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Why do Emergency Medical Services (EMS) Professionals Leave EMS?

Gary Blau1, Susan A Chapman2

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PubMed
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Most Emergency Medical Technicians (EMTs) and Paramedics are satisfied and unlikely to leave their jobs. Key reasons for departure include pursuing further education or relocation, with pay being more significant for paramedics.

Keywords:
BLS Bureau of Labor StatisticsCI confidence intervalEMS Emergency Medical ServicesEMT Emergency Medical TechnicianLEADS Longitudinal Emergency Medical Technician Attributes and Demographics StudyEmergency Medical Servicesparamedicprehospitalretention

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Area of Science:

  • Emergency Medical Services (EMS) research
  • Workforce retention studies
  • Occupational health and safety

Background:

  • Emergency Medical Services (EMS) professionals are crucial for public health.
  • Understanding reasons for workforce attrition is vital for maintaining adequate staffing levels.
  • Previous studies have explored job satisfaction but specific reasons for leaving require further investigation.

Purpose of the Study:

  • To investigate the primary reasons why Emergency Medical Technician-Basics (EMT-Basics) and Paramedics exit the EMS workforce.
  • To identify factors influencing job satisfaction and intent to leave among EMS professionals.
  • To inform strategies for improving retention within the EMS sector.

Main Methods:

  • Annual surveys were administered to nationally registered EMT-Basics and Paramedics from 1999 to 2008.
  • Data collected included job satisfaction, likelihood of leaving the profession/job, and reasons for departure.
  • A special exit survey was mailed to individuals who had left the EMS profession to ascertain their specific reasons.

Main Results:

  • The likelihood of leaving the EMS profession within a year was low for both EMT-Basics and Paramedics.
  • Overall job satisfaction was high, with EMT-Basics reporting significantly higher satisfaction than Paramedics.
  • Primary reasons for leaving included pursuing further education and relocation; better pay and benefits were more significant for Paramedics than EMT-Basics.

Conclusions:

  • While overall satisfaction is high, specific factors influence EMT and Paramedic retention.
  • Addressing concerns such as compensation for Paramedics and supporting career progression are crucial for workforce stability.
  • Continued research and targeted interventions are recommended to enhance EMS professional retention amidst increasing demand.