Tompkins County is taking significant steps to enhance its emergency medical services, as discussions during the Public Safety Committee meeting on May 27, 2025, highlighted the urgent need for a local paramedic training program. The committee recognized that the current system is unsustainable, with residents facing inequitable access to care and rising costs for ambulance services.

A key proposal discussed was the collaboration with Upstate Medical University to expand EMT training offerings in Tompkins County. Currently, EMT classes are held twice a year, but plans are underway to introduce additional classes, including an advanced EMT course. This initiative aims to provide local paramedic training through a hybrid model, combining virtual classroom instruction with hands-on lab days in the county. This would alleviate the need for students to travel to distant locations like Elmira or Syracuse for training.

However, concerns were raised about the retention of trained paramedics. Local agencies expressed worries that while they would train new paramedics, many might leave for positions in other counties, creating a cycle of training without long-term benefits for Tompkins County. The committee acknowledged the added burden this places on current preceptors who train these students, only to see them depart for other opportunities.

The meeting also underscored the pressing financial realities facing local ambulance services. TCOG representatives emphasized that doing nothing is not an option, as the current funding model is inequitable and unsustainable. They pointed out that taxpayers are already contributing over a million dollars annually to sustain ambulance services, and without state support, local solutions must be prioritized.

As discussions continue, the committee is urged to think broadly and strategically about the future of emergency services in Tompkins County. The focus remains on developing a sustainable and equitable system that meets the needs of all residents, ensuring timely access to critical care. The next steps will involve gathering more information and exploring innovative solutions to address these challenges effectively.