Paramedic in emergency responses to doctors' surgery assistant

• already held accept own accountability skill
• already held adhere to organisational guidelines skill
• already held advise on healthcare users' informed consent skill
• already held apply context specific clinical competences skill
• already held apply organisational techniques skill
• already held communicate in healthcare skill
• already held comply with legislation related to health care skill
• already held comply with quality standards related to healthcare practice skill
• already held contribute to continuity of health care skill
• already held deal with emergency care situations skill
• already held develop a collaborative therapeutic relationship skill
• already held educate on the prevention of illness skill
• already held empathise with the healthcare user skill
• already held ensure safety of healthcare users skill
• already held follow clinical guidelines skill
• already held health care system knowledge
• already held inform policy makers on health-related challenges skill
• already held interact with healthcare users skill
• already held manage healthcare users' data skill
• already held promote inclusion skill
• already held provide health education skill
• already held respond to changing situations in health care skill
• already held use e-health and mobile health technologies skill
• already held work in a multicultural environment in health care skill
• already held work in multidisciplinary health teams skill
• already held use foreign languages in patient care skill

• optional, not held spine surgery optional
• optional, not held wound closure techniques optional
• optional, not held analyse X-ray imagery optional
• optional, not held assist patients with special needs optional
• optional, not held assist with hemostasis optional
• optional, not held clinical reports optional
• optional, not held collect biological samples from patients optional
• optional, not held conduct polysomnography optional
• optional, not held customer service optional
• optional, not held e-procurement optional
• optional, not held perform venepuncture procedures optional
• optional, not held radiological procedures optional
• optional, not held supervise medical office support workers optional
• optional, not held take blood samples optional
• optional, not held use venepuncture procedure equipment optional
• optional, not held administer appointments optional
• optional, not held offer advice on diet-related concerns optional
• optional, not held perform procurement processes optional
• optional, not held record healthcare users' billing information optional

• not needed by the target role adapt to emergency care environment skill
• not needed by the target role address problems critically skill
• not needed by the target role administer medication in emergency skill
• not needed by the target role apply first response skill
• not needed by the target role assess nature of injury in emergency skill
• not needed by the target role behavioural science knowledge
• not needed by the target role brief hospital staff skill
• not needed by the target role clinical science knowledge
• not needed by the target role communicate in foreign languages with health service providers skill
• not needed by the target role conduct physical examination in emergency skill
• not needed by the target role cope with blood skill
• not needed by the target role decontaminate ambulance interior skill
• not needed by the target role defibrillation knowledge
• not needed by the target role delegate emergency care skill
• not needed by the target role dietetics knowledge
• not needed by the target role disorders of vital functions knowledge
• not needed by the target role emergency cases knowledge
• not needed by the target role emergency medicine knowledge
• not needed by the target role employ specific paramedic techniques in out-of-hospital care skill
• not needed by the target role evaluation methodologies in paramedic practice knowledge
• not needed by the target role first aid knowledge
• not needed by the target role human anatomy knowledge
• not needed by the target role hygiene in a health care setting knowledge
• not needed by the target role immobilise patients for emergency intervention skill
• not needed by the target role intravenous infusion knowledge
• not needed by the target role intubation knowledge
• not needed by the target role listen actively skill
• not needed by the target role maintain order at scenes of accidents skill
• not needed by the target role manage acute pain skill
• not needed by the target role manage major incidents skill
• not needed by the target role manage patients with acute illnesses skill
• not needed by the target role manage trauma through surgical means skill
• not needed by the target role medical devices knowledge
• not needed by the target role medical dispatch knowledge
• not needed by the target role monitor basic patients signs skill
• not needed by the target role observe confidentiality skill
• not needed by the target role operate an emergency communication system skill
• not needed by the target role operate specialised equipment in emergency skill
• not needed by the target role operational tactics for emergency responses knowledge
• not needed by the target role pathogenic microorganisms knowledge

17 further entries not listed here

Knowledge gaps usually close through study. Practical skill gaps usually need something you can point at.

• still to learn administrative tasks in a medical environment required
• still to learn anaesthetics required
• still to learn health records management required
• still to learn multi-professional cooperation in health care required
• still to learn professional documentation in health care required
• still to learn surgical asepsis required
• still to learn techniques of blood-sampling required
• still to learn health care legislation required
• still to learn medical informatics required
• still to learn medical terminology required
• optional, not held spine surgery optional
• optional, not held wound closure techniques optional
• optional, not held clinical reports optional
• optional, not held customer service optional
• optional, not held e-procurement optional
• optional, not held radiological procedures optional

Yes, and it is a substantial move. A paramedic in emergency responses already covers 48% of what a doctors' surgery assistant is expected to do: 26 skills carry over, 25 of which the doctors' surgery assistant role treats as required.

21 required skills are missing, plus 19 optional ones. They fall into 8 areas of the ESCO skill hierarchy, led by health and welfare. The single most important is perform reconstructive plastic surgery.

Its learning distance is 67 out of 100, which is the substantial band. That accounts for both how much is missing and how specialised those skills are.