This program guide identifies primary considerations in the organization, operation, and evaluation of a paramedic program. An occupational description and program content are presented. A curriculum framework specifies the exact course title, course number, levels of instruction, major course content, laboratory activities, special notes, major course concepts, and intended outcomes. Student performance standards are a resource list of job-specific competencies. The next section includes facility design criteria, suggested equipment and supplies, and information on safety. The section on implementation considers student admissions requirements, suggested instructional approach, teaching methods, evaluation criteria, student learning guides, and student organization participation. A section on professional considerations lists certification coverage for paramedic and professional organizations and support services. The final section lists the following instructional resources: an emergency medical services (EMS) bibliography and names and addresses of state EMS directors. A sample student learning guide is appended. A Career Merit Achievement Plan (Career MAP) displays the student performance standards required by the local education agency and documents students' level of achievement. (YLB)