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

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as an emt
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”
the certification process
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.

the computer adaptive test
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
computer based testing
Computer Based Testing

CBT is simply the use of a computer to deliver an examination

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)

The Two Types of CBT
what is classical test theory
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
computer adaptive testing
Computer Adaptive Testing
  • An “adaptive test” presents the candidate with items that will be most informative for measuring ability.
  • Each test is tailored to the individual candidate.
the two types of cbt10
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

The Two Types of CBT
what is item response theory irt
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.

combining cat and irt
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
ability
Ability

Where is Entry-Level

Competence?

1 2 3 4 5 6 7 8 9 10

Ability

ability14
Ability

10

8

6

4

2

0

Ability

1 2 3 4 5 6 7 8 9 10

Ability

an adaptive test
An Adaptive Test

10

8

6

4

2

0

Ability

Question

the perfect candidate
The “Perfect Candidate”

10

8

6

4

2

0

Exam begins

Ability

Question

the perfect candidate17
The “Perfect Candidate”

10

8

6

4

2

0

Evaluation begins

Ability

Question

the perfect candidate18
The “Perfect Candidate”

10

8

6

4

2

0

Evaluation begins

Ability

Question

the ability estimate
The Ability Estimate

10

8

6

4

2

0

Ability

Question

the ability estimate20
The Ability Estimate

10

8

6

4

2

0

Ability

Question

the ability estimate21
The Ability Estimate

10

8

6

4

2

0

Evaluation ends

Ability

Question

slide22
The Candidate Passes!!!

We are at least 95% confident that the candidate’s true ability is above the passing standard.

an unsuccessful candidate
An Unsuccessful Candidate

10

8

6

4

2

0

Ability

Question

when is the test over
When is the test over?
  • The computer determines with at least 95% certainty that the candidate’s 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*.

*=infrequent

computer adaptive testing25
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.
important concepts
Important concepts
  • There is no minimum percentage of items correct to pass.
  • Every candidate will be challenged to the limit of his/her ability.
more fair and accurate evaluation
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
results
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
other benefits of cbt
Other Benefits of CBT
  • Increased testing flexibility
  • Enhanced exam security
  • Increased professionalism of EMS
pearson vue access
Pearson VUE-Access
  • World’s 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
the pearson vue network
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
the application
The Application

Click Here

the application35
The Application

Click Here

the application36
The Application

Click Here

scheduling an exam
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.
individual results
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
integration with the practical
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.
retesting
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.
slide41
We wish you success on the

NREMT certification process…

and in your

exciting career

helping others

in need.

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