1. What You Need to Know about the Computer Adaptive NREMT Exam

2. As an EMT You are in a position of extraordinary public trust Some of your patients will be in very critical condition, and your actions may make the difference between life and death Your patients do not have the luxury of getting a second opinion

3. The certification process… exists for the protection of the public!!! This is your opportunity to demonstrate that you have the knowledge and skills to be entrusted to provide safe and effective emergency care.

4. The Computer Adaptive Test Is a more fair and accurate evaluation Provides rapid exam results Allows you to test where and when you want Increases the professionalism of EMS

5. Other Certifications Using CBT

6. CBT is simply the use of a computer to deliver an examination Computer Based Testing

7. The Two Types of CBT Linear Basically a computer version of a paper-and- pencil exam May include some randomization of questions and responses Common in classroom testing Generally uses classical testing theory Adaptive (CAT)

8. What is Classical Test Theory Determining ability based on the assumption that performance on a subset of the domain is generalizable to entire domain Sources of error –Sample size –Difficulty level of the sample

9. An adaptive test presents the candidate with items that will be most informative for measuring ability. Each test is tailored to the individual candidate. Computer Adaptive Testing

10. The Two Types of CBT Linear Basically a computer version of a paper-and- pencil exam May include some randomization of questions and responses Common in classroom testing Generally uses classical testing theory Adaptive (CAT) Each exam is tailored to the ability of the candidate Each testing experience is unique to the individual being tested The state-of-the-art in high stakes testing Generally uses item response theory

11. What is Item Response Theory (IRT)? A statistical way to determine ability based on the fact that the probability you will answer a question correctly is related to your ability and the difficulty of that question.

12. Combining CAT and IRT Results in test that is MUCH more precise, accurate, and fair Every question has maximum measurement value The state-of-the-art in psychometrics

13. Ability 1 2 3 4 5 6 7 8 9 10 Where is Entry-Level Competence? Where is Entry-Level Competence? Ability

14. Ability 1 2 3 4 5 6 7 8 9 10 10 8 6 4 2 0 Ability

15. An Adaptive Test Ability Question 10 8 6 4 2 0

16. The Perfect Candidate Ability Question 10 8 6 4 2 0 Exam begins

17. The Perfect Candidate Ability Question 10 8 6 4 2 0 Evaluation begins

18. The Perfect Candidate Ability Question 10 8 6 4 2 0 Evaluation begins

19. The Ability Estimate Ability Question 10 8 6 4 2 0

20. The Ability Estimate Ability Question 10 8 6 4 2 0

21. The Ability Estimate Ability Question 10 8 6 4 2 0 Evaluation ends

22. We are at least 95% confident that the candidates true ability is above the passing standard. The Candidate Passes!!!

23. An Unsuccessful Candidate Ability Question 10 8 6 4 2 0

24. The computer determines with at least 95% certainty that the candidates ability is either above or below the passing standard, OR The candidate receives a maximum number of items*, OR The candidate runs-out-of-time*. When is the test over? *=infrequent

25. Computer Adaptive Testing Every time the candidate answers a question, the computer re- estimates his or her ability. With every additional answer, the ability estimate gets more precise. Based upon the most recent, revised ability estimate, the computer selects the next item to be presented, such that the candidate will find it challenging.

26. There is no minimum percentage of items correct to pass. Every candidate will be challenged to the limit of his/her ability. Important concepts

27. More Fair and Accurate Evaluation Every candidate is measured against predetermined competency level CAT combined with IRT, is the most precise method of evaluation –Examination is individualized according to candidate performance –Exam matches question difficulty to candidate ability –Limited question exposure increases validity

28. Results You will not receive exam results at the test center In most cases, exam results will be available the next business day on the NREMT website

29. Other Benefits of CBT Increased testing flexibility Enhanced exam security Increased professionalism of EMS

30. Pearson VUE-Access Worlds largest assessments and testing business Extensive network of –Pearson Professional Centers (PPC) –Pearson VUE Testing Centers (PVTC) Extensive experience in delivering high- stakes computer based tests

31. The Pearson VUE Network Pearson Professional Centers (PPCs) –Pearson owned and operated test centers –Used in urban areas Pearson VUE Testing Centers (PVTCs) –Contractual relationship with Pearson VUE –Used to increase access to EMS testing in rural areas

32. Pearson VUE Testing Center

33. Exam Application Fees LevelApplication Fee NREMT First Responder$ 65.00 NREMT-Basic$ 70.00 NREMT-Intermediate/85/99$ 100.00 NREMT-Paramedic$ 110.00

34. The Application Click Here

35. The Application Click Here

36. The Application Click Here

37. Scheduling an exam Once you are authorized to test you will contact Pearson VUE by phone or internet You will be provided with a variety of testing options to select from Days, evenings, and weekends are available.

38. Individual Results You may check your results on the NREMT website on the next business day You will be send a hardcopy of results and credentialing materials when you complete the certification process

39. Integration with the Practical Advanced Exams Candidates may take the psychomotor examination following completion of the didactic and laboratory portions of a program IF permitted by the Program Director AND the State EMS Licensing Agency. Candidates may take the cognitive examination only after completion of an entire state approved EMS course. Basic Exams Candidates must complete an entire EMT course prior to taking either part (cognitive or psychomotor) of the EMT- Basic examination. Candidates may take the parts of the examination in any order the NREMT will not release the results of either until BOTH are completed.

40. Retesting If you are unsuccessful, you may retest after 14 days. This waiting period is to provide you with time to study prior to retesting.

41. We wish you success on the NREMT certification process… and in your exciting career helping others in need.