EMTs require formal training and once qualified as an entry-level EMT can undertake further training to increase their certified skill level. The only entry requirement for basic EMT training is a high school diploma.

EMTs can proceed, via further training, through four different qualification levels:

• EMT Basic Training (EMT-1)
• EMT Intermediate Training (EMT-2 and EMT-3, also known as I/85 and I/99)
• EMT Paramedic Training (EMT-4)

Each additional level of certification qualified the EMT to carry out more advanced emergency medical procedures.