
If you're looking for a direct path to a high-stakes, rewarding career on the front lines of emergency medicine in Missouri, becoming a licensed Paramedic is the ultimate goal. The state is home to over 6,500 of these highly skilled first responders, who earn a median salary of $52,100 per year, according to the U.S. Bureau of Labor Statistics. This guide provides the definitive 5-step process for navigating Missouri's specific training, testing, and licensing requirements to launch your career as an advanced life support provider.
Your Paramedic license is a gateway to many advanced roles. You can pursue specialized certifications to become a Critical Care Paramedic (CCP-C) or a Flight Paramedic (FP-C). Many paramedics also use their license and experience as a foundation to bridge into a nursing program to become a Registered Nurse (RN).
Becoming a paramedic opens up a wide range of career paths and opportunities. Here are some of the career options you can explore after becoming a paramedic.
Ambulance Services: The most common career path for paramedics is working for ambulance services. Paramedics are an essential part of the emergency medical services (EMS) system and provide critical care to patients in need. As a paramedic, you may work on an ambulance responding to emergency calls, transporting patients to the hospital, and providing advanced life support interventions.
Hospitals: Many hospitals have their own EMS departments and employ paramedics to provide emergency medical care within the hospital setting. In this role, you may work in the emergency department, trauma center, or critical care unit, providing advanced life support interventions and assisting with patient care.
Fire Departments: Paramedics are often employed by fire departments to provide emergency medical care as part of a fire rescue team. In addition to responding to medical emergencies, paramedics in fire departments may also be involved in firefighting, hazardous materials incidents, and other emergency situations.
Flight Paramedic: Flight paramedics work on medical helicopters or fixed-wing aircraft and provide critical care to patients during air transport. This is a highly specialized and demanding field that requires additional training and certification. Flight paramedics often work in remote or difficult-to-reach areas, providing life-saving care to patients who cannot be easily transported by ground ambulance.
Dispatch Centers: Paramedics can also work in dispatch centers, where they receive emergency calls and coordinate the response of ambulance crews. In this role, you will assess the nature of the emergency, provide pre-arrival instructions to callers, and dispatch the appropriate resources.
Education and Training: If you have a passion for teaching and mentoring, you may consider a career in education and training. Many paramedics go on to become instructors at paramedic programs or EMS training academies, where they train and educate the next generation of paramedics.
Management and Administration: As you gain experience and advance in your career, you may have the opportunity to move into management or administrative roles within EMS agencies or healthcare organizations. In these positions, you will oversee the operations of the department, manage staff and resources, and ensure the delivery of high-quality patient care.
It typically takes about 1,200 to 1,800 hours of training to become a paramedic in Missouri, which can take around 1 to 2 years to complete, depending on whether you attend full-time or part-time. This includes completing an EMT program and an accredited paramedic training program, both of which are essential steps in becoming certified.
The cost of paramedic school in Missouri can range from $5,000 to $15,000, depending on the institution and whether you are an in-state or out-of-state student. This cost includes tuition, fees, books, and other associated expenses. Financial aid and scholarships may be available to help offset these costs.
As of May 2023, the average paramedic salary in Missouri is $54,550 per year according to the Bureau of Labor Statistics (BLS). Salaries can vary based on experience, location, and the employing organization, with some paramedics earning more due to overtime and other factors.
To become a paramedic in Missouri, you need to complete a state-approved paramedic training program, pass the National Registry of Emergency Medical Technicians (NREMT) paramedic exam, and obtain a paramedic license from the Missouri Bureau of EMS. You must also have a high school diploma or GED, a valid driver’s license, current Basic Life Support (BLS) certification, and pass a criminal background check.
To become an Emergency Medical Services (EMS) provider in Missouri, start by completing an accredited EMT program and obtaining EMT certification. After gaining some experience, enroll in a paramedic training program, pass the NREMT exam, and apply for state licensure through the Missouri Bureau of EMS. Continuing education and periodic recertification are necessary to maintain your credentials.
Becoming a paramedic is a challenging and rewarding career choice. It requires dedication, compassion, and a commitment to lifelong learning. By following the steps outlined above, you can obtain your paramedic certification and start your journey toward a fulfilling career in the field of emergency medical services.
Remember to stay updated on current industry trends, network with professionals in the field, and continuously strive to improve your skills and knowledge. Whether you choose to work in an ambulance, in a hospital, or in a specialized area of paramedicine, your role as a paramedic will make a difference in the lives of those you serve.
Dreambound offers a window into various career paths, so if you're considering a shift in your career, browse through these articles:

Harold Roldan is a Growth team member at Dreambound. With a background in IT, he works with data and automation to improve team efficiency and workflows. He spends his free time playing musical instruments or studying data, computers, and technology.
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A paramedic is a highly trained medical professional who provides emergency medical care to individuals in need. They are often the first responders on the scene of accidents or medical emergencies, and their primary goal is to stabilize patients and provide immediate medical intervention. Paramedics are skilled in assessing patients, administering medications, performing life-saving procedures, and transporting patients safely to the hospital.
A Paramedic's duties are a blend of rapid assessment, decisive action, and advanced medical intervention. Common responsibilities include:
To practice as a Paramedic in Missouri, you must be licensed by the Missouri Bureau of Emergency Medical Services. The requirements are mandatory and build upon the foundation of an EMT.
The path to becoming a licensed Paramedic in Missouri is a clear progression that starts with becoming an EMT. Here's what you should do to enter the workforce right away!
Before you can even think about paramedic school, you must first become a licensed Emergency Medical Technician (EMT) in Missouri. This involves completing a state-approved EMT course (typically one semester), passing the NREMT exam for EMTs, and getting your state EMT license. This foundational step is non-negotiable and provides the essential experience you'll build upon.
Once you are a licensed EMT (and often after gaining some field experience), you can apply to a paramedic program. These programs, which award a certificate or an associate's degree, are intensive and typically last 1-2 years. They involve hundreds of hours of classroom instruction, skills labs, and in-depth clinical rotations in emergency departments, ICUs, and on an ambulance.
After graduating from your paramedic program, you must earn your national certification, which is the final step before the state will issue you a license to practice.
Once you are a licensed Paramedic, you are a highly sought-after professional. A great resource for exploring the career is MyNextMove.org, which details the advanced skills and knowledge employers expect.
Update your resume to highlight your new Missouri Paramedic license and your NREMT certification. Detail your clinical and field internship experiences. Search for job openings with ambulance services, fire departments, and hospital systems across Missouri. Many students receive job offers from their clinical or field internship sites before they even graduate.
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