The document, An International Community Paramedic Career Structure: A Synthesis of the Literature, Regulatory Frameworks, and Community Paramedicine Expert Advice, investigates the emergence and structuring of community paramedicine (CP) as an essential extension of emergency medical services (EMS). This review synthesizes findings from global research, regulatory standards, and expert consultations to establish a career framework for community paramedics.

Key insights include:

• Core Competencies: Identifies the unique skillsets required for community paramedics, blending emergency response capabilities with public health and primary care knowledge to address underserved and remote populations.

• Training and Education: Highlights the need for specialized and standardized educational pathways that align with international best practices, ensuring community paramedics are adequately prepared for expanded roles.

• Integration with Healthcare Systems: Stresses the importance of community paramedicine being recognized as an integral part of broader health systems to enhance access to care and reduce strain on emergency departments and hospitals.

• Regulatory Support: Advocates for uniformity in certification and licensure processes to ensure career mobility and adherence to a standard scope of practice across jurisdictions.

• Sustainability: Emphasizes the role of structured career progression, ongoing professional development, and supportive workplace policies in sustaining a skilled CP workforce.

This comprehensive approach aims to enhance the effectiveness, accessibility, and continuity of community-based care, positioning community paramedic programs as a vital solution to contemporary healthcare challenges.