What Australian and Irish paramedic registrants can learn from the UK: lessons in developing professionalism.

• To act with professionalism is to act within a set of moral norms, principles and standards of conduct and competency • Problems arise when paramedics do not understand what it means to be a professional, and this is largely due to gaps in education. • Regulation should not be seen as a threat, but rather as a positive way of advancing the profession, and focussing on doing the best for patients. • Education plays a key role in creating a culture of professionalism, a solid foundation of professionalism and a professional identity. This education must be consistent. • Paramedics should be supported in their professional development with a greater emphasis on applied ethics to facilitate professional problem-solving and a more comprehensive understanding of the regulatory system