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Same here in other rural SA sites

Tricky to recruit and retain volunteers - these people deliver a professionals service, often dealing with cases which are higher acuity than paramedics in the city

Thankfully there is a move to streamline the training, but we still need to look carefully at service delivery in rural

Many of the graduate paramedics are not keen on relocating to the country - even if only for 1-2 years

Even the proposed 'Extended care paramedic' program has struggled, with many working as FIFO ratter than living and working in the community

Perhaps it's time to salary some of the volunteers to acknowledge the work they do - or offer them a streamlined program to achieve paramedic status, given the latter is now a protected title under AHPRA and the volunteers are specifically excluded from training/perks/organisational support despite delivering a service to high standard