OP:

> How do you balance keeping the skills sharp while working another job full time?

I don't! I've been volunteering with my current service for ~2yrs, and I still don't feel like a very "smart" EMT. It's coming, but slowly. And I'm trying to do more shifts (e.g. every week).

I simply try to "manage" my stupidity. I usually ride with a more experienced EMT, and any very-big calls will get a medic; I focus on learning & asking questions when it's appropriate; I try to drill _something_ every shift. If I really wanted to learn quickly, I'd take a few weeks off and run with AMR in a city... that definitely gets the calls.

> Also, I’m 38, so I tend to feel too old.

That's one of the biggest reasons I delayed. I felt too old at 29 & worried I would be out of place. FWIW, I think the class after us had an average age of ~35, so you might fit in more than you expect.

I resonate with wanting to be good, though. I think about it every time I get a call. My counterargument is (a) that 1 month of training is 1 month more than most folks have, and (b) in an emergency, you're always part of a team.

Even if you just fetch the stairchair.