there was a move away from the once nationally consistent qualification titles (Ambulance Officer, Intermediate Care Officer, Advanced Care Officer (Paramedic)) that existed under the National Training School to the introduction of new titles into each of the services. St John renamed Intermediate Care Officer to "Paramedic" and Paramedic (ACO) to "Advanced Paramedic" in 2001 along with a new national uniform. Wellington Free Ambulance chose to rename all staff qualified at National Certificate (Proficiency) or Intermediate Aid to "Paramedic" and their Paramedics (ACOs) to "Intensive Care Paramedic". There is anecdotal suggestion that the renaming of staff who did not hold the full National Diploma/Advanced Aid to "Paramedic" was due in part to the high media profile of programs such as Third Watch and Rescue 911 which glorified and glamorised the role of "Paramedic" thus giving the public an expectation that they, as on TV, should be attended to by a "Paramedic". It has also been recorded that the move to rename Intermediate Care Officer to "Paramedic" on the part of St John was somewhat motivated by their desire to expedite contract negotiations with the Ministry of Health and ACC which required a certain number of "Paramedics" however it can be logically assumed that the contract did not actually define what a "Paramedic" was, as the original definition of a Paramedic in New Zealand was somebody qualified to National Diploma/Advanced Care level. With the demise of NAOTS; Auckland Institute of Technology, having been awarded University status and renamed Auckland University of Technology, developed the Bachelor of Health Science (Paramedic) degree while Victoria University (Melbourne) partnered with Wellington Free Ambulance to create a tertiary Paramedic degree administered through Whitireia Community Polytechnic. In 2003 St John began to require completion of the Bachelor of Health Science (Paramedic) for those staff who wished to move to the Advanced Life Support (Advanced Aid) qualification level. Wellington Free introduced an "Intern Paramedic" position in 2004 to accommodate staff who would completing the Degree while also working on the road at the same time. By the late 2000s there was a need to once again bring reform to clinical education; and although not as marked as those introduced during the time of the National Training School the following issues needed urgent attention Introduction of tertiary degrees and the apparent double standard this created compared to more technically focussed vocational qualifications centred around a narrow scope of knowledge;