---
title: "Paramedic: Training, Certification and Salary"
description: "How to become a paramedic: EMT first, then a paramedic program, NREMT exam and state license, plus May 2025 BLS median pay and outlook."
url: https://careerdirecting.com/careers/paramedic/
updated: 2026-10-09
site: CareerDirecting
---

Healthcare · Paramedic

# Paramedic Advanced care in the field.

Healthcare career profile

Paramedics are the most highly trained EMS providers on most ambulances. They read heart rhythms, give medications and manage airways, often making critical decisions with no doctor in the room.

In short

To become a paramedic, first become an EMT, then complete an accredited paramedic program, which often takes one to two years and includes clinical and field rotations. After that you pass the NREMT paramedic exam and get your state license. Paramedics earned a median of $60,600 in May 2025, per BLS.

**Job numbers from the U.S. Bureau of Labor Statistics** Updated October 9, 2026. Pay figures are national medians and are not a promise of what you will earn.

| Median pay | $60,600 a year, about $29.13 an hour (May 2025) |
|---|---|
| Typical way in | Certificate |
| Jobs in the U.S. | About 102,200 (2025) |
| Outlook, 2025 to 2035 | Projected growth of 5.7% |
| Openings each year | About 4,300 on average, including replacements |
| National exam | NREMT paramedic exam |
| Where they work | Ambulance services, fire departments, hospitals, flight programs |

Source: U.S. Bureau of Labor Statistics, Employment Projections 2025 to 2035 and May 2025 wages, [BLS](https://www.bls.gov/emp/tables/occupational-projections-and-characteristics.htm). National figures; pay where you live can be higher or lower, and starting pay is lower than the median.

## The work

Paramedics lead patient care on many calls. You assess, treat with advanced skills and decide what the patient needs on the way to the hospital. It is mentally and physically demanding, with long shifts.

## Training

Programs usually require EMT certification and often some EMT experience. Many are offered through community colleges and some lead to an associate degree.

## Questions people ask

### How long does it take to become a paramedic?

Usually one to two years after becoming an EMT.

### Do firefighters need to be paramedics?

Some departments require EMT or paramedic certification; it varies.

### What is next after paramedic?

Some move into flight medicine, critical care transport, nursing or management.

## Sources

- [BLS Employment Projections 2025 to 2035, Table 1.2 (occupational projections and worker characteristics)](https://www.bls.gov/emp/tables/occupational-projections-and-characteristics.htm)
- [BLS Occupational Outlook Handbook: Paramedics](https://www.bls.gov/ooh/healthcare/emts-and-paramedics.htm)
- [National Registry of Emergency Medical Technicians](https://www.nremt.org/)

## Where to go next

- [EMT vs paramedic](https://careerdirecting.com/compare/emt-vs-paramedic/)
- [EMT](https://careerdirecting.com/careers/emt/)
- [Firefighter](https://careerdirecting.com/careers/firefighter/)
- [Careers](https://careerdirecting.com/careers/)
- [Barber](https://careerdirecting.com/careers/barber/)
- [Bookkeeper](https://careerdirecting.com/careers/bookkeeper/)
- [Cardiovascular technologist](https://careerdirecting.com/careers/cardiovascular-technologist/)
- [CNA](https://careerdirecting.com/careers/cna/)

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