Hello, The paramedic career pathway is a difficult one to advise on. Paramedics, at the moment, join as soldiers and are also CMTs, but they sometimes join in a higher rank depending on their level of experience. You can do your paramedic training through the army if you join as a CMT, it is not guaranteed, but there is a pathway for this (although I believe it can be competitive). In regards to promotion, you compete against your peers, so how easy it is to promote will vary from year to year, and also depend on how you perform in your role. If you wish to join as an officer and go to university, I would recommend considering one of the other clinical jobs eg nursing, physiotherapy, doctor, pharmacist, vet etc.. the full range of Army Medical Services jobs can be seen on our 'role finder' page. I hope that helps!