This week, Aebhric O’Kelly talks with James Brogan, a UK paramedic and lecturer at Robert Gordon University, who discusses the unique challenges and opportunities in paramedicine, particularly in rural and remote areas of Scotland. He emphasises the importance of practice-based learning, the role of paramedics in public health, and the evolution of paramedic education towards a more academic and professionalised approach. Brogan also highlights the significance of decision-making skills in austere environments and offers advice for new paramedics entering the field.TakeawaysJames Brogan is a principal lecturer of paramedicine at Robert Gordon University.The university focuses on rural and remote paramedicine education.Practice-based learning is crucial for paramedic training.Paramedics play a significant role in public health initiatives.Austere medicine requires unique skills and decision-making abilities.The evolution of paramedic education has led to a more academic approach.Professionalisation of paramedics is essential for adapting to healthcare needs.Future paramedics will need to be versatile in various environments.Decision-making is more critical than just technical skills.New paramedics should focus on evidence-based practice and holistic care.Chapters00:00 Introduction to Paramedicine in Scotland02:22 The Unique Challenges of Rural and Remote Paramedicine04:56 Practice-Based Learning and Its Importance07:54 The Role of Paramedics in Public Health10:13 Austere Medicine and Prolonged Field Care13:05 The Evolution of Paramedic Education15:32 The Professionalisation of Paramedicine18:17 The Future of Paramedicine20:55 Advice for New Paramedics23:29 Conclusion and Reflections on Paramedicine

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