In Latvia, the discussion continues about the creation of a new medical profession — paramedic. The Ministry of Health has already established a working group that is supposed to determine whether the country needs such a specialty and how it will differ from the existing profession of medical assistant (paramedic), writes Diena. The main question is whether the new model will be a real enhancement to the emergency care system or will merely create an additional burden on a sector that is already experiencing a lack of funding and personnel. According to the proposed concept, paramedics will receive a four-year bachelor's level education. They are primarily intended to be trained for work in emergency situations — during natural disasters, major accidents, military conflicts, as well as chemical, biological, radiological, and other threats. The Ministry of Health emphasizes that this is not about replacing the current medical assistants. They will be able to continue working in their specialty and, if they wish, obtain paramedic qualifications through a shortened training program. The working group, created by the ministry in July, is expected to present possible scenarios for the development of both professions by September 30. Parliamentary Secretary of the Ministry of Health Liga Abolinya believes that the main task is not to pit specialists against each other, but to expand their competencies and create conditions to retain workers in the healthcare system. However, there is no unity within the sector. The idea is most actively supported by the head of the Emergency Medical Service (EMS) Liene Cepule. In her opinion, Latvia needs specialists capable of working in hazardous environments and in the event of mass casualties. Cepule reminded that an additional argument in favor of creating a new profession was the tragedy in Zolitūde, which highlighted the need to prepare specialists for emergencies with a large number of victims. According to the head of EMS, the participation of Latvian medics in international training programs has also shown that a medical assistant and a paramedic are different professions with different training standards. Proponents of the reform believe that the introduction of internationally recognized qualifications will enhance the country's preparedness for major crises and facilitate cooperation with foreign services. Opponents, however, fear that the creation of a new profession will not itself eliminate the shortage of medical personnel and will require additional funds, which the healthcare system is already lacking. A final decision on the future of the paramedic profession has not yet been made. After the expert group's work is completed, the Ministry of Health must determine how both specialties will develop and whether changes to the existing training system for specialists will be necessary.
