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The document explains the examination’s purpose: verifying that entry-level paramedics can demonstrate required knowledge, skills, and abilities to provide safe, effective care, assess scene safety, recognize threats to life and limb, and apply core sciences to guide interventions and transport decisions. It also details test plan development through 2019 and 2021 National EMS Practice Analysis materials, including cognitive domains and the Clinical Judgment domain with sample knowledge areas.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":20,"@type":76,"position":81},"https://docshare.wps.com/document/exam/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/national-registry-paramedic-examination-specifications-exam-test-plan/367567/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/national-registry-paramedic-examination-specifications-exam-test-plan/367567.png","ImageObject",300,407,{"name":92,"@type":93},"วิน","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-27","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",16,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"When will the Paramedic Certification Examination begin?","Question",{"text":113,"@type":114},"The Paramedic Certification Examination will be administered starting July 1, 2024.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What is the goal of the Paramedic Certification Examination?",{"text":118,"@type":114},"Its aim is to determine whether EMS professionals at the provider level can demonstrate entry-level knowledge, skills, and abilities needed to perform the job competently.",{"name":120,"@type":111,"acceptedAnswer":121},"How were the exam content domains determined?",{"text":122,"@type":114},"Content was determined using the 2019 National EMS Practice Analysis and the 2021 National EMS Practice Analysis Addendum, which identified required knowledge areas and clinical domains.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},367567,1790217072,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":19,"category_name":20,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":44,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},2336475104736,"https://ap-avatar.wpscdn.com/avatar/22000c4c5e0e5b17e70?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786591360781797222","National Registry Paramedic Examination Specifications  \nAbout the Paramedic Examination Specifications  \nThe “National Registry Paramedic Examination Specifications” provides important information about the Paramedic Certification Examination for stakeholders, such as current candidates, Emergency Medical Services (EMS) students, and EMS educators. The Paramedic Certification Examination will be administered starting July 1, 2024. This document outlines the content of the examination, as determined through the 2019 National EMS Practice Analysis and 2021 National EMS Practice Analysis Addendum and provides information regarding the development and administration of the examination. Also included are sample items and information about the item development process.  \nExamination Purpose  \nThe aim of the Paramedic Certification Examination is to determine whether EMS professionals at this provider level can demonstrate the entry-level knowledge, skills, and abilities required to competently perform their job. It is the expectation that a newly certified paramedic can:  \n• Provide safe and effective care with medical oversight through the integration of cognitive, psychomotor, and affective processes in various patient care presentations.  \n• Assess each scene to determine the safety of all individuals present at the scene.  \n• Assess the patient to identify threats to life and limb and implement care to reduce morbidity and mortality.  \n• Use fundamental knowledge of anatomy, physiology, and kinematics to identify concomitant injuries and reduce loss of life and limb.  \n• Apply fundamental knowledge of anatomy, pathophysiology, pharmacology, emergency cardiovascular care, and the etiology of disease processes to determine appropriate patient interventions and transportation destinations that will promote a positive patient.  \nDevelopment of the Test Plan  \nThe Paramedic Certification Examination has evolved over the past four decades to become the most valid, reliable, and respected measurement tool employed by millions of EMS providers nationwide in their quest to attain National Paramedic Certification. In order to ensure the examination measures current practice, the National Registry conducts practice analysis studies to identify the knowledge,  \nskills, and abilities (KSAs) required in the EMS practice settings. The information gathered by practice analysis studies is then used to determine the content of the examinations, also known as a “test plan.”  \nThe 2019 National EMS Practice Analysis examined the knowledge needed for the paramedic as it related to patient impression data. The patient presentations followed the historical division of four areas: 1) Airway, Respiration & Ventilation, 2) Cardiology & Resuscitation, 3) Trauma, and 4)  \nMedical/Obstetrics/Gynecology. Additionally, the study explored the domain of EMS Operations.  \nBased on the results of the 2019 National EMS Practice Analysis and additional feedback from the EMS community, in 2019 the National Registry’s Board of Directors undertook an initiative,“Advanced Life Support (ALS) Assessment Redesign,” which was intended to improve the processes of assessing entrylevel competency using technology and emerging practices in the testing industry. As a part of the ALS redesign initiative, one major change to the program was to discontinue the existing psychomotor examination and embed new content into the cognitive examination that measures the critical skills of communication, leadership, and clinical judgment. This new domain, Clinical Judgment, was defined through the 2021 National EMS Practice Analysis Addendum.  \nContent for the Paramedic Certification Examination  \nCognitive Domains  \nThe 2019 National EMS Practice Analysis evaluated clinical impressions for the five areas, or “domains,”which were described above. Tasks performed by the provider for these domains were also determined. These five domains are collectively referred to as the “cognitive domain","cbCairBN92mqHaO1","https://ap.wps.com/l/cbCairBN92mqHaO1","pdf",725509,"English","# About the Paramedic Examination Specifications\n## Examination Purpose\n## Development of the Test Plan\n## Content for the Paramedic Certification Examination\n### Cognitive Domains\n### Clinical Judgment\n## Content Outline","[{\"question\":\"When will the Paramedic Certification Examination begin?\",\"answer\":\"The Paramedic Certification Examination will be administered starting July 1, 2024.\"},{\"question\":\"What is the goal of the Paramedic Certification Examination?\",\"answer\":\"Its aim is to determine whether EMS professionals at the provider level can demonstrate entry-level knowledge, skills, and abilities needed to perform the job competently.\"},{\"question\":\"How were the exam content domains determined?\",\"answer\":\"Content was determined using the 2019 National EMS Practice Analysis and the 2021 National EMS Practice Analysis Addendum, which identified required knowledge areas and clinical domains.\"}]","National Registry Paramedic Examination Specifications - Exam Test Plan | PDF",1790171412,23]