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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.
Add up to 2 years if you decide to acquire paramedic certification. Full paramedic training takes up to 10 times as long as basic EMT training, involving between one and two thousand hours of training. Some paramedic training programs take about 2 years to complete.