Global Paramedicine and EMS Doctorates A Registry-Based Analysis
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Abstract
Background: Doctoral education is an indicator of research capacity and professional maturation. However, the global scope and characteristics of paramedicine/EMS doctorates have not previously been systematically described.
Methods: A global registry-based study of completed doctoral dissertations authored by paramedics, EMTs, or other health professionals working in the out-of-hospital setting was undertaken using systematic searches of dissertation databases, repositories, registry sources, and stakeholder verification.
Results: A total of 406 completed paramedicine/EMS doctoral dissertations were identified. Completions increased substantially after 2010, with most conferred in the USA, Australia, and the UK. PhDs accounted for the majority (n=305; 75.1%), while professional doctorates comprised 81 dissertations (20.0%) and were concentrated in the USA (n=63; 77.8% of professional doctorates).
Conclusion: Paramedicine/EMS doctoral output has grown substantially but remains clustered in a small number of countries and institutions. The registry offers a practical baseline for showing where doctoral activity is already established, identifying where supervision capacity remains limited, and where future doctoral pathways may need support.
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References
Beovich, B., Olaussen, A., & Williams, B. (2021). A bibliometric analysis of paramedicine publications using the Scopus database: 2010–2019. International Emergency Nursing, 59, 101077. https://doi.org/10.1016/j.ienj.2021.101077
Dennis, C. A., Aubrey-Smith, F., Alvarez, I., Waterhouse, P., & Ferguson, G. (2024). Professional doctorates reconciling academic and professional knowledge: Towards a diffractive re-reading. Higher Education Research & Development, 43(7), 1525–1539. https://doi.org/10.1080/07294360.2024.2339844
Eaton, G. (2019). Paramedic. Noun. British Paramedic Journal, 4(2), 1–3. https://doi.org/10.29045/14784726.2019.09.4.2.1
Gilbert, R., Lafferty, R., Hagger-Johnson, G., Harron, K., Zhang, L.-C., Smith, P., Dibben, C., & Goldstein, H. (2018). GUILD: GUidance for Information about Linking Data sets†. Journal of Public Health, 40(1), 191–198. https://doi.org/10.1093/pubmed/fdx037
Harron, K., Doidge, J. C., & Goldstein, H. (2020). Assessing data linkage quality in cohort studies. Annals of Human Biology, 47(2), 218–226. https://doi.org/10.1080/03014460.2020.1742379
Hill, L., & Eaton, G. (2023). Exploring paramedic professional identity. British Paramedic Journal, 8(3), 42–51. https://doi.org/10.29045/14784726.2023.12.8.3.42
Kim, M. J., McKenna, H., Davidson, P., Leino-Kilpi, H., Baumann, A., Klopper, H., Al-Gasseer, N., Kunaviktikul, W., Sharma, S. K., Ventura, C., & Lee, T. (2022). Doctoral education, advanced practice and research: An analysis by nurse leaders from countries within the six WHO regions. International Journal of Nursing Studies Advances, 4, 100094. https://doi.org/10.1016/j.ijnsa.2022.100094
Marušić, M. (2013). Doctoral degree in health professions: Professional needs and legal requirement. Acta Medica Academica, 42(1), 61–70. https://doi.org/10.5644/ama2006-124.72
Meadley, B. N., Andrews, T., Delardes, B. J., & Shannon, B. P. (2022). The Evolution of Clinician-Academics in Paramedicine: Completing the Picture of Professionalism. Prehospital and Disaster Medicine, 37(5), 574–576. https://doi.org/10.1017/S1049023X22001224
Polat, M., & Köse, G. (2025). Evaluation of paramedics education in emergency health services. BMC Medical Education, 25(1), 1649. https://doi.org/10.1186/s12909-025-08268-3
Ross, L., Reynolds, L., Reeves, H., Hutchison, A., O’Meara, P., Pap, R., Barr, N., Thomson, M., Reardon, M., & Simpson, P. (2023). Barriers and enablers to paramedicine research in Australasia – A cross-sectional survey. Paramedicine, 20(4), 107–116. https://doi.org/10.1177/27536386231167590
Simpson, P., Barr, N., Reid, D., Boyle, M., & Williams, B. (2023). Profiling the Australasian paramedicine tertiary academic sector and workforce: A cross-sectional study. Paramedicine, 20(6), 206–213. https://doi.org/10.1177/27536386231185602
Stolt, M., Eloranta, S., Elo, S., Isola, A., & Suhonen, R. (2017). A scoping review of Finnish doctoral dissertations in older people nursing science. Nordic Journal of Nursing Research, 37(3), 151–163. https://doi.org/10.1177/2057158517691919
Whitley, G. (2025). The international Paramedic PhD registry: An overview of paramedic doctorates. British Paramedic Journal, 10(3), 63–68. https://doi.org/10.29045/14784726.2025.12.10.3.63
Wikström-Grotell, C., Noronen, L., & Lenné, R. (2018). Physiotherapy as an academic discipline – from the perspective of Nordic doctoral dissertations. European Journal of Physiotherapy, 20(2), 79–84. https://doi.org/10.1080/21679169.2017.1374453