EMS Career FAQs

What do Paramedics and EMTs do?

People in New York City depend on the quick reaction and attentive care of the FDNY’s Paramedics and Emergency Medical Technicians (EMT). They respond to thousands of emergencies each day, providing medical assistance to anyone in need.

Each day is different than the next - but never boring. Paramedics and EMTs can respond to emergencies ranging from automobile accidents to major fires. When they arrive at an emergency, they quickly determine the nature and extent of the patient’s condition. They provide emergency care and, when necessary, transport the patient to a local medical facility.

EMTs are trained to provide basic life support (BLS) services in a pre-hospital setting, ranging from CPR to spinal immobilization. Paramedics can provide advanced life support (ALS) services to patients during medical emergencies. The advanced training enables them to perform some invasive procedures and dispense medications under the supervision of a physician.

Members typically are dispatched by a 911 operator and work closely with police officers and firefighters at the scene of an emergency.

Can I work for the Fire Department as a Paramedic or EMT with an out-of-state certification?

No, EMTs are required to have a New York State EMS - EMT certification and Paramedics must have New York State EMS- Paramedic certification. If you have an out-of-state certification, you may apply for reciprocity of your home state’s certification to New York.

Reciprocity is a process where the New York State Department of Health (NYSDOH) reviews the traning you received in your home state to determine if it equates to New York State requirements.  If so, you may be granted a New York State Paramedic or EMT certification.  Contact the Reciprocity Unit of the NYSDOH at (518) 402-0996 to learn more and request a package.

Can I apply to be an FDNY Paramedic with any region’s New York State REMAC certification?

No.  A Paramedic with the FDNY is required to have a NEW YORK CITY REMAC Certification.  A New York State Certification will not be accepted.

Do I need to be a New York City resident to work as a Paramedic or EMT with the FDNY?

No, Paramedics and EMTs do not have a residency requirement.

What are the minimum and maximum age requirements for a Paramedic or EMT?

You must be a minimum of 18 years of age to be hired. There is no maximum age limit.

Do I have to be a US citizen to be a Paramedic or EMT?

No, however, you must have permission to work in the United States.

Do I need college credits to be a Paramedic or EMT?

No, FDNY EMS members do not have a college credit requirement.

What if you have been convicted of a misdemeanor or felony?

ANY conviction for a misdemeanor or felony must be reviewed and cleared by the NYS Department of Health's Emergency Medical Service Bureau prior to submitting a request for employment consideration with FDNY.

If you have a misdemeanor or felony conviction, you must contact the NYS Department of Health at (212) 268-6632. FDNY requires a NYS Department of Health clearance letter to be provided before your application will be accepted or considered. Do not register until you are able to present the clearance letter to the Department upon request.

Do Paramedics and EMTs belong to a union?

Yes, they are represented by Local #2507 of District Council 37.

How can a new Paramedic or EMT get permanent civil service status?

Paramedics and EMTs may apply to take a civil service exam.

Do I have to pay for my books, uniform, equipment and refresher programs after employment with FDNY?

No, as long as you remain an active FDNY EMS member, you will receive all training materials, uniforms, equipment and refresher training at no cost.

If I join the FDNY as an EMT, can I be promoted to Paramedic?

Yes, FDNY EMTs can be promoted to Paramedic once they receive their Paramedic and REMAC certification.

When the Department has vacancies, requests for promotion are reviewed and qualified candidates are promoted. This happens several times each year.

Can a Paramedic or EMT apply to become a firefighter?

Yes, Paramedics and EMTs can take a promotional exam to become a New York City firefighter. FDNY EMS members on the promotion to firefighter list are called before the general open-competitive list.

What other promotional opportunities are available?

Once you are a member of the EMS Command, there are many opportunities for growth within the Department. Members can be promoted to the rank of lieutenant based on their performance on a civil service exam.

Do you offer part time employment? Can I work summers only?

No, the FDNY offers only full-time employment in the EMS Command.

Can I work the hours I choose?

The Department tries to accommodate its employees’ schedules, however staffing levels and other factors may not always make this possible.

Can I choose a work location close to my home?

FDNY makes every effort to accommodate its employees. However, ambulance stations are located throughout the five boroughs and ambulances run 24 hours a day, seven days a week. Your assigned location and hours will be determined in large part by the vacancies at each station.

How can I get more information?

For more information,  go to Support or Contact the FDNY by Phone.


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