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Paramedics in Canada : ウィキペディア英語版
Paramedics in Canada

In Canada the paramedic or registered paramedic (RPCP, RACP, RCCP)〔(【引用サイトリンク】url=http://www.gov.ns.ca/health/ehs/paramedics/ )〕 is a healthcare professional, providing pre-hospital assessment and medical care to people with acute illnesses or injuries. In Canada, the title paramedic generally refers to those who work on land ambulances or air ambulances providing paramedic services. Paramedics are increasingly being utilized in emergency rooms by providing patient care in collaboration with physicians, physician assistants, nurse practitioners, registered nurses, registered practical nurses and registered respiratory therapists. Increasingly in Canada, paramedics are actively pursuing self-regulation. Paramedic suicides are on the rise in Canada. Between April 2014 to April 2015 there have been 35 suicides, and since the beginning of 2015 there have been seven reported suicides.〔(【引用サイトリンク】url=http://www.thestarphoenix.com/health/Saving+those+save+rest/10947581/story.html#__federated=1 )〕 Paramedics see their patients at their worst, which can have long-lasting effects and may result in PTSD and depression. Because paramedics are front line health care providers, there is stigma that paramedics should not show emotion or even react to traumatic situations.
== Training ==
Paramedic education or the study of paramedicine in Canada is an intensive academic program of theory and clinical experience which varies from province to province across Canada. Paramedics perform various controlled medical acts that can be provided by paramedic services. In Ontario paramedics perform more controlled medical acts than all other health care professions, besides a physician or physician assistant. However, the authorization to perform these controlled medical acts vary province to province. Paramedic education varies regionally, for example, the primary care paramedic program may be six months (British Columbia),〔, (【引用サイトリンク】title=BC Justice Institute Course Description )〕 eleven months in Manitoba〔http://me.rrc.mb.ca/Catalogue/ProgramInfo.aspx?ProgCode=PARPF-CT&RegionCode=WPG〕 and two years to four years in Ontario.〔(【引用サイトリンク】title=John Abbot to offer paramedic training (Montreal Gazette story) )
Training as an advanced care paramedic (ACP) requires that the student be first registered as a primary care paramedic. Eligibility for ACP training varies from immediate entry following PCP registration to a mandatory period of experience working as a PCP for usually one to three years. The length of time required to complete ACP training also varies between provinces, and it is generally inversely related to the length of time required to have completed the prerequisite PCP training. Shorter (around one year) programs build upon the education already learned in a two-year PCP training program, while longer (typically up to two years) college programs typically cater to PCP who graduated from shorter PCP programs.
Thus, while there is continual debate on the merits of longer or shorter PCP programs (often centered around teaching philosophy), in common, ACPs across Canada will generally have completed approximately 3 years of intensive formal education, inclusive of didactic study and clinical placements. There are two Bachelor of Health Science in paramedicine degrees currently available in Canada and becoming the standard of paramedic education. This would be comparable to when nursing moved from the college based program to the collaborative or university based program in Canada. These programs are often offered through partnerships between Canadian universities and community colleges, blending vocational training with higher education.〔(【引用サイトリンク】title=Paramedic Bridging to University (Centennial College website) )
The accreditation of paramedic educational programs in Canada also varies from province to province. The Canadian Medical Association's Committee on Conjoint Accreditation offers the most comprehensive and best known system of national accreditation.〔(【引用サイトリンク】title= Canadian Medical Association's Conjoint Accreditation Services )
Their accreditation model is an independent body, and draws from The "National Occupational Competency Profile" as the benchmark document that details the knowledge, skills and abilities outcomes that must be possessed by practitioners of each respective level of paramedic practice.

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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