The purpose of the study aimed to investigate the effects of clinical practice stress, stress coping, and empathy on clinical competency among paramedic students. A total of 194 paramedic students filled out the questionnaire after informed consent. The questionnaire consisted of general characteristics of the subjects, 23 items of clinical practice stress, 20 items of stress coping, 27 items of empathy, and 26 items of clinical performance. Paramedic students did not have high levels of stress coping. Empathy was not as high among students in emergency management. Paramedic students’ clinical performance was high and highly concerned about following the rules of the training organization. Students with basic life support providers certification had higher stress coping and this explained that the certificate in clinical practice skills made the students confident in emergency scenes