07/10/2026
https://www.facebook.com/share/p/18jEJ1Chd7/?mibextid=wwXIfr
Why are EMS clinicians leaving the profession?
Every EMT and paramedic who leaves EMS represents more than a vacant position. They take with them years of experience, clinical judgment, mentorship, and knowledge that are difficult to replace.
A recent national study by Gage and colleagues sought to better understand the factors associated with EMS clinicians' intentions to leave the profession. Their findings highlight an important message for EMS leaders: while stress and the COVID-19 pandemic continue to influence workforce decisions, **job satisfaction was the strongest factor associated with the likelihood of leaving EMS.**
The study found that the most commonly reported reasons for considering leaving EMS included:
π Increased occupational stress
π¦ Lasting impacts of the COVID-19 pandemic
π Job dissatisfaction
π Pursuing additional education (particularly among EMTs)
The researchers also found differences based on agency type. Clinicians working for hospital-based, private, and non-fire government EMS agencies were more likely to report intentions to leave than those working within fire-based EMS systems.
These findings reinforce something many EMS professionals have been saying for years:
Retention isn't just about recruitment.
It's about creating workplaces where people want to stay.
Competitive pay matters. Career advancement matters. Mental health support matters. Leadership matters. Feeling valued matters.
As someone whose research focuses on preventive mental wellness and workforce sustainability, I believe improving retention requires addressing both **individual well-being** and **organizational culture**. Healthy clinicians are more likely to remain in the profession when they also work in healthy organizations.
Supporting EMS professionals isn't just an investment in employeesβit's an investment in patient care, organizational stability, and the future of emergency medical services.
π¬ In your opinion, what is the single biggest factor driving experienced EMS clinicians to leave the profession?
**Article Citation:**
Gage, C. B., Cooke, C. B., Powell, J. R., Kamholz, J. C., Kurth, J. D., van den Bergh, S., & Panchal, A. R. (2025). *Factors associated with emergency medical clinicians leaving EMS.* *Prehospital Emergency Care*. https://doi.org/10.1080/10903127.2024.2436047