EMT-paramedics primarily work in the field setting for public, fire department, hospital-based or private emergency medical services. Job opportunities also exist in emergency departments and air medical transport. Work shifts may be 24 hours, 12 hours or eight hours.
Advancement opportunities in the field are based on clinical competency, academic preparation and experience. Usually paramedics advance to positions that do not include fieldwork. A paramedic with leadership skills may advance to supervisor, operations manager, or executive director of emergency services.
Some EMTs and paramedics become instructors or dispatchers. Those who enjoy forming relationships may move into selling emergency medical equipment. Some may decide that they want to receive further medical training. They may attend college to become registered nurses, physician assistants, or doctors.