic educational program attrition accounts for significant loss of potential EMS workforce</atitle><jtitle>Journal of the American College of Emergency Physicians Open</jtitle><addtitle>J Am Coll Emerg Physicians Open</addtitle><date>2023-04</date><risdate>2023</risdate><volume>4</volume><issue>2</issue><spage>e12917</spage><epage>n/a</epage><pages>e12917-n/a</pages><issn>2688-1152</issn><eissn>2688-1152</eissn><abstract>Objective
Recent concerns for the strength and stability of the emergency medical services (EMS) workforce have fueled interest in enhancing the entry of EMS clinicians into the workforce. However, the educational challenges associated with workforce entry remain unclear. Our objective was to evaluate the educational pathway of entry into the EMS workforce and to identify factors that lead to the loss of potential EMS clinicians.
Methods
This is a cross‐sectional evaluation of all US paramedic educational programs, with enrolled students, in the 2019 Committee on Accreditation of Educational Programs for the EMS Professions annual report survey. This data set includes detailed program characteristics and metrics including program attrition rate (leaving before completion), and certifying exam pass rates. Descriptive statistics were calculated, and multivariable logistic regression analysis was conducted to evaluate the association between high program attrition rates (>30%) and program specific characteristics.
Results
In 2019, 640 accredited programs met inclusion with 17,457 students enrolled in paramedic educational programs. Of these, 13,884 students successfully graduated (lost to attrition, 3,573/17,457 [21%]) and 12,002 passed the certifying exam on the third attempt (lost to unable to certify, 1,882/17,457 [11%]). High program attrition rates were associated with longer programs (>12 months), small class sizes (<12 students), and regional locations.
Conclusions
Nearly 1 in 3 paramedic students were lost from the potentially available workforce either owing to attrition during the educational program or failure to certify after course completion. Attrition represented the largest loss, providing an avenue for future targeted research and interventions to improve EMS workforce stability.</abstract><cop>United States</cop><pub>John Wiley & Sons, Inc</pub><pmid>37034493</pmid><doi>10.1002/emp2.12917</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-5150-0740</orcidid><orcidid>https://orcid.org/0000-0001-7382-982X</orcidid><orcidid>https://orcid.org/0000-0003-3443-0247</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Accreditation Annual reports attrition Certification Curricula Education Emergency medical care Emergency Medical Services Emergency services Infrastructure Internships Original Research paramedic education Paramedics Response rates Student retention Variables Virtual offices Workforce |
| title | Paramedic educational program attrition accounts for significant loss of potential EMS workforce |
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