EMT-Paramedic. November 2017

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EMT-Paramedic November 2017 Prepared by the Los Angeles/Orange County Center of Excellence for Labor Market Research Codes and Descriptions Currently, there is one occupation in the standard occupational classification (SOC) system related to emergency medical technicians (EMT) and paramedics. The occupation title and description, as well as reported job titles are included in Exhibit 1. Exhibit 1 s, descriptions and sample job titles SOC Code Title Description Sample of Reported Job Titles Assess injuries, administer Emergency Medical Technician (EMT); Emergency Medical Technician, Basic (EMT, B); Emergency Medical Technician/Driver (EMT/DRIVER); EMT emergency medical Intermediate (Emergency Medical Emergency care, and extricate Technician, Intermediate); EMT, Medical trapped Paramedic (Emergency Medical Technicians and individuals. Technician, Paramedic); Paramedics Transport injured or EMT/Dispatcher (Emergency Medical sick persons to medical facilities. Technician/Dispatcher); First Responder; Flight Paramedic; Multi Care Technician (Multi Care Tech); Paramedic Source: O*NET Online Current and Future Employment In Los Angeles County, the number of EMT and paramedic jobs are expected to increase by 21% over the next five years. More than 400 job opportunities will be available annually for this occupation through 2021 due to new job growth and replacement need (e.g., retirements). Exhibit 2 contains detailed employment projections data for this occupation. SOC Exhibit 2 Five-year projections for EMT & Paramedics in Los Angeles County Emergency Medical Technicians and Paramedics Source: Economic Modeling Specialists International (EMSI) 2016 Jobs 1 2021 Jobs 2016-2021 Change 2016-2021 % Change Annual Openings 4,443 5,392 949 21% 428

In Los Angeles County, the entry-level average wage for EMT and paramedics is $10.88 per hour, which is below the MIT Living Wage 1 estimate of $13.08 per hour for a single adult. The average annual earnings for this occupation in the region is $39,062 per year, assuming full-time employment. Exhibit 3 contains hourly wages and annual average earnings for these occupations. Entry-level hourly earnings is represented by the 10 th percentile of wages, median hourly earnings is represented by the 50 th percentile of wages, and experienced hourly earnings is represented by the 90 th percentile of wages, demonstrating various levels of employment. SOC Exhibit 3 for EMT-Paramedics in Los Angeles County, 2016-2021 Emergency Medical Technicians and Paramedics Entry-Level Hourly Source: Economic Modeling Specialists International (EMSI) Median Hourly Experienced Hourly Average Annual $10.88 $17.22 $29.26 $39,062 Employer Job Postings In this research brief, real-time labor market information is used to provide a more nuanced view of the current job market, as it captures job advertisements for occupations relevant to the field of study. Employer job postings are consulted to understand who is employing EMT and paramedics, and what they are looking for in potential candidates. To identify job postings related to EMT and paramedics, the SOC code was used. Top s In 2016, there were 1,382 employer postings for EMT and paramedics. There were 749 job postings for the same occupation in 2015, and 318 job postings in 2014. Exhibit 4 Top occupations in job postings (n=1,382) SOC Code Emergency Medical Technicians and Paramedics 1,382 1 MIT Living Wage Calculator. http://livingwage.mit.edu/ 2

Top Titles The top job titles for employers posting ads for EMT and paramedics are listed in Exhibit 5. EMT is mentioned as the job title in 41% of all relevant job postings (1,382 postings). Exhibit 5 Job titles (n=1,382) Title EMT 568 Emergency Medicine Physician 323 Emergency Room Travel RN 86 Paramedic 62 Emergency Medicine Physician Assistant 45 Medical Technician 40 Top Employers Exhibit 6 lists the major employers hiring EMT and paramedic professionals. Top employers postings job ads included Envision, the University of Southern California, Providence Health & Services, CEP America, Liberty Ambulance, and AMR. The top worksite cities in the region for these occupations were Los Angeles, Long Beach, and Glendale. Employer Exhibit 6 Top employers (n=270) Envision 33 University of Southern California 19 Providence Health & Services 16 Cep America 12 Liberty Ambulance 10 AMR 8 3

