According to the Bureau of Labor Statistics (BLS), the need for paramedics during the decade between 2014 – 2024 is expected to grow 24 percent, faster than the average for other professions. One of the biggest obstacles to hiring has been a turnover rate reaching 20 percent in some parts of the U.S., according to the American Federation of State, County and Municipal Employees (AFSCME). As new paramedics are hired, a significant number leave. In 2011, the average tenure of a paramedic was 6.5 years cited Leonard Davis Institute of Health Economics. That number is decreased to four years according to family therapist Dr. Beverly J. Paschal.