Health & Safety Occupations



Associate of Applied Science (AAS)

 If you are interested in a fast-paced career that provides life-saving service to your community, a paramedic degree may be perfect for you. From heart attacks, to car accidents, to gunshot wounds, paramedics are often the first to arrive at the scene of an emergency. As first responders to emergencies, paramedics provide life-saving care as they coordinate the rescue and transportation of patients to hospitals. Paramedics are the highest qualified emergency medical responders, trained to deliver more specialized care than other first responders. At City College, your paramedic education will include classroom instruction, laboratory practice, and clinical experience. Our high-tech program will enable you to be competitive in an ever-changing, technologically diverse environment. Upon successful completion of this program, you will be eligible to take the National Registry of Emergency Medical Technicians (NREMT) Paramedic Exam. 




"" Career Opportunities


As a Paramedic, you will find employment in a variety of settings, such as:

  • National and/or local ambulance services 
  • Fire departments
  • Law enforcement
  • Hospitals
  • Flight services
  • Industrial sites

 Examples of where recent City College graduates are working:

  • Big Sky Fire Department, Big Sky, MT 
  • Red Lodge Fire Rescue, Red Lodge, MT
  • St. Peters Hospital, Helena, MT
  • City of Redmond, Redmond, WA
  • Big Horn County Ambulance, Hardin, MT
  • American Medical Response, Billings, MT 
  • City of Billings Fire Department, Billings, MT
  • Montana Highway Patrol, Helena, MT

"" Program Delivery


18 month program (9 months on campus + 9 months online/distance or on campus)

Students have an option to complete the Spring prerequisite semester fully online or on campus (with the exception of ECP 200, which is only offered online). The final semester, which is the clinical portion, can be completed in Billings or at an approved location across the country.  In essence, for those not wanting or able to spend a lot of time on campus or in Billings, they can possibly spend just 9 months out of the 18 month program on the MSU Billings City College campus.

  • 1800-hour (940-hour classroom/ 860-hour clinical) paramedic degree program
  • Utilizes online, hybrid, traditional classroom and skills laboratory delivery methods to ensure a flexible but rigorous educational experience


"" Admission Requirements



  • First-time college students must have high school diplomas from an accredited high school, a GED/HiSET, or passed the MSUB Readiness Exam offered through our university.
  • Transfer students will need to submit records from all regionally accredited institutions.



Once the required prerequisite courses are completed, paramedic applicants must go through a competitive application process. In addition to the required prerequisite courses, students must hold a current National Registry Emergency Medical Technician (NREMT) card. EMT training in the Billings area is offered through Big Sky EMS: 406-670-5021.


Applications for the paramedic program are accepted once a year (usually mid-summer).  

 »»Paramedic Competitive Selection Process and Application


"" Certification/Accreditation


Students earn an Associate of Applied Science degree in Paramedic upon successful completion of this program. This program is regionally accredited through the Commission on Accreditation for Allied Health Education Programs (CAAHEP) and Committee on Accreditation of Educational Programs for the EMS Professions (CoAEMSP). Montana State University Billings is accredited by the Northwest Commission of Colleges and Universities (NWCCU).


Program Certifications/Certificates: 

Prehospital Trauma Life Support Provider Certification (PHTLS)
Advanced Cardiac Life Support Provider Certification (ACLS)
Neonatal Resuscitation Program Provider Certification (NRP)
Pediatric Advance Life Support Provider Certification (PALS)
Critical Care Transport Provider (CCTP) Course Completion Certificate
National Registry/Nationally Accredited Paramedic Program Completion Certificate


"" Pathways



National Registry Emergency Medical Technician (NREMT) Certification » »


Prior to applying to the core Paramedic program, students must hold a current National Registry Emergency Medical Technician (NREMT) card. EMT training in the Billings area is offered through Big Sky EMS: 406-670-5021.


BACHELOR OF APPLIED SCIENCE (BAS) Thematic Concentration in Emergency Medical Services Management

Students who earn an AAS degree and want to further their education, and thus career, are able to go on for a Bachelor of Applied Science (BAS) Degree through MSU Billings. Students can focus on various thematic concentrations to earn the BAS degree, including a thematic concentration in Emergency Medical Services Management.  Contact the MSU Billings Advising Center at 406-657-2240 for further details.


"" Frequently Asked Questions (FAQs)


Q: Is this program hands-on?

A: Yes! The core paramedic program involves hands-on laboratory skills and real-world clinical experience. In addition, our program contains prerequisite coursework to help build a strong foundation and some general education courses to help not only land your dream job, but to continue growing within your field. 


Q: Is this program available online?

A: The paramedic program can be completed with a combination of online and on campus courses.  The prerequisite courses are available online or on campus. The final semester, which is the clinical portion, can be completed in Billings or at an approved location across the country.  In essence, for those not wanting or able to spend a lot of time on campus, they can possibly spend just 9 months on the MSU Billings City College campus.


Q: What is the difference between an EMT and a Paramedic?

A: There are different levels of certification in the field of emergency medical services (EMS). The National Registry of Emergency Medical Technicians (NREMT) provides national certification of Emergency Medical Technicians (EMTs) and paramedics at three levels: EMT-Basic, Advanced EMT or EMT-Intermediate, and Paramedic. The biggest difference between the different EMS levels is the amount of education received and the scope of practice (what they are allowed to do). Basic level EMTs are trained to provide basic-level care, such as spinal immobilization, administering oxygen, splinting/bandaging, checking vital signs, and artificial ventilation. Paramedics are the highest skilled pre-hospital care provider. Paramedics build on their EMT training and learn additional skills, such as providing IVs and injections, interpreting EKGs, and administering a wide array of critical care medication. The exact procedures EMTs and paramedics are allowed to perform vary by state. 

Q: What skills are covered in the paramedic program? 

A: The skills covered in the paramedic program include:

  • Endotracheal intubation
  • Cricothyrotomy
  • Chest decompress
  • Gastric decompression
  • Pharmacological interventions
  • Intraosseous and intravenous cannulation
  • Enteral and parental administration of approved prescriptions medications
  • Multi-lead EKG interpretation
  • Indwelling catheters and implanted central IV ports for fluid and medication administration
  • Medication administration by IV infusion
  • Blood or blood production infusion
  • Chest tube management
  • Capnography interpretation
  • Thrombolytic medication initiation
  • Blood chemistry analysis