[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-375151-105":59,"doc-detail-375151-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","testing-and-licensure-information-for-advanced-level-instructors","Testing and Licensure Information for Advanced Level Instructors","","Guidance for Advanced-EMT and Paramedic instructors outlines testing and state licensing procedures that differ from EMR/EMT pathways. The process is coordinated at lower levels by state EMS offices for psychomotor exams, while higher-level exams are managed primarily by NREMT. It clarifies when courses and preceptor-supervised clinical internships end, restrictions on skills and exam eligibility, early practical exam options, and detailed steps for exam registration, PATT handling, independent site requests, direct billing, program director approval, and the need for Vermont state licensure after NREMT certification.",{"@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/testing-and-licensure-information-for-advanced-level-instructors/375151/",{"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/testing-and-licensure-information-for-advanced-level-instructors/375151.png","ImageObject",300,407,{"name":92,"@type":93},"hdkawk","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-08","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"When do Advanced-EMT and Paramedic courses and clinical internships end?","Question",{"text":113,"@type":114},"They end when the student takes the NR-AEMT or NRP cognitive exam under preceptor-supervised clinical internship completion requirements.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What are the key steps to register students for psychomotor exams?",{"text":118,"@type":114},"Students must create a NR-AEMT or NRP application online first. Instructors register students for the psychomotor exam by submitting their names and PATT numbers to the EMS Office at least two weeks before the exam date.",{"name":120,"@type":111,"acceptedAnswer":121},"How do students obtain Vermont authorization after completing NREMT testing?",{"text":122,"@type":114},"After receiving the NR-AEMT or NRP certification card, students must apply for Vermont state licensure by submitting a Vermont AEMT or Paramedic license application and a copy of the NREMT certification card to the EMS Office.","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},375151,1790829248,{"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":14,"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":24,"preview_page_count":4},3985747859855,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Testing and Licensure Information for Advanced Level Instructors  \nThe testing and state licensing procedures for Advanced-EMT and Paramedic are different from the process for becoming an EMR or EMT. At the lower levels, the registration and management of the psychomotor examinations are handled by the state EMS office. At the higher levels, the exams are managed by the NREMT with only minimal involvement by the state office.  \nPlease be sure that your students and their agency leadership understand that the course and the preceptor-supervised clinical internship end when the student takes the NR-AEMTor NRP cognitive exam. Once the course ends, students may no longer perform Advanced level skills until they obtain their Vermont AEMT or Paramedic license. Likewise, your students may not take the cognitive exam until all course requirements have been completed, including paying the course fee in full and finishing their clinical observation time.  \nAs of February 2017, advanced level students may qualify for the practical exam upon completion of the course’s didactic and lab requirements (and before finishing their clinical requirements) through NREMT ’s Early Eligibility Verification process. See the Program Director section of the NREMT website for more information on this option.  \nThe following is important information to help your students register for an Advanced Level exam and obtain a state license:  \n1) Psychomotor exam sites are held every month in different parts of the state. However, if you would like to hold an independent test site, you must submit a Request for Independent Exam Site form (found in the Documents section at [www.vermontems.org](www.vermontems.org)) no later than TWO MONTHS prior to the desired exam date. We will arrange with the NREMT for approval and provide a NREMT onsite proctor. In addition to having sufficient equipment and qualified evaluators, you must have an emergency physician on site or available by telephone for the duration of the exam site. For detailed information about the psychomotor skill stations, goto the NREMT website [at](at www.nremt.org)[ ](at www.nremt.org)[www.nremt.org](at www.nremt.org).  \n2) Your students must create a NR-AEMT or NRP Application online before beginning the testing process.  \n3) Unlike for EMR and EMT exam sites, your students do not need to submit an exam application prior to the psychomotor exam date. It is your responsibility to register your students for the psychomotor exam by submitting a list of their names and Practical Authorization to Test (PATT) numbers to the EMS Office at least TWO WEEKS prior to the exam date. The PATT number is provided after the student has completed their online NR-AEMT application. Students whose names are submitted less than two weeks before the exam date may not be admitted to the test site.  \n4) Each student will be assigned just one PATT number. If they need to retest a failed skill station, they must wait until NREMT scores their exam and reactivates their PATT number.  \n5) The Vermont Department of Health will pay for all attempts on the NREMT computer-based cognitive exam for candidates who hold an affiliation with a Vermont EMS agency licensed at the Advanced level. When your students register for the test, instruct them to select “Direct Bill to Home State” as the Application Payment method.  \n6) You will need to be approved by the NREMT as an AEMT or Paramedic Program Director before your students can register for the cognitive exam.  \n7) When your students receive their NR-AEMT or NRP certification card, they must apply for state licensure by submitting a Vermont AEMT or Paramedic license application and a copy of their NREMT certification card to the EMS Office. Possession of a NR-AEMT or NRP card alone is not sufficient to practice in Vermont.  \nIf you have any questions about the Advanced Level testing and licensing process, please don’t hesitate to contact the EMS Office at 800-244-0911 or 802-863-7310.","cbCaicfzEBzbslPJ","https://ap.wps.com/l/cbCaicfzEBzbslPJ","pdf",89989,"English","# Testing and Licensing Overview\n# Course End and Exam Eligibility\n# Early Eligibility Verification for Practical Exams\n# Registration and Exam Site Requirements\n# Candidate Application, PATT, and Retesting Rules\n# Cognitive Exam Payment and Program Director Approval\n# State Licensure After NREMT Certification","[{\"question\":\"When do Advanced-EMT and Paramedic courses and clinical internships end?\",\"answer\":\"They end when the student takes the NR-AEMT or NRP cognitive exam under preceptor-supervised clinical internship completion requirements.\"},{\"question\":\"What are the key steps to register students for psychomotor exams?\",\"answer\":\"Students must create a NR-AEMT or NRP application online first. Instructors register students for the psychomotor exam by submitting their names and PATT numbers to the EMS Office at least two weeks before the exam date.\"},{\"question\":\"How do students obtain Vermont authorization after completing NREMT testing?\",\"answer\":\"After receiving the NR-AEMT or NRP certification card, students must apply for Vermont state licensure by submitting a Vermont AEMT or Paramedic license application and a copy of the NREMT certification card to the EMS Office.\"}]","Testing and Licensure Information for Advanced Level Instructors | PDF",1790207741]