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they can also be in over their heads. and not realize or admit it until it's too late. with innocent passengers onboard.

or simply under-perform because they learned to be "commercial pilots" by flying up and down the same strip or flying the same pattern 1000's of times.

there is no "correcting" anything. who would do the correcting? the nurse? it's a single pilot job, you bring skills, you don't build skills. and certainly not at 100 hrs/year.

ems is a retirement gig. go have fun. learn your trade, build skills and experience. have adventures. see the world. ems will always be here when you're done. you'll be a better ems pilot for it.