|Two to four years for this job? Admirable idea, unlikely to work, or happen.|
EMS Artifact has a thought or two on requiring paramedics to get years of training instead of the current months.
My thoughts on that:
My hazy (from 30-years ago, when I looked at it) understanding is that paramedic certification is closer to 6 months training full-time, not anything close to a 2-year Associate's degree.
Clinical rotations may almost approach a year total from start to finish, but I doubt it, at least anywhere hereabouts.
(Obviously, individual companies/agencies my have other requirements.)
You might could expand paramedic to the level of LVN training, which is a solid year.
Two years is frankly overkill, on so many levels, and a bachelor's degree, while admirable, is ridiculous to even suggest.
(I'm biased there: I was told twenty-five years ago that in 10 years, all RNs would be BA/BS degrees. Over 25 years later, and I'm still working as many shifts a week as I want with my humble associate's degree, including at the magnet hospitals that require most staff to hold a BSN, and there are only three of those out of about 40, locally. Double Bonus: they all pay less than the hospitals that accept anyone even without a BSN, even with the BSN pay bump. And they can't figure out why they're always short-handed. Hmm. I wonder...)
If you have 2 or 4 years to work for your paramedic degree, which was suddenly required, why on God's green earth wouldn't you either get a nursing degree at either ADN or BSN level, tripling your pay and expanding your work opportunities a thousand-fold, or just gut it out a few more years after a bachelor's, to become a P.A. or M.D.?
Is more training a good idea? Sure. For anyone, from EMT to board-certified neurosurgeon.
Is it necessary for paramedics? Probably not. At least not initially, for entry-level. (What you do as CE is your business, but smarter and more trained is better, certainly.)
Is it cost-effective, or sensible, to turn a 6-month (or 9-month) cert into one that takes a year, or two, or four, just to ante in? Highly unlikely, unless someone else (other than the paramedic) is paying for it, and even then, every year you're in school, you're not working to feed yourself and keep a roof over your head.
And non-governmental agencies (which is most of them outside Megopolis) will go the other way: they'd rather have cheaper, less-qualified workers, and if they have to pay more, they'll just upgrade to LVNs/ RNs/etc., and paramedic will become a dinosaur profession, except for firefighters on the civil payroll.
Exactly like live-in indentured servitude diplomate-nursing has all but disappeared.
(That will also exacerbate the perennial nursing shortage, and/or provide a new pipeline from LVN to RN, LVN being a similarly limited-end job category.)
And as a subtle hint, there's not a lot of crossover between guys who want to put out fires, and guys who'll sit still for an ADN/BSN. They are pretty fundamentally different groups, overall. I like what I do in the ER, but slinging ladders and hosepacks, and chopping cars open, wasn't the sort of thing I was into, then or now. I got my fill of heavy lifting in the Marines, thanks, and if I were in a firehouse, I'd be a captain or higher royalty by now, or retired, as my back and knees remind me daily.
FWIW, the three biggest limits on nurses now is lack of qualified instructors, lack of program seats to train more, and lack of places for them to train.
All of those things cost even more money, by the metric buttload. If you see the J.C.s and state colleges firing their Victim Studies programs to expand their faculty in nursing, EMS, and the pre-reqs for either, or anything else worthwhile, give a holler. Out here, it's hard enough to get them to even teach college-level English and math, and find students who can pass the pre-test to enter the courses, let alone successfully get a degree.
How anyone's going to leap all three of those hurdles by significantly ramping up paramedic training is probably ten more thoughts than anyone inside EMS has thought through, IMHO.