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In two years, you'd be a Specialist (regardless of MOS), provided you didn't do something which got you busted down. As for serving as a paramedic in the Army... nowadays, the MOS is called "Healthcare Specialist" (68W), and requires a basic EMT licence. There were personnel with this MOS who served as EMTs on-post - however, prior to the reorganisation which did away with the old 91B (Combat Medic) MOS and folded it into 68W, most of these personnel did not even possess a basic EMT licence.

As the trend towards privatising services for the military grows, it's likely EMT services are performed by civilian contractors now, although I can't say with 100% certainty.

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Q: What rank would you be in if you served two years in the army as a peramedic?
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