What happened: Florida has released the largest EMS workforce survey in its history, capturing responses from over 49,000 EMTs and paramedics. This landmark study provides a sobering look at systemic issues plaguing the profession, including:
- Poor retention
- Low pay
- Mental health struggles
- Urgent need for career progression pathways
The data, analyzed by Ed Bauter, MBA, MHL, NRP, FP-C, CCP-C; and Daniel Schwester, MICP, underscores long-standing challenges and emerging opportunities within the field.
| MORE: EMS vital signs: What a Florida workforce survey reveals about the profession
Highlights
Watch as Ed Bauter, MBA, MHL, NRP, FP-C, CCP-C; and Daniel Schwester, MICP, highlight the significance of this development, including:
- Retention is most fragile early in careers. EMTs and paramedics with less than 2 years on the job reported the lowest satisfaction scores, particularly in urban environments, where high call volumes and limited support contribute to early burnout and attrition.
- Pay dissatisfaction and mental health burdens remain significant. Low wages, especially in high-intensity settings, leave many providers unable to afford basic living expenses. Coupled with minimal mental health support, this creates a high-stress environment with limited incentives to stay.
- Strong interest in mobile integrated health. Sixty percent of respondents expressed a desire to engage in MIH, telehealth or alternate destination care — signaling that many providers are eager for expanded roles and professional growth beyond traditional ambulance work.
The path forward
The Florida workforce survey reinforces what EMS leaders have long known: systemic reform is overdue. To attract and retain talent, EMS must offer livable wages, robust mental health support and clear career ladders. Embracing mobile integrated health and other innovative roles may also help reimagine what an EMS career can be. Without decisive action, the industry risks continued attrition and diminished capacity to serve the public.
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