The 26-year-old completed a Bachelor of Paramedicine in September 2018 and a year later, he undertook a five-week induction at the Ambulance Education Centre in Roselle.

Mr Pacchiarotta said about 600 graduated and competed for only 250 places. He was one of the lucky ones, securing a place at the Gunnedah Ambulance Station and starting last week.

He said he was drawn to paramedicine "quite young".

"I liked the medical field but I didn't think working indoors would suit me, so I thought paramedicine would be the way to go," he said.

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The trainee is in the right place to learn because there the crew there have about 130 years of experience between them.

"We've got a good crew and really good clinical experience here," station manager Scott Clarke said.

While trainees assigned to metropolitan attend more call-outs, Mr Clarke said trainees at regional stations had the advantage of variety and more time with patients.

Mr Clarke said the station had been "identified as a good training ground" and for the best part of five years, a trainee paramedic had been working there.

Mr Pacchiarotta is the second trainee to join the station this year - Maddi Lisle joined in January and will head off to another station in January 2020.

The Sydney-sider always has a mentor with him and said he had "already learnt a heap".

"I like meeting new people. I like the complexity of the job ... and the changing dynamic of it," he said.