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raduate Degrees: Are They Worth It for EMS?
The leaders of tomorrow will need a lot of advanced knowledge and the tools to solve a range of problems
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EMS Magazine is the most authoritative printed source for clinical and educational material designed to improve the delivery of prehospital emergency medical care.
In the May issue, we looked at the importance of four-year college degrees for EMS professionals. This article examines the next step--advanced degrees--for those looking to move up in the EMS world.
There's a lot to consider when trying to figure out if pursuing a graduate degree is the right path for you.
That's especially true for those in EMS. Many of us wonder about the value of graduate education, and the impact it can have on our careers. Some typical questions are: What types of graduate degrees are out there? What will a graduate degree help me achieve? Will it help advance my career? What will it teach me? Do I really need a graduate-level degree to succeed as a supervisor, manager or executive in the diverse world of EMS?
Our industry is undergoing some profound changes right now. The first generation of EMS executives is starting to retire. These are the folks to whom we sometimes point and say, "They did it without degrees--why can't I?" There are two answers to this question.
The first is that the original generation of EMS leaders was inventing modern EMS as they went along, and many grew up within organizations and systems that could have done better with some science and academics in the mix. The second is that many of the early leaders in fact had academic credentials to support their accomplishments--Jim Page, Jay Fitch, David Boyd, John Chew, Bill Brown, Walt Stoy, Gregg Margolis and Baxter Larmon come to mind, all with at least master's degrees, and several with doctorates.
EMS is now competing for scarce resources in a challenging environment--one where those who allocate resources demand proof that money spent will result in an appropriate return. Proof of value requires research, analysis and advocacy--skills learned only in the higher-education environment. If our industry is to effectively meet the challenges of the future, it will need leaders who can work effectively in environments where their "competitors"--city, county and state department heads, program directors, and other managers--possess graduate academic credentials as a matter of course.
A graduate degree attests not only to knowledge of a specific subject matter, but also to one's commitment, tenacity and dedication. It suggests that no matter what the degree is in, the holder has the ability to do research, think critically, write persuasively and understand and advocate for complex concepts and processes.
The EMS community has a tremendous need for leaders. One does not become a leader just through education, but having core abilities like these will help an aspiring leader be more professionally effective, smoothing the leadership development path.
Besides leaders, though, EMS needs educated specialists to establish a body of knowledge for our profession. We have a wealth of clinical research, contributed mostly by our physician colleagues. But outside the medical realm, we have a dearth of knowledge about our business. In many cases, important decisions are based on things like anecdotal information, personal opinion, charisma and rhetorical skill. Sit and chat for a few minutes, and you can probably come up with a whole menu of topics that cry out for good research. What deployment model is most effective at delivering response performance? Do dynamic deployment and streetcorner posting improve it? What is the impact of that model on our line personnel? Does the size of the ambulance influence the delivery of patient care? What about the health and safety of personnel? A graduate degree will help equip you to answer these questions and more.
DEGREES TO CONSIDER
Before you say, "That's not for me!" consider the many degree options available.
All master's degrees, depending on the coursework selected, will allow candidates to learn about personnel issues, problem solving, overall organizational structure and management, financial practice, decision-making and other general administrative issues. Under normal circumstances and with full-time study, most take two years to complete. On a part-time basis, it can be significantly more.
Although a master's degree may be all you deem necessary to further your career, there are several doctoral-level degrees that should be examined as well.
Doctoral degrees fall into two categories. The first is the terminal professional degree. These include the MD (medicine), JD (law), PsyD (psychology) and DDiv (divinity). These degrees are the basic or entry-level academic credentials for their professions. The second category involves terminal degrees at the highest level of fields of academic study. The PhD is the most common of these, followed by the DSc (Doctor of Science) and several others. Terminal academic degrees are intended for those interested in research and teaching, and involve substantial and rigorous research projects culminating in the publishing of dissertations. This process is intended to continuously build the body of knowledge in a particular discipline through an ongoing research process. Some of the more applicable doctoral degrees for EMS professionals include:
Attaining a graduate degree doesn't simply demonstrate intelligence; it proves your ability to identify and accomplish a long-term, difficult goal. It also shows you have initiative, dedication to your personal success and the ability to overcome obstacles.
Look at the EMS classified ads, and you'll see that most supervisory/management positions say things like "Bachelor's required, master's preferred." Employers, as a rule, value degrees and education.
Complex operational methodologies, changing reimbursement regulations and significant compliance issues are all part of day-to-day operations for EMS managers. With that comes a great deal of interaction with other healthcare professionals, emergency services and management personnel, hospital administrators, even insurance company representatives. The EMS profession is moving in the direction of highly educated, informed management. The days of the management-level opening going to the person with most seniority are coming to a close. Experience is no longer enough. True professionals attain upward mobility through a combination of education and experience.
Make no mistake, enrolling in a graduate-level course of study shouldn't be a decision made lightly. It entails a lot of work, and it won't be easy. It is also important to know that graduate-level education is considerably more costly than undergraduate education. However, the results are well worth the effort. Education is portable and gives you flexibility you may not otherwise have when it comes to changing jobs, locations or careers.
This leads us back to one of our original questions: Is a graduate-level degree necessary for success as an EMS manager? Although you have to answer that question yourself, here are a few things we believe: It doesn't necessarily matter what your degree is in, but that you've taken the journey to achieve it. No matter what you're learning, when you're a student of life, you're open to ideas, practicing creative problem solving, interacting with people who have different experiences and beliefs, and taking risks. That is what is important about education--it gives you tools and ideas to change the world.
Graduate Degrees for Aspiring EMS Managers
Several academic institutions offer graduate-level degrees specific to management of EMS organizations and systems. As a rule, these types of programs are targeted at experienced EMS clinicians who aspire to management or teaching positions. If you're planning to spend your career in EMS, it may be worthwhile to contact one of these institutions. The majority of academic institutions have distance-learning programs that may fit your schedule.
One good example of the variety of programs available comes from the University of Maryland, Baltimore County (http://ehs.umbc.edu), which offers three alternatives for graduate students: administration, planning and policy; preventive medicine and epidemiology; and education.
George Washington University graduate education offers a master's program in Emergency Services Management geared toward preparing students for leadership positions, particularly in EMS (www.gwumc.edu/healthsci/programs/ems_ms). And a recent addition to the degree menu is the Master of Arts degree offered by the Naval Postgraduate School's Center for Homeland Security and Defense (www.chds.us/?masters/overview). This degree is for individuals whose careers are focused on homeland security, public safety and national defense; recent graduates have included an FDNY battalion chief, several high-ranking police officials, military and public health service officers, etc. This degree, valued at $45,000 or more, is offered free of charge.
Raphael M. Barishansky, MPH, is program chief of public health emergency preparedness for the Prince George's County (MD) Health Department and a member of EMS Magazine's editorial advisory board. Contact him at email@example.com.
Skip Kirkwood, MS, JD, EMT-P, EFO, CMO, is chief of Wake County EMS in North Carolina and a member of EMS Magazine's editorial advisory board. Contact him at firstname.lastname@example.org.
Listen to Skip Kirkwood discuss the importance of four-year and advanced degrees for EMS professionals on the EMSEduCast.
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