Certifications and Skills Emergency Medical Technician (EMT) is the most sought after certification for this occupation, and was included in 37% of the postings that specified a certification. Other certifications that were largely present on postings were board certified/board eligible (26% of postings) and emergency medicine (16%). Job-specific skills desired by employers are: emergency medicine, advanced cardiac life support, CPR, critical care, and patient care. Certifications Exhibit 7 Job certifications (n=622) and job skills (n=403) Skills Emergency Medical Technician (EMT) 232 Emergency Medicine 272 Advanced Cardiac Life 159 Board Certified/Board Eligible Support (ACLS) 129 Emergency Medicine 102 Cardiopulmonary Resuscitation (CPR) 86 Advanced Cardiac Life Support (ACLS) Certification 59 Critical Care 85 Nurse Practitioner 58 Patient Care 82 Advertised Education Levels Exhibit 8 displays the education level requested by employers in online job ads. The majority of employers were looking for a candidate with an associate degree. Approximately 88% of job postings did not specify a level of education. Exhibit 8 2016 Online job ads with minimum advertised education requirements for EMT and Paramedics (n=169) High school or vocational training 82 Associate degree 87 4

Industry Concentration EMT and paramedic jobs in Los Angeles County are most often found in the ambulance services industry (59% of total jobs in the industry). Exhibit 9 shows the industries that are the largest employers of EMT and paramedics in Los Angeles County. NAICS (6-Digit) Exhibit 9 Industries with the largest number of EMT and Paramedics, 2016 Industry Group Jobs in Industry % of Group in Industry 621910 Ambulance Services 2,634 59% 903999 Local Government, Excluding Education and Hospitals 1,000 22% 622110 General Medical and Surgical Hospitals 362 8% 903622 Hospitals (Local Government) 143 3% Education and Training Exhibit 10 shows the typical entry-level education requirement for the occupation of interest, along with the typical on-the-job training, and percentage of workers in the field who hold a community college award or have completed some postsecondary courses. About 68% of the workforce in this occupation has completed some community college education as their highest level of education. SOC Exhibit 10 Education and training requirements 2015-2020 Emergency Medical Technicians and Paramedics Typical entrylevel education Postsecondary nondegree award Typical on-thejob training % of Community College Award Holder or Some Postsecondary Coursework None 68% Source: Economic Modeling Specialists International, Bureau of Labor Statistics Employment Projections (Educational Attainment) Currently, there are two community colleges in Los Angeles County that train students to become EMT and paramedics. Exhibit 11 displays the headcount and annual average community college awards for each of the colleges training in this field. Headcount is the actual number of students enrolled, regardless of credit hours. It is also important to note that an award is not equivalent to a single person in search of a job opening, since a student may earn more than one award (e.g. an associate degree and a certificate). Between 2012-2015, the total annual average community college awards conferred was 89 (10 associate degrees and 79 certificates) across one programs: Paramedic (1251.00). 5

Exhibit 11 CCC Student Awards (by TOP and College) 2012-2015 Annual Average TOP Code Program College CCC Headcount CCC Associate Degrees CCC Certificates Total Average CC Awards 1251.00 Paramedic El Camino 184 3 36 39 Mt San Antonio 144 7 43 50 Total 328 10 79 89 Source: California Community Colleges Chancellor s Office MIS Data Mart Student Outcomes The CTE LaunchBoard provides student outcome data on the effectiveness of CTE programs. The following student outcome information was collected from exiters of the Paramedic Taxonomy of Program (TOP) code (1251.00) in Los Angeles County for the 2014-15 academic year. The median annual wage after program completion is $46,900 74% of students are earning a living wage 92% of students are employed within six months after completing a program Source: CTE LaunchBoard Sources O*Net Online, Labor Insight/Jobs (Burning Glass), Economic Modeling Specialists International (EMSI), MIT Living Wage Calculator, Bureau of Labor Statistics (BLS) Education Attainment, California Community Colleges Chancellor s Office Management Information Systems (MIS) Data Mart, CTE LaunchBoard, Statewide CTE Outcomes Survey, Employment Development Department Unemployment Insurance Dataset 6

Notes Data included in this analysis represents the labor market demand for positions most closely related to emergency medical technicians and paramedics. Standard occupational classification (SOC) codes were chosen based on the national education level required for employment (associate degree and postsecondary certificate) as well as the proportion of current workers who hold a community college award or have had some community college training. This selection process narrows the labor market analysis to the most relevant employment opportunities for students with community college education and/or training. Traditional labor market information was used to show current and projected employment based on data trends, as well as annual average awards granted by regional community colleges. Real-time labor market information captures job post advertisements for occupations relevant to the field of study and should not be used to establish current job openings, because the numbers may include duplicate job postings or postings intended to gather a pool of applicants. Real-time labor market information can signal demand and show what employers are looking for in potential employees, but is not a perfect measure of the quantity of open positions. 7