Internationally, emergency ambulance paramedic education has evolved from ‘on the job’ training by ambulance services to tertiary-level qualifications. However, across many countries and jurisdictions, clinical practicum requirements still differ substantially. For example, Australian paramedic students spend fewer hours on clinical practicum than their United Kingdom (UK) counterparts.
Methods
Fifteen semi-structured face-to-face interviews were conducted with Australian and UK paramedics and managers to identify their perceptions regarding the preparedness of graduate paramedics for practice.
Results
Interviewees in Australia and the UK identified that newly graduated paramedics require an internship period before independent practice. Interviewees in both jurisdictions recognised the robust theoretical knowledge and practical skills of graduates. Organisational operations, clinical judgement and decision-making, and care-pathway selection were areas where interviewees identified that an internship period consolidated the graduate's learning.
Conclusion
This research found that increased time spent by paramedic students on ambulances did not increase a new graduate's ability to practice independently before an internship period. The time spent on ambulance practicums, objectives and supervisory model should be reviewed.
Council of Ambulance Authorities.Paramedic education: CAA accredited courses - information for prospective students and universities.Victoria: Council of Ambulance Authorities Inc; 2014. Available at: www.caa.net.au/education.
18.
BoyleM., WilliamsB., BurgessS.Contemporary simulation education for undergraduate paramedic students.Emerg Med J2007; 24(12).
19.
OlsonR., KluppN., Astell-BurtT.Reimagining health professional socialisation: an interactionist study of interprofessional education.Health Sociol Rev2015; 25: 92–107.
20.
ThomasJ., JinksA., JackB.Finessing incivility: the professional socialisation experiences of student nurses’ first clinical placement, a grounded theory.Nurse Educ Today2015; 35: e4–9.
21.
BushT.Preparing new principals: Pprofesssional and organisational socialisation.Educational Management Administration & Leadership2016; 44: 3–5.
22.
MichauR., RobertsS., WilliamsB., BoyleM.An investigation of theory-practice gap in undergraduate paramedic education.BMC Med Educ2009; 9: 23.
23.
MillsB., CarterO., RuddC.Quantification of opportunities for early-stage paramedicine students to practice clinical skills during clinical placements compared to an equal dose of simulation-based workshops.BMJ Simul Technol Enhanc Learn2015; 1: 24–8.
The Joint Royal Colleges Ambulance Liaison Committee.Joint Royal Colleges Ambulance Liaison Committee - About 2017. Available at: www.jrcalc.org.uk/about/
Council of Ambulance Authorities.Clinical placement guidelines for higher education paramedic programmes.Melbourne: Council of Ambulance Authorities; 2018.
TongA., SainsburyP., CraigJ.Consolidated criteria for reporting qualitative research (COREQ): a 32 item checklist for intrdviews and focus groups.Int J Qual Health Care2007; 19: 349–57.
45.
CohenD., CrabtreeB.Qualitative research guidelines projectNew Jersey: Robert Wood Johnson Foundation; 2006. Available at: www.qualres.org/HomeInte-3516.html
46.
NeutensJ.Research techniques for the health sciences.5th edn.Sydney: Pearson; 2014.
47.
HigginsonR.The theory-practice gap still exists in nursing education.Br J Nurs2004; 13: 1168.
48.
RoskellC., HewisonA., WildmanS.The theory-practice gap and physiotherapy in the UK: insights from the nursing experience.Physiother Theory Pract1998; 14: 223–33.
49.
FrankJ.R., SnellL.S., CateO.T.Competency-based medical education: theory to practice.Med Teach2010; 32: 638–45.
50.
GearingR.Bracketing in research: a typology.Qual Health Res2004; 14: 1429–52.
