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Purpose: The purpose of the study was to identify differences in paramedic image and its determinants between paramedic and non-paramedic students. Methods: From September 18 to 26, 2013, data were collected from 146 universities students by using a self-reported questionnaire. Results: The mean paramedic image score was 4.22 for paramedic students and 3.89 for non-paramedic students. The paramedic students had a more positive paramedic image than the non-paramedic students. Among three subcategories of paramedic image, professional image was selected as the most positive factor. The determinants of paramedic image differed between the paramedic and non-paramedic students. The mean subjective determinants score showed higher than those of any other determinants for both student groups. Conclusion: The findings of this study showed that practical strategies are needed to promote a positive paramedic image among non-paramedic students.