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Key Initiatives

The National Registry of EMTs' Key Initiatives

The National Registry of Emergency Medical Technicians is pleased to share with you our Key Initiatives for 2025. We value collaboration, communication, and transparency with the EMS community and our partner organizations. In that spirit, we created shareable infographics about important projects with key takeaways, answers to frequently asked questions and important dates. The Key Initiatives will be updated when new projects are announced, so please check back.

ALS Certification Examinations

Effective July 1, 2024, candidates seeking National Registry certification must take the updated AEMT Certification Examination or Paramedic Certification Examination, depending on their level. These updated examinations replace the discontinued ALS Psychomotor Examination and...
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BLS Certification Examinations

The new EMR Certification Examination and EMT Certification Examination are built to align with current EMS practices, ensuring they remain relevant and accurate. Based on a comprehensive practice analysis conducted by the National Registry of EMTs, these examinations reflect the critical knowledge...
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Recertification Application Redesign (RAR)

As part of the Certification Transformation initiative, one key focus is ensuring a positive and consistent user experience for both certification and recertification processes.
On October 1, 2024, the National Registry of EMTs launched a redesigned recertification application...
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Research Initiative

The National Registry of EMTs created the EMS Research team to contribute scientific knowledge nationwide and globally for the well-being of EMS clinicians and their patients. In 2001, the National EMS Research Agenda identified a lack of career EMS researchers to...

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NCCP & Evidence-based Guidelines

The objective of the National Continued Competency Program (NCCP) is to encourage lifelong learning. Lifelong learning is important to ensure EMS Clinicians are up-to-date on the latest clinical information and competent to deliver quality patient care...

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EMS Continued Competency Agenda for the Future: A Systems Approach

The EMS Continued Competency Agenda for the Future is a visionary document, written from various perspectives that gives a roadmap of where the EMS profession needs to go to advance how EMS systematically ensures continued competency of EMS clinicians....
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AEMT Student Minimum Competencies (SMC)

The existing ALS psychomotor Examination was designed with the intent of measuring both procedural/mental knowledge and simple/complex psychomotor skills. With advancements in testing practices, testing science, and the call for modernization and efficiency by....
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Previous Key Initiatives

ALS Psychomotor Examination Discontinued

With the launch of the new AEMT and Paramedic Certification Examinations and the introduction of Student Minimum Competency (SMC) requirements, the ALS psychomotor examinations used for NRAEMT and NRP certifications will be discontinued...

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BLS Practice Analysis

Starting in late 2022, the National Registry of EMTs conducted a Basic Life Support (BLS) Practice Analysis. Through the 2022 BLS Practice Analysis, essential job tasks, and the knowledge and skills required to competently perform those job tasks, were defined...

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Scaled Score Reports

A scaled score report is a method of reporting examination performance on a standardized metric. It provides the unsuccessful examination candidate with information about their examination score in relation to the passing standard...

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Evidence-Based & Table of Authorities

The objective of this initiative is to keep certification examinations clinically accurate, standardized, reliable and valid by constructing examinations that are consistent with the widely accepted high-quality evidence-based guidelines....

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