A medic who has completed over 1,000 hours of training, including clinical observation in a hospital and internship on an ALS unit. Paramedics have a high level of medical training in areas of cardiac care, trauma and other clinical disciplines. They are trained and can be authorized to perform relatively complicated medical procedures in the field without direct supervision. Most Advanced EMT s refer to themselves as "Paramedics". The Level IV (AEMT-P) certification is equal to the Federal training for Paramedics. Level III (AEMT-CC) is not Paramedic certification. The kinds of procedures authorized for Paramedics vary from state to state. In New York, the types of procedures performed, the types of drugs carried and the legal need for medical control vary from county to county.