title: How do retired paramedics fit into remote, rural emergency departments?
abstract: The reluctance of physicians to stay in remote and rural hospitals has resulted in a shortage of doctors in these settings, and therefore a decline in the quality of care and an intolerable overload on functioning doctors. However, mature paramedics find it difficult to comply with the demands of ambulance work and look for easier tasks that suit their age. The two problems may have a common solution if senior paramedics are incorporated into in-hospital work. Paramedics' skills, education and experience enable them to become useful physician assistants who may relieve much of the doctors' burden, allowing physicians in remote hospitals to concentrate on genuine medical duties. However, the objection of doctors' and nurses' professional organizations constitute a substantial obstacle to this solution.
authors.affiliation: Medical Emergency Department, Western Galilee Hospital, Nahariya, Israel. eisenman@isdn.net.il
authors.forename: A
authors.initials: A
authors.lastname: Eisenman
mesh_terms: D000488:Allied Health Personnel / Q000193:education / Q000600:supply & distribution* / Q000639:trends; D004636:Emergency Service, Hospital / Q000458:organization & administration; D006280:Health Workforce / Q000639:trends; D006780:Hospitals, Rural; D006801:Humans; D007557:Israel; D009936:Organizational Innovation; D018802:Patient-Centered Care / Q000379:methods; D010823:Physician Assistants / Q000600:supply & distribution; D010820:Physicians / Q000600:supply & distribution; D011785:Quality Assurance, Health Care / Q000379:methods* / Q000592:standards; D012179:Retirement