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Practice Analysis

2009 National EMS Practice Analysis (excerpt from introduction)

The goal of licensure and certification is to assure the public that individuals who work in a particular profession have met certain standards and are qualified to engage in practice (American Educational Research Association, American Psychological Association, and National Council on Measurement in Education, 1999). To meet this goal, the requirements for certification and licensure must be based on the ability to practice safely and effectively (Kane, 1982). The practice analysis is a component for developing a legally defensible and psychometrically sound credentialing process.

The primary purpose of a practice analysis is to develop a clear and accurate picture of the current practice of a job or profession, in this case the provision of emergency medical care in the out-of-hospital environment. The results of the practice analysis are used throughout the entire National Registry of Emergency Medical Technicians (NREMT) examination development process, which helps to ensure a connection between the examination content and actual practice. The practice analysis helps to answer the questions, "What are the most important aspects of practice?" and "What constitutes safe and effective care?" It also enables the NREMT to develop examinations that reflect contemporary, real-life practice of out-of-hospital emergency medicine.

The NREMT conducted its first practice analysis in 1994 and at five year intervals thereafter (1999, 2004 and 2009).

Based on the 2009 Practice Analysis current National EMS Certification Examinations cover five content areas: Airway, Respiration & Ventilation; Cardiology & Resuscitation; Trauma; Medical/Obstetrics/Gynecology; and EMS Operations. All sections, except EMS Operations have a content distribution of 85% adult / 15% pediatrics.

First Responder / EMR
(80-110 items)
EMT-Basic / EMT
(70-120 items)
(85-135 items)
Advanced EMT
(135 items)
(150 items)
EMT-P / Paramedic
(80-150 items)
% of exam content
Airway, Respiration & Ventilation 17-21% 17-21% 17-21% 17-21% 17-21% 17-21%
Cardiology & Resuscitation 16-20% 16-20% 16-20% 16-20% 17-21% 17-21%
Trauma 19-23% 19-23% 19-23% 19-23% 18-22% 18-22%
Medical/Obstetrics/Gyn 27-31% 27-31% 26-30% 26-30% 26-30% 26-30%
EMS Ops 11-15% 12-16% 12-16% 12-16% 12-16% 12-16%

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