![]() Candidates should not be concerned about the ability level of an item on a CAT exam. The number of pilot items included on each exam is detailed below:ĬAT examinations are delivered in a different manner than fixed-length exams such as computer-based linear tests and pencil-paper exams and may feel more difficult. Examinations do not factor pilot questions into a candidate’s performance. Pilot Questionsĭuring National Registry exams, every candidate receives pilot questions that are indistinguishable from scored items. The Board considers this recommendation and the impact on the community to set the minimum passing standard. Panel assessments are combined to form a recommendation on the minimum passing standard for the exam. The panel uses various recognized methods (such as the Angoff method) to assess how a minimally competent provider would respond to examination items. Psychometricians, experts in testing, facilitate the panels. A recommendation from a panel of experts and providers from the EMS community informs the Board’s actions. The National Registry Board of Directors sets the passing standard and reviews it at least every three years. The minimum passing standard is the level of knowledge or ability that a competent EMS provider must demonstrate to practice safely. The level of ability required to respond to an item correctly may be low, moderate, or high, depending on the estimated difficulty of the test question. The difficulty statistic of an item identifies the “ability” necessary to answer an item correctly. The National Registry places only items that meet rigorous standards as scored questions on the examination. Piloted items that do not meet the National Registry’s strict standards for calibration are revised and re-piloted or discarded. The National Registry does not count responses to piloted items towards the candidate's score. The National Registry collects enough data from candidate responses to pilot items to estimate each item’s level of difficulty and evaluate the item for evidence of bias. Items are then pilot tested during live examinations. This review process includes internal and external subject matter expert review, referencing, and editing. Incorrect responses are not partially correct.Next, the item goes through an extensive review process to ensure: First, external subject matter experts draft an item, also known as a test question. ![]() The National Registry uses the same process to develop all test items. A linear CBT exam is a fixed-length, computer version of a paper and pencil exam. A passing standard, identical for all candidates at their level of certification, is used to determine whether a candidate is successful or unsuccessful on the cognitive examination.Ĭandidates seeking National EMS Certification as an Advanced EMT take linear examinations. The National Registry uses the CAT format for Emergency Medical Responder (EMR), Emergency Medical Technician (EMT), and Paramedic (NRP) examinations. CAT examinations allow shorter, more precise tests individualized to each candidate’s level of knowledge and skills. The National Registry has two examination formats for the cognitive examination: Computer Adaptive Tests (CAT) and Linear examinations. Scenario Videos: The following scenario videos are EMALB-ready examples to give you an idea of how to perform a call during your licensing exam.About the National Registry Cognitive Examinations They are based on EMALB guidelines, and can assist with test preparation. Patient Care Flowcharts: The flowcharts below are to help you recognize the necessary EMR actions for a variety of patient presentations, and to establish an effective priority of care for best patient outcomes. NEW - Intensive EMALB License Prep Class: Is your licensing date coming up, but its been ages since your last EMR practice session? Are your skills rusty, your confidence shaken, and your nights sleepless? Our new EMALB license prep class might be for you! This is 3 Days of training, laser-focused on the BC EMR licensing exam! Visit the course page for details and registration, and contact us with any questions (and to get your 20% alumni discount code). We are limiting participation to 9 people per night - only register for nights you are able to attend. Scheduling Your Licensing Exam EMR Practice & Preparation ResourcesĮMR Practice Nights: Please register here for our EMR practice nights in Vancouver, and here for EMR practice nights in Squamish. Also, check out our Definitive Guide For EMR Licensing - this PDF includes the latest provincial exam guidelines, and all Coast supplements to help you ace your licensing exam. Use the following links to book your EMR licensing exam, and to learn what the requirements are for you to maintain your license year after year.
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