Big NREMT Changes For Paramedics

Last summer I attended an NREMT Scenario Development Workshop, which was one of the best courses I have taken. The workshop covered the new portfolio requirements for paramedic students during their program, the new patient care scenario station on NREMT testing day and how to develop scenarios that prepare students for work in the field. Each attendee submitted a scenario beforehand, and the scenario was piloted with a group of paramedic students. And it was free to NAEMSE members.

Over at EMS 1 I wrote two articles about the new NREMT requirements for paramedic programs:

6 things to know about the NREMT Paramedic Psychomotor Competency Portfolio discusses:

  • Individual skills are assessed early in programs instead of on testing day at the end.
  • Paramedic students must successfully lead and be team members in scenarios that cover a variety of topic areas.
  • Paramedic students grade each other in skills and scenarios.

10 things paramedic students need to know about the new NREMT exam discusses:

  • The scenario requires exam prep that is the same as prep to work in the field.
  • The scenario tests team work; candidates are given a paramedic partner who will question any mistakes that may harm the patient.
  • Expect a curve ball – the patient’s condition will change, there will be a new safety threat, or equipment will malfunction during the scenario.

I think these are good changes. It lets programs focus on scenarios instead of spending hours rehearsing skills before test day, which is more fun to teach and better prepares students. What do you think?



  1. Thank you for sharing new development in NREMT.

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