Continuing Education EMS Education Tips EMS Tips

Paramedic that Knows Everything Declines Additional Learning

I feel like I have “read it all” from end of course evaluations … “this was too easy” or “too difficult” or “the classroom was cold” or “breaks were too short” or “the PowerPoint slides were difficult to read” or ” I learned a lot, thanks” and on and on. I actually really enjoy reading student evaluations because they help me, as an instructor, improve my delivery, use of materials, time management, and planning for future sessions.

A recent evaluation from a paramedic really struck me because I had never really read anything like it before. When asked for additional feedback about a continuing education course the student wrote, “Too much information for a paramedic.”

The qualifier, for a paramedic, is the astounding phrase in that short sentence. I would have passed quickly to the next student evaluation if the qualifier had been:

  • too much information for thirty minutes
  • too much information for a single class
  • too much information for the instruction method

But “Too much information for a paramedic.” Really. To say that implies an underlying belief that paramedic school graduation was an end point and not a starting point.

Refresher Education vs. Continuing Education

I define refresher education as review, remediation, and / or competency checks of knowledge, skills, and abilities the student should already have from previous training (original or refresher). Continuing education is learning above and beyond the baseline knowledge. To me continuing education and refresher education are totally different.

Refresher education usually follows a set recipe of hours and skill checks in various categories – airway, cardiac, OB, pediatric, etc. Year after year the content stays fairly similar. In most places the refresher education system is broken. Instead of a 120 hour EMT class an EMT “refreshes” their education in a marathon 24 hours of lecture. Refresher education would be better labeled as really fast EMT class lectures without all the fun hands-on stuff.

A better refresher education program would consider a student’s field experience, successes, failures, and self-analysis. If I could set my own refresher education schedule based on a self-assessment and regularly scheduled feedback sessions with my supervisor I would probably spend 40% of my time on cardiology, 40% on airway management skills practice (0% on airway management lecture), and 20% on everything else. Instead of lecturing me about environmental emergencies, one of strengths, let me teach or guide a discussion with my classmates.

When I seek out continuing education I think of it like I am setting up a new bookshelf or opening a new sector on my cranial hard drive. I am searching, accessing, consuming, analyzing, and interpreting new information. My shelf and sector have unlimited space. There is no such thing as “too much information” when I access continuing education. There may be concepts I don’t understand, words I don’t know, or authors that are new to me, but those are open doors to more information.

Dig Deeper for the Real Issues

Sometimes I think throw-away lines like, “Too much information for a paramedic” are just cop-outs to exploring the real issues that exist in a workplace. If I were able to dig deeper into this comment and explore the context from which it came I might find a paramedic that feels constrained by restrictive medical control and tight protocols that limit options for airway management or pain control. I might find a paramedic that is struggling to maintain the baseline of knowledge in a number of specialties like paramedicine, fire fighting, technical rescue, hazardous materials response, and more. I might find a system that does not offer incentives for obtaining advanced certifications or a college degree. I might find a system that requires continuing education about technologies and protocols and then doesn’t allow people who complete the training to use those technologies and protocols.

Maybe You Have Had Enough

In February I co-led a workshop for EMS educators about incorporating gaming and social media content creation into EMS education. At the afternoon break a participant approached me and heartily thanked me for helping him make an important decision. He explained, “I quit. I am totally done with EMS education. I have been doing this for 20 years. I don’t want to change. I don’t want to use any of this technology. I barely understand it. I am done. Let somebody else do this.” He was sincere and seemed relieved to finally have an out to something that had become a burden. His decision to quit was probably my biggest success of the day. Of the 100 people in the workshop he was the only one that I truly knew I reached.

What’s Next

If you reach the point where you decide this is too much there are really two options. You can quit. Or you can open up another sector on your cranial hard drive. Now more than ever we have an amazing quantity of information at our finger tips.

  • Need more information about a drug, there is an app for that.
  • Want to learn more about heart failure, then Google 10,000+ articles.
  • Trying to understand the mechanism of action for Magnesium Sulfate to treat asthma, ask your Facebook friends.
  • Want to know the best ways to study, call the MedicCast phone.
  • Studying acid-base, schedule a Skype chat.

Which are you choosing?

How would you respond if a student told you, “this is too much information”? What would you say to a co-worker that complains a con-ed class is too much information?

I was so struck by the comment, “too much information for a paramedic” I asked Steve Whitehead of the and Chris Kaiser of to write on this topic. Please visit their blogs to see what they have to say. If you want to opine on this topic please share the link to your post, audio or video in the comments section.

By Greg Friese

Greg Friese, Stevens Point, Wisconsin, is an author, educator, paramedic, and marathon runner.

Greg was the co-host of the award winning EMSEduCast podcast, the only podcast by and for EMS educators. Greg has written for,, Wilderness Medical Associates, JEMS Magazine, and EMS World Magazine, and the NAEMSE Educator Newsletter.