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Purpose: The purpose of the study was to examine the career obstacle factors and career identity according to career choice type among paramedic students. Methods: A self-reported questionnaire was completed by 234 paramedic students in C area from August 25 to September 3, 2015. The questionnaire consisted of general characteristics of the subjects, career obstacle factors, career identity, and types of career choice. The data were analyzed by t test, ANOVA, post hoc Scheffé test, Pearson’s correlation analysis, and multiple regression analysis using SPSS v. 20.0. Results: Career obstacle factors and career identity of paramedic students had significant differences on motivation of university choice, major satisfaction, and job preference. A stable type of career choice showed a significantly lower score for career obstacle factors and a higher score for career identity. Career identity had a strongly positive relationship with major satisfaction and had a negative relationship with career obstacle factors. Logistic regression analysis revealed that the main variables affecting career identity were types of career choice, motivation of university choice, major satisfaction, and career obstacle factors. The explanatory power was 58.0%.