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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.
As for paramedic training, it takes from 1.5-2 years and you should be an EMT for at least 2 years before beginning the course. Once you are certified/licensed, you can work on the road in an ambulance, in a hospital (typically emergency department) setting, or get your fire certs and work for a fire department.