Back in 2011 CareerCast.com ranked being an EMT as one of the Top 10 Worst Jobs of 2011. In 2012 the EMT career ranking improved to #120, although statistically I still wonder how that happened with change occurring at a snails pace.
Now for 2013 CareerCast.com has ranked being an EMT at #96, below Pest Control Worker and Industrial Engineer. That is a 99 Rank increase from 2011 when it was ranked at #195.
This is yet another apparent year of improvement! So everything MUST be better, right? Eh, well at least CareerCast.com explains their methodology behind their rankings.
The Curse Of “Outlook”
While I’m not really a big pivot tabling numbers guy, I believe part of the reason behind this improvement is based on the “Outlook”. With the supposed “boon” of ObamaCare looming, a continuous and notoriously high turn over rate, and the increasing demand for EMS in not just emergent cases but now also in both preventative care as well as post discharge follow ups the “Outlook” for our future looks good by the numbers. We’re kind of like BitCoin, today we’re good so tomorrow we must be really good, and next week even better, right? At least until a nation bans us, an exchange crashes, or someone sells a million of us flooding the market with supply and our value drops like a rock. It’s all really speculation.
Speculation is what led us to the mortgage crisis back in 2007. It’s de-stabilizing, based on assumptions, and above all not something guaranteed. There are those who would call it by another name… System Status Management. Of course there is actually a basis of statistical fact behind a regressive demand analysis, but the same technique applied to the “Outlook” lacks the basis of empirical data of which a demand analysis is built upon. I mean really, who foresaw 1986’s EMTALA as the cause for sky rocketing healthcare costs, the demise of so many healthcare facilities, and resulting in what is now the Affordable Care Act? Allow me to assure you that the speculation back then did not include what has resulted from it.
The 2014-2016 Crystal Ball
So to play a little predicto-ball myself, this kind of flux is what we’re going to be in for during the next two to three years. Departments that are finally getting their feet back from under the budget cuts of the late Naughts* will probably overextend again in areas they assume makes sense, treat patients as a group as opposed to individuals, fail to prove value, and find themselves in a similar situation in 2016 or so. Other departments and agencies will realize that there are three things they need to make it through this speculative cycle:
- The ability to react to the changing environment dynamically
- Stellar customer service (the patient, by the way, is your customer in case you didn’t make the correlation)
- A solid way to communicate value to their community, stakeholders, and shareholders alike
I know… maybe I seem all doom and gloomy but that’s not really the case. We’re in a transformative period and as anyone who has ever gone through a transition knows it can definitely be rough and tumble from the start, but in the end when it shakes out things become much smoother and easier. It’s really just a matter of getting through those rough spots. True, we may lose some along the way, but as long as we keep the mission’s purpose in our minds and hearts, our hands will do the rest.
On a final note our brothers from different mothers, the Taxi Driver, is still ranked below us at #146… which is an improvement for them too from a previous ranking of #187. So it looks like 2013 was a good year all around for those of us who hustle with the flow of traffic!
Let’s make 2014 the best it can be so we are deserving of that improved ranking….
* Naughts in the slang sense indicating the years 2000-2009… and now that I used it in a blog post I can scratch that off my bucket list