Pros
The Middlesex Hospital Paramedics have more autonomy then any other paramedic position. No other paramedic employers have the shift differentials Middlesex offers. It is a high call volume environment, sometimes with long transport times, ideal to get excellent patient care experience. They only respond to 911 calls. Because it is a small group, they have better quality control and therefore, have more liberal protocols with virtually everything on standing order, including RSI. It also means they can be selective in who they hire. The group are highly skilled professionals. Current medical control is top notch.
Cons
Not really a con but often people don't expect the other responsibilities that come with the job. The department is very self sufficient. On of the challenges people often find is the logistics of the system, deciding on which hospital to transport to and how it will affect the system.
