Paramedic vs. Fire

People often ask whether to become a paramedic or go into the fire service. They overlap, but they are different paths.

Side by side

• The core job. A paramedic is focused on advanced emergency medical care. A firefighter trains for medical calls, but also for fires, rescues, hazardous materials and other emergencies.
• Where you can work. Paramedics work for ambulance companies, hospitals, fire departments and other agencies. Firefighters work for fire departments and wildland agencies.
• Training. A paramedic needs EMT certification, then a long paramedic program, then a license and county accreditation. A firefighter usually needs an EMT certification, a fitness test, a hiring process and a fire academy.
• Getting hired. Paramedic jobs are filled through ordinary job postings. Fire department jobs usually involve a written test, a fitness test, interviews and a ranked eligible list, and many candidates compete for few openings.
• The overlap. Some fire departments hire firefighter-paramedics directly, and a paramedic license plus street experience can strengthen an application. Paramedics often move into fire for this reason.

A way to decide

Ask yourself:

1. Do I want to focus on medicine, with the option to go on to a PA, nursing or medical school? Paramedic may fit.
2. Do I want a team-based, broader emergency job? Fire may fit.
3. Can I do both? Many people work as EMTs, become paramedics, and then apply to fire departments.

Whichever you choose, the EMT certification is the shared first step, and it is a good place to start.

This is a general comparison. Check the current postings of the agencies you are considering for pay and hiring details.