 The system currently has individuals working at the Basic, Intermediate and Advanced levels, and for vehicles providing ALS service, the crew configuration is typically 1-ILS, 1-ALS.Those EMTs already working in the field, and with sufficient experience, are permitted to 'fast track' the new training, completing a degree with the equivalent of a single year of full-time education.Only those EMTs completing this education process are permitted to use the title "Paramedic".