The 2006 PIFT program represents a substantial change in the way paramedics are educated. The program focuses on problem solving, resource use, clinical judgment, and general familiarity with specific medication classes and devices. Rather than memorizing a list of just a few medications, PIFT trained paramedics have been exposed to general concepts and some specifics for 18 classes of medications plus over the counter (OTC) drugs. In addition, 6 specific devices have been added to the PIFT paramedic’s scope of practice. The net result is that PIFT paramedics will now be able to transport patients receiving a much larger array of medications or devices than before.