응급구조사 면허 전환의 쟁점과 정책 방향 탐색 : FGI를 중심으로

Abstract

Purpose: Korea’s Emergency Medical Technician (EMT) system, currently operating under a certification framework for EMT-Paramedic and EMT-Basic levels, has faced ongoing calls for transition to a licensure model to meet societal expectations and strengthen professional accountability. This study aimed to explore perceptions surrounding this transition, analyze key challenges, and provide foundational data for policy development. Methods: This qualitative descriptive study explored perceptions regarding the transition from certification to licensure for EMT-Paramedics and EMT-Basics. Data were collected through Focus Group Interviews (FGIs) and analyzed using conventional content analysis. Results: Two major categories emerged. The first involved conflicts related to implementation methods, including debates over simultaneous versus separate implementation, equity concerns among job groups and occupational domains, and fears of professional bifurcation. The second addressed measures for improving existing laws and educational systems, such as clarifying the scope of practice for both EMT levels, ensuring educational quality management, and establishing strategies for the EMT-Basic transition period. Conclusion: Transitioning to an EMT licensure system represents not merely a structural shift but a crucial step toward enhancing the quality and professionalism of emergency medical services. Achieving this goal requires comprehensive legal and institutional reforms, explicit redefinition of EMT roles in legislation, and strengthened quality assurance through standardized education and training programs.