I came across an article written by Dr. Bryan Bledsoe that really got me thinking recently. In it he suggested that we adopt a different model of pre-hospital education that is based upon competencies rather than simply hours.
Over the years, all education has moved toward counting hours. We have really taken an industrial/work model. . . Do your 9-5 job and keep coming back. We graduate our students based upon their date of manufacture rather than competency. Every year many high school students are given a diploma, despite the fact that they cannot read or do simple math.
Political forces try to address this by creating standards that are so obtuse that nobody can really understand their outcomes and create methods to teach these standards that add so many useless steps that students are frustrated and confused prior to achieving an answer. Testing is created as a method to grade a school and teacher, yet the student still moves on.
Just a few years ago, many of the members of the Midwest Ski Area Association (MSAA) have requested a major re-write of the National Ski Patrol’s training methods. EMS agencies are having difficulty bringing in new qualified medics. Some that excel in the training have little ability to deal with the chaos that they will encounter in the field.
We need to make a change, not only to EMS training but all education. Education should be based upon competency. If it takes one student longer than another, then so-be-it. If another accelerates, Great! All levels of Bloom’s Taxonomy need to be considered, not simply the lowest levels addressed by hours and tests.
The world is calling for better educated youth and entry level providers. . . it’s time that all educators listen!
Please read Dr. Bledsoe’s article at http://www.jems.com/articles/2016/07/is-ems-a-trade-or-a-profession.html