How to become a paramedic in Ontario

Paramedics are critical first responders in Ontario’s healthcare system, providing emergency medical care during accidents, medical emergencies, and natural disasters. They are often the first healthcare professionals to assess and treat patients in high-pressure situations, stabilizing them before they reach a hospital. Ontario employs over 11,000 paramedics who handle approximately 1.75 million emergency calls annually, serving 14.8 million residents across 444 communities.

The Ontario government is investing over $910 million to boost ambulance availability across the province, ensuring faster, more accessible emergency care for individuals and families. This initiative aims to connect communities with critical healthcare services when and where they are needed most.

For internationally trained healthcare professionals, transitioning to a paramedic career in Ontario offers a rewarding and stable career path. However, becoming a licensed paramedic involves specific education, certification, and practical experience. This guide outlines the steps needed to become a paramedic in Ontario, focusing on the needs of international applicants and immigrants.

What does a paramedic do?

Paramedics provide pre-hospital emergency care to patients experiencing medical emergencies, injuries, or trauma. They are trained to assess medical conditions, administer life-saving treatments, and transport patients safely to healthcare facilities.

Key responsibilities include:

• Performing emergency medical procedures, such as CPR and wound management.
• Administering medications and using medical equipment, like defibrillators.
• Transporting patients to hospitals while maintaining vital care en route.
• Communicating effectively with healthcare teams, patients, and their families.

Paramedics work closely with firefighters, police officers, and hospital staff, ensuring patients receive seamless and effective care.

Educational requirements and certification process

Complete a recognized paramedic program

To become a paramedic in Ontario, candidates must complete a two-year paramedic diploma program from an accredited college. These programs include theoretical coursework and practical training, covering:

• Emergency medical procedures.
• Patient assessment and care techniques.
• Trauma management and crisis intervention.

Certification and licensing requirements

Pass the Advanced Emergency Medical Care Assistant (AEMCA) exam

After completing a paramedic program, candidates must pass the AEMCA exam, administered by the Ontario Ministry of Health and Long-Term Care. This exam assesses knowledge and practical skills, ensuring paramedics meet provincial standards.

Obtain CPR and First Aid certifications

Paramedics need valid CPR (Level HCP) and First Aid certifications, which can be obtained through organizations like the Canadian Red Cross or St. John Ambulance.

Complete practical training (practicum)

Practical experience is essential. Most paramedic programs include field placements, allowing students to gain hands-on experience in emergency settings under the supervision of licensed paramedics.

Register with a municipal emergency medical service (EMS)

Once certified, paramedics must apply for positions within Ontario’s municipal EMS agencies, such as Toronto Paramedic Services, Peel Regional Paramedic Services, or Ottawa Paramedic Service.

Paramedic salary in Ontario

Paramedic salaries in Ontario vary based on experience, qualifications, and location. As of February 2025, the average hourly wage for a paramedic in Ontario is $38.13, which is approximately 9% above the national average.

This translates to an annual salary ranging from $58,000 to $79,000, depending on hours worked and overtime opportunities.Salaries can vary by city. For instance, paramedics in London, Ontario, earn an average of $51.64 per hour, while those in Thunder Bay make approximately $41.69 per hour.

Additionally, specialized roles such as Critical Care Paramedics can command higher salaries, with some earning over $100,000 annually.

Navigating the Ontario job market

Build a strong resume and cover letter

• Highlight relevant education, certifications, and practical experience.
• Emphasize transferable skills such as emergency management and patient care.

Apply to municipal EMS services

• Visit the websites of Ontario’s municipal paramedic services for job postings and application requirements.
• Keep an eye on platforms like Indeed, Workopolis, and the Ontario Association of Paramedic Chiefs (OAPC) website.

Network with professionals

• Join paramedic associations, such as the Ontario Paramedic Association (OPA), to connect with industry professionals and access job opportunities.

Attend job fairs and industry events

• Engage with recruiters and hiring managers, showcasing your skills and experience.

Conclusion

Becoming a paramedic in Ontario is a rewarding career choice for internationally trained professionals. It offers the chance to make a tangible impact in emergency healthcare, contributing to community safety and well-being.

However, the process of certification, bridging programs, and licensing exams can be financially challenging. Windmill Microlending provides low-interest loans of up to $15,000 to help cover expenses related to education, certification, and practical training.

Take the first step toward a career as a paramedic in Ontario. Visit Windmill Microlending today to learn how we can support your professional journey in Canada.

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