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What You Need to Know. You can complete certificate, associate's degree and bachelor's degree training to work as a paramedic through 2- and 4-year public schools in Texas. Certificate programs take less than two years while associate's and bachelor's degrees take 2 and 4 years, respectively.
You must complete at least the first level, EMT-Basic, the second level, EMT-Advanced, and the EMT-Paramedic level to become a paramedic. With field training hours and a semester of courses, it can take you up to one year to complete an EMT-Basic program. EMT-Paramedic training is typically done through an associate's degree program at a technical or community college. This level of training covers advanced medical skills, anatomy and clinical work.