I have noticed something over the last few years that has alarmed me. To be honest it has made me reconsider what I do for a living, and wonder whether or not I should get out of teaching all together. It started just a couple of years ago, and has gotten steadily worse until the new critical mass it has achieved now. What is this career ending problem you ask?
Apathy.
Recent students in my program have little to no interest in EMS. It took me quite a while to put my finger on it, but that is what it is. The bigger question that will take a few more blog posts to flesh out is, “How did we get here?” I do have some thoughts on that, but I have to prove that there is a problem first.
Not long ago, I was teaching to a rabid audience of pro-EMS people who were chomping at the bit to be in the field. They were going out of their way to read extra books, and understand their assignments. I never had to push them to maintain interest. It was truly a joy to be a part of any paramedic class.
Then it started. Little by little.
I think I first noticed it during a class I taught in 2007 when a few students would actually raise their hand in class and ask, “Do we really need to know this?” I was confused by this question at first, and taken aback. I actually found myself taking time out of a lecture to explain why what I was teaching was important. To my amazement, the students pushed back and tried to convince me otherwise. I got pretty short with them, and tried to move on, but it became a regular question in every class.
Finally one day I blew up and went on a 15 minute rant. I won’t bore you with the whole thing, but it went something like this:
“Yep, that’s who I want coming to work on my family, a medic just like you.”
“What do you mean?” he asked defiantly.
“I want a medic that wants to know just enough to get by. I want a medic who is more concerned with what is on the test than what he needs to know. I want a medic who spent his whole time in school aiming for a grade of 80%, making sure that he knew just enough to get by. Do you want that kind of medic? Do you? Do you? I tell you what, I don’t even want anyone like that graduating from my class. If you feel like squeaking by in life, stop wasting my time and go flip burgers or sell used cars for a living.”
As you can imagine, that speech did not go over well. Since I originally gave that speech, I have started three other paramedic classes. The situation has now gotten so bad that I now give the speech at orientation. All my students are now told when class starts that the only stupid question a student can ask is, “Do I need to know this?” Any student who utters that phrase is met by an angry stare and my retort, “No, you don’t need to know that if you drop out of my class. Look behind you. There’s the door.”
But even though I have regained the semblance of respect in the classroom, I know that it is an act. They could really care less. They just know that the question angers me. I am a very introspective person. When problems like this come up, the first place I look for blame is the mirror in my bathroom. So I looked inward to see if I could relate to the experience. To my amazement I could almost immediately. I was like that right before I got into EMS. I was like that before I found a profession in which I was happy.
In a previous life I majored in English. In the pursuit of that degree, I had a bunch of jobs in other fields. One that was particularly painful was a job at a college textbook publishing house. I was the Ancillary Project Editor of a bunch of workbooks to other texts. It was common to show up to my cubicle and find a 1200 page manuscript piled upon my desk, covered in sticky note pads that represented changes in copy that I had to make. I hated that job. I hated it with every fiber of my being.
But there were those who loved it. Have you ever met a book worm? You haven’t until you have been in publishing. There are people that revere books. It is like entering a religious cult. There are editors that can tell you what page in the Chicago Manual of Style contains the rules for crediting a trade periodical in a bibliography. There are people who can read three to five manuscript pages per minute while accurately editing for typos. This person was not me. I did not care.
During the course of that job I often found myself asking, “Do I need to know this?”
Our profession has been invaded by a bunch of people who don’t really want to be here. With that in mind I searched back in my brain to see if it was the fire based personnel who mostly do this. I had to admit, it started with them. But it is uniform across the board now. No one wants to be here. I even get this attitude from students who work for an urban third city 911 service. How messed up if that?
The question now becomes, “How on earth did so many people who have no interest in this extreme and low paying profession wind up here?” That, my friends, is the source of another blog post. The answer to this problem is yet another. None of it will be pretty. Until then, let me know what you think. According to the statistics, a few people are reading this, but no one is commenting. What do you all think? Do you want to be here? Do you need to know this?


Buck, I am reading, but I am not sure what to make of it yet. I will look forward to your ongoing writing and conversation with you on this topic. Be well.
I am going somewhere. Trust me. I will try and get installment #2 up today. This was inspired by our podcast with Rob the other night. I am bringing many loose ends of my career into one tangled knot right now. Stay tuned.
That attitude is everywhere. I notice it with the new folks just out of school in software engineering and at the fire station. I don’t know if it’s the high schools to blame? They have the kids take an online test to tell them what they should pursue in life. The kids answer the way they answer any test… they do what they think parents/teachers want to hear. I think what is missing is someone who actually knows something about the person to sit down and talk with them about what they want to do for a career. They need a chance to sit in for a day with someone who does the job. Maybe the ride-on should come at the start of the EMT classes instead of (or in addition to) at the end?
I also notice that this generation is taught to question everything. It is extremely annoying when you are trying to do FF or EMT training. Yes, there are a million ways to do something, but when you are part of a team doing a dangerous job we all have to do the job assigned in a predictable way. They just can’t seem to grasp that.
Yes, they don’t seem to be able to differentiate between reliable information and good sources. They will constantly come up to me saying that ‘some guy’ told them that they don’t need to be doing this in ACLS. “Who is this guy?” I ask. Someone who is not an instructor, and has no special experience or knowledge whatsoever.
i have noticed this, as i read your post above it is as if i was speaking out myself. i find my self asking for all the people in the classroom who want to be paramedics to raise their hands, most went up. i asked how many wanted to be fire fighters, a lot of hands stayed up, when i asked how many were in this class because paramedic is a requirement for firefighter job applications and for no other reason, most of the hands stayed up. i found myself having a similar rant and soapbox speech as you did, i used to teach in an area where it was primarily fire based ems and also where my entire family resides. i have sense returned to the other side of the state where private ems reigns and fire fighters are the mfr’s and put out fires. the apathy toward paramedics is bad enough when it comes from everyone else, but how the hell are we supposed to give a hoot about helping new students when they themselves do not care about being a paramedic? buckman keep it up, i look forward to your future posts. till then; have fun, be safe