![]() Finally, the National Registry now requires that all paramedic candidates graduate from a CAAHEP-approved paramedic program or one that holds a current Letter of Review (LoR) from the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP). The second factor is that EMS employers often find that while newly certified paramedics know how to perform individual skills, they cannot move to the next level and integrate those skills into scene and patient management. The first was a desire to ensure protection of the public by assessing psychomotor competency in a way that simulates actual practice in a simulated environment. Several factors prompted the National Registry to change its psychomotor examination. ![]() In 2017, the National Registry of EMTs changed the way it verifies psychomotor competency for National Registry Paramedic (NRP) Certification. ![]() History and Rationale of the Paramedic Portfolio Each candidate will be provided with a trained paramedic partner and evaluated on their ability to manage a call, lead a team, effectively communicate, and maintain professionalism throughout the simulated patient encounter. The scenario will reflect either a pediatric, geriatric, or adult patient. Paramedic candidates are tested on six (6) skills, including an Integrated Out-of-Hospital (IOOH) scenario. On January 1, 2017, the National Registry implemented the new scenario-based psychomotor examination. ![]()
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