Embed Size (px)
Citation preview
CoAEMSP Appendix G-Are you Ready?
Dr. Gordon A. KokxAssociate DirectorCoAEMSPMay 30, 2019
Gordy Kokx, PhD, NRPAssociate Director Lisa Collard
Accreditation Services Specialist
• “Required” and “Recommended”• Required:
“to claim or ask for by right and authority”• Recommended:
“to present as worthy of acceptance or trial”• Merriam-Webster, 2019• Today’s information is Recommended!
Two Critical Words
The people have often made mistakes, but given time and facts, they will make corrections.” Harry S. Truman
We are under no illusion we have arrived at the perfect set of recommendations…we rather are at the beginning of the journey.
§ We live in a time when research and science are often questioned
§ (e.g. a “post-truth” culture)
§ Existential relativisim – alternative facts and truth
Big Cultural Challenges
Some critics have argued:
§ “There is no need for Accreditation”
§ “There is no need for the National Registry”
§ “Accreditation makes no difference in my program”
§ “Only a select few will get accredited”
§ “The whole thing is a scam”
§ “There is no evidence to support any of this”
§ “It’s a grand conspiracy to make money”
Why Bother?
Strategies of High-Performing Paramedic Educational Programs
Conclusion. Twelve specific strategies were identified by representatives from high-performing paramedic education programs.
The first strategy: 1) achieve and maintain national accreditation
Margolis, et al (2005)
Some Evidence to the Contrary…
Program Accreditation Effect on Paramedic Credentialing Examination Success Rate
Conclusion. Students who attended an accredited paramedic program were more likely to achieve a passing score on a national paramedic credentialing examination. Additional studies are needed to identify the aspects of program accreditation that lead to improved examination success.
Dickison, et al (2006)
Some Evidence to the Contrary…
Paramedic Program Accreditation and Student Performance on the National Paramedic Certification Examination
Conclusion. Students graduating from accredited paramedic programs exhibited significantly higher first-attempt and cumulative third-attempt pass rates compared to graduates of non-accredited programs.
Rodriguez, et al (2016)
Some Evidence to the Contrary…
n= 8,404 programs (2012)
n= 8,404 programs (2012)
§ Severo A. Rodriguez, PhD, NRP1,2, Remle P. Crowe, MS, NREMT1, Rebecca E. Cash, MPH, NRP1, Ashish R. Panchal, MD, PhD1,2
§ 1The National Registry of EMTs, 2Center for EMS, Wexner Medical Center, The Ohio State University
§ Conclusions…
§ Further studies are needed to identify the specific
reasons for the positive affect of accreditation on paramedic education
Further Studies Needed
• Learn how the recommended minimum numbers were determined
• Identify the steps a Paramedic program must take to establish minimum numbers
• Discuss the three CAAHEP Standards that support competency
minimums for patients, interventions, and team leader experiences
• Identify important deadlines
Objectives
§ Hours-based
§ National Curriculum 1998
§ National EMS Education Standards
§ Evidence Based Recommendations
How did we get here?
Where did the research originate?
§ The evidence came from a retrospective analysis of nearly 3 million Paramedic student educational experiences in clinical and field settings. De-identified data was supplied by FISDAP, Platinum Educational Group, and the National Registry.
§ All of the recommended minimums were shown to be very achievable across the vast demographics of the country’s programs. In fact, most programs achieved far more than the recommended minimums.
Is the research published?
§ The Table 1 data is in the process of being submitted for
peer-reviewed journal publication.
§ The Program Director must work with Medical Director to determine and approve minimums.
§ After they are approved by the Program Director and Medical Director, the minimum competencies must be endorsed by the program’s Advisory Committee.
How Does a Program Establish Minimums?
§ A Program Director must work with Medical Director to review and approve minimum competencies by July 1, 2019!
§ The minimum competencies must also be endorsed by the program’s Advisory Committee by July 1, 2019!
Remember: July 1, 2019!
July 1, 2019
• III.A.2. Hospital/Clinical Affiliations and Field/Internship Affiliations
§ Critical components to this process are demonstrating the program is providing “adequate numbers of patients, proportionally distributed by age-range, chief complaint and interventions in the delivery of emergency care”
• III.C.1. Curriculum (Sequencing)
§ Showing progression of learning from the class to the lab to clinical to field to the capstone field internship
• III.C.2. Curriculum (Establishing Minimums)
§ Establishing a minimum number of patient encounters prior to program completion
What are the Relevant CAAHEP Standards?
And now….
The Main Attraction!!!
This Photo by Unknown Author is licensed under CC BY
§ As a program director, may I choose to submit either the “old” or the “new” version of Appendix G when I submit my self study?
§ Yes, until July 1, 2020.
Question…
§ When will I be required to submit the “new” version of Appendix G in a self-study?
§ You may use it at any time, but will be required to submit it after July 1, 2020.
Question…
The portfolio was required by the NREMT for any paramedic cohorts that began on or after August 1, 2016.
Remember…
Are we allowed to count patients with multiple diagnosis or complaints who require multiple skills?
YES!!!
Question…
Ø Minimum instructor-evaluated skills have been marked with an asterisk * (consistent with the Registry Portfolio).
What is new in Appendix G since the last Webinar?
Ø
Are “Overlaps” in learning sequences allowed?
Ø This has been a frequent question.
Ø Yes! Programs are encouraged to use peer evaluation throughout the portfolio.
Ø The CoAEMSP recommends following the peer and instructor-evaluation
methods consistent with the Registry Portfolio.
Are peer evaluations allowed?
Ø The process for submission of rationale/evidence of minimum competency
numbers below the CoAEMSP Recommended Minimum Numbers will be discussed by the CoAEMSP Board.
Ø Other questions?
Future Discussion
This Photo by Unknown Author is licensed under CC BY-NC
