Can EMS really become a true profession without providing a clinical ladder that allows continued education and growth? Currently when a paramedic graduates from Paramedic school, that's really all there is. There are additional certifications to be obtained, but in obtaining them there is still very little room for growth in terms of ownership and authority. David Fifer and I transition from a conversation about degrees for Paramedics and to a conversation about the Paramedic Practitioner in part two of "One Degree of Separation: Paramedics and Practitioners".