I spoke with Seattle FD about the process that one would become a SFD paramedic (aka Medic One). I was told that even if I was already certified as a Paramedic in Washington State or NR, I would have to be hired as and work as a Firefighter for a minimum of 3 years. After 3 years I could apply to the Medic One program & if accepted I would have to go through their paramedic training program via Harborview Medical Center. (Even if already a paramedic, you have to go back & do it again). Once you complete that training you are promoted to FF/Paramedic & you work as a paramedic on the Medic One trucks & no longer as a firefighter.
While I was kinda surprised with the part about having to go back to medic school being that you would be on the clock for that it wasn't as big a deal for me as the fact that I would have to work as a firefighter for 3 years.
Forgive my long response, Seattle is an amazing city with an excellent standard of care for their citizens and it would have been great to go be a participant in that excellence. Sadly, I don't want to fight fires.
Good luck, you have plenty of time to decide.
Jennifer
NYC Paramedic
ps I spoke with them about 2-3 years ago so this is relatively fresh information.