What’s the intent behind splitting RegF Med Tech, and what will be the distribution of the two new occupations in real life?
The intent it would seem is to have a quicker, less costly, CAF controlled training pipeline to deployment for Combat Medics. The training from recruitment to QL5 (or RQ Cpl) is too long now for Med Tech and there is a realization that the Primary Care Paramedic skill set is not universally required in combat / operations. We do not see a lot of heart blocks, seizures, strokes, geriatrics, etc in our military population but we do need someone who is a trauma ninja - with advanced interventions (cric, blood, etc), can do prolonged field care when the evacuation system fails, and do sick parade out of a bag.
I think there was also a perception that we were being choked by the civilian colleges who want to make provincial paramedics and not military paramedics. As such the cost was high and we could not secure enough spots to dig us out of the Med Tech shortage hole we are in.
Finally, it would seem that in the next 10 years paramedicine may be moving toward a degree in some (most?) of Canada and that just complicates the traning process.
It will also allow Reg F / Res F interchangability unlike Med A and Med Tech does now.
Once this all settles out in time and everyone is qualified to match their occupation, what will the ‘paramedics’ do versus the ‘combat medics’?
In general, the way I understand it...
Paramedics function in isolated places (ships, SOF, back of aircraft) or lead Combat Medics when paired together (ambulance team, Sr Coy Medic)
Comabt Medics work in Med Dets, UMS, Med Pl, drive ambulances (partner to a paramedic), work the wards in field hospitals, most CDUs, Crew Comd Armd Amb in Fd Amb, work as Pl Medics, and all other "all-arms" type jobs in field units.
Is CAF going to substitute its own training curriculum for PCP/ACP to ensure they have the appropriate clinical skills to actually be able to go out the door and do field trauma care?
The CAF has created and have approved a new Scope of Practice both for Comabt Medic and Paramedic that meets then needs of military service. Depite the Paramedic will be schooled as a Primary Care Paramedic they they get extra training to do things we need to them to so that civilian paramedics at the primary care level do not do, like put in a chest tubes, suture, and give blood, for example.
I have seen both of the Scopes of Practice and they are appropriately agressive to maximize casualty survival during war / operations.