The relationship between high school class rank and performance on the paramedic national certification written exam

Margolis, Gregg S.; Wagoner, Robert L.

doi:10.1016/j.prehos.2004.06.003

Cited by 2 publications

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“…5 Most of the relationships between the independent variables and the outcome have been shown to be significantly related through separate univariate analyses. [2][3][4] Notably, all independent variables that demonstrated significance in the prior univariate analyses remained in this multivariable model. This study also expands upon the work completed by Dickison et al, 5 by including a greater number of variables.…”

Section: Discussionmentioning

confidence: 99%

“…A significant association between paramedic instructor credentials (clinical and educational) and first-time pass rate on the cognitive portion of the NREMT certification examination has been shown. 2 Also, an association between paramedic students' high school class rank and success on the national certification exam has been described. 3 Finally, self-reported educational level was determined to be associated with success on the EMT-Basic national certification examination.…”

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confidence: 99%

“…2 Also, an association between paramedic students' high school class rank and success on the national certification exam has been described. 3 Finally, self-reported educational level was determined to be associated with success on the EMT-Basic national certification examination. 4 Recently, Dickison et al 5 utilized a multivariable model to analyze the effects of national program accreditation.…”

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confidence: 99%

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Estimating the Probability of Passing the National Paramedic Certification Examination

Fernández

Studnek

Margolis

2008

Academic Emergency Medicine

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Objectives: It is hypothesized that student and program characteristics will influence the probability of passing the national paramedic certification exam. The objective of this study was to utilize student and program characteristics to build a statistical model to determine the probability of success on the cognitive portion of the national paramedic certification exam. Methods:The study population for this analysis consisted of graduates attempting the National Registry of Emergency Medical Technicians (NREMT) paramedic written examination from January 1, 2002, through December 31, 2002. To be included in this analysis, graduates must have been first-time testers and have completed a survey attached to the exam. Independent variables analyzed reflected program and student characteristics derived from the survey questions and the NREMT application. A multivariable logistic regression model was fit to the outcome (pass ⁄ fail) of the examination.Results: Complete demographic and survey data were available for 5,208 (86.8%) individuals. The final multivariable logistic regression model included nine independent variables. There were two programmatic characteristics (national accreditation and instructor qualification), six student characteristics (high school class rank, years of education, required for employment, age, race, and gender), and one graduate characteristic (elapsed time since course completion) that had a significant effect on the probability of passing the examination.Conclusions: National program accreditation, lead instructor qualifications, student educational background, and student demographics are all significantly associated with the probability of success on the national paramedic certification examination. This model can be used by program directors, paramedic program instructors, and prospective paramedic students to maximize the probability of attaining national paramedic certification. ACADEMIC EMERGENCY MEDICINE 2008; 15:258-264 ª 2008 by the Society for Academic Emergency MedicineKeywords: emergency medical services, paramedic, education, logistic models, certification N ational certification is required in 46 states to obtain a state paramedic license. To qualify for national certification, individuals must complete a state-approved paramedic training program and pass a cognitive and psychomotor certification exam. The current and projected demand for qualified paramedics 1 highlights the importance of emergency medical services (EMS) training programs that are efficient, effective, and employ data to monitor and continuously improve educational quality.There have been several studies describing the impact of student and program attributes and their association with success on the national paramedic certification exam. A number of studies have explored univariate associations with success or failure of the National Registry of Emergency Medical Technicians (NREMT) certification examination. A significant association between paramedic instructor credentials (clinical and edu...

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confidence: 99%

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Estimating the Probability of Passing the National Paramedic Certification Examination

Fernández

Studnek

Margolis

2008

Academic Emergency Medicine

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“…The association between EMS student and program characteristics has been well discussed in previous literature 3–6 . It has been recognized that program accreditation and instructor credentials are important program factors related to student success 3,4,7–9 .…”

Section: Discussionmentioning

confidence: 98%

“…While there has been a fair amount of research investigating paramedic education, 3–9 there has been much more limited research investigating emergency medical technician‐basic (EMT‐B) education and the effect that length of EMT‐B certification may have on future EMS education 10–14 . Several studies have assessed the predictive nature of other examinations with respect to success on the national paramedic certification examination, 10,13,14 but this relationship has not been assessed with respect to the national EMT‐B certification examination.…”

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The Association Between Emergency Medical Technician‐Basic (EMT‐B) Exam Score, Length of EMT‐B Certification, and Success on the National Paramedic Certification Exam

Fernández

Studnek²,

Cone

2009

Academic Emergency Medicine

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Objectives: Factors that affect success on the national paramedic certification examination have been identified. However, there are no known studies that have examined success on the paramedic exam with respect to either Emergency Medical Technician-Basic (EMT-B) examination score or length of EMT-B certification (which may reflect field experience gained prior to enrolling in paramedic training). The objectives of this study included assessing the relationship of EMT-B examination score and length of EMT-B certification to success on the national paramedic certification examination.Methods: Study data were obtained from the National Registry of EMTs (NREMT). First attempts of the NREMT paramedic certification exam from 2002 to 2006 were included. To assure that EMT-B certification exam scores were recorded, analysis was limited to individuals in the 14 states that have utilized NREMT for initial certification of both EMT-Bs and paramedics since January 1, 1997. This also facilitated accurate calculations of the length of EMT-B certification.Results: There were 11,163 individuals meeting inclusion criteria, and a complete case analysis was performed on 9,148, of whom 5,826 (63.7%) passed the national paramedic exam. The mean (±SD) score on the EMT-B cognitive exam was 75.5 (±6.4%), and the mean (±SD) length of EMT-B certification prior to paramedic testing was 3.2 (±2.3) years. When placed in a logistic regression model, the EMT-B exam score variable was categorized in quartiles (£71%, 72%-75%, 76%-79%, and ‡80%), and the length of EMT-B certification variable was dichotomized (£1.6 years vs. >1.6 years). With respect to paramedic exam success, after controlling for known confounders, there was an increase in the odds ratio (OR) across each of the quartiles of EMT-B exam score. The largest difference was seen when comparing the lowest and highest quartiles (paramedic exam pass rates of 45.6 and 80.8%, respectively; OR = 5.4, 95% confidence interval [CI] = 4.7 to 6.2). Individuals whose length of EMT-B certification was >1.6 years had increased odds of passing the paramedic examination (OR = 1.2, 95% CI = 1.1 to 1.3). The multivariable logistic regression model demonstrated good fit (p = 0.62).Conclusions: Both EMT-B examination score and length of EMT-B certification are associated with success on first attempt at the cognitive portion of the national paramedic certification exam. Educators may wish to consider these two factors when determining paramedic program admission standards and ⁄ or consider these variables when determining how to allocate program resources.ACADEMIC EMERGENCY MEDICINE 2009; 16:881-886 ª 2009 by the Society for Academic Emergency MedicineKeywords: emergency medical technicians, emergency medical services, certification, professional education T here is a high demand for qualified paramedics, and this demand is projected to persist in the coming years.1 Almost every state requires national certification to obtain state licensure and provide patient care as a paramedic.2 As such...

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The relationship between high school class rank and performance on the paramedic national certification written exam

Cited by 2 publications

References 0 publications

Estimating the Probability of Passing the National Paramedic Certification Examination

Estimating the Probability of Passing the National Paramedic Certification Examination

The Association Between Emergency Medical Technician‐Basic (EMT‐B) Exam Score, Length of EMT‐B Certification, and Success on the National Paramedic Certification Exam

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