The NQEMT Examination consists of four sections;
MCQ (120 test items)
Short answer (6 questions to answer)
Primary skills (six skills)
Secondary skills (eight skills randomly chosen)
Section 1 consists of 120 MCQs, to be completed within 1.5 hours, presented to the candidates on a computer programme. Candidates are offered an EMT-Aopportunity to sit a mock MCQ examination to familiarise themselves with the MCQ computer programme.
To date 101 of the total 102 candidates have passed Section 1, 91 on their first attempt, 7 on their second attempt and 3 on their third attempt.
Section 2 consists of 6 short answers, to be completed within 2 hours. Question one (cardiac management), question two (airway or trauma management) and question three (medical emergency management) are compulsory. The candidate has then to complete three of six questions which may be from any part of the syllabus.
To date 95 of the total 102 candidates have passed Section 2, 83 on their first attempt, 10 on their second attempt and 2 on their third attempt.
The Medical Advisory Group (MAG) of PHECC are finalising the Clinical Practice Guidelines (Advanced) and Medication Formulary to support the training and implementation of EMT-A.
Section 3 consists of 6 primary skills assessments. Each skill to be completed within 8 minutes. The primary skills are as follows;
Automated External Defibrillator (AED) use in cardiac arrest
Cardiopulmonary Resuscitation (CPR)
Initial patient assessment
Patient assessment skills
Section 4 consists of 8 secondary skills selected at random for each examination from the skills assessments published by PHECC. Section 3 and section 4 are completed together in a circuit, each skill to be completed within 8 minutes.
In general primary and secondary skills assessments have not presented difficulties for candidates and candidates who have been offered resits perform particularly well on the resits.
To mark the first completed year of NQEMT Examinations and to identify and implement opportunities to quality improve the content and conduct of the examination, PHECC is conducting a thorough review of all aspects of the NQEMT Examination. This will build on the external review of the first examination by Professor Paul Finucane, Director of Competence Assurance at the Medical Council, and ensure the integrity of the NQEMT Examination into the future.