What's New in the Latest Version of the Paramedic Psychomotor Competency Portfolio?By Nora Vanni

March 17, 2015

Beginning in 2009, the National Registry of EMTs (NREMT) began piloting the Paramedic Psychomotor Competency Portfolio, an educational rubric designed to help reliably track a student’s psychomotor performance over time. Last month, the NREMT released the most recent version of the PPCP.

Curious or confused about what’s different in this new document? We spoke with Todd Vreelund at the NREMT to learn more about the changes and how they will affect your program.

The evaluation scale has changed from 0-1 to 0-1-2.

Since the PPCP is used while a student is still learning, the NREMT has adjusted the evaluation scale from a 2-point Likert scale to a 3-point scale. This allows an extra shade of gray without expanding the scale much:

0 - Unsuccessful; required critical or excessive prompting; inconsistent; not yet competent
1 - Not yet competent; marginal or inconsistent; includes partial attempts
2 - Successful; competent; no prompting necessary

Critical criteria (items which a student must complete successfully, or will otherwise fail the entire evaluation) haven’t changed extensively. Check the newest version for the most up-to-date information.

The evaluation cut scores have likewise been doubled in accordance with this new scale.

Simplified process by eliminating recommendation for clinical evaluation forms.

Rather than including the previously required forms for the evaluation of skills such as ventilation, meds, etc. in the clinical setting, evaluators now may use the standard shift evaluation worksheet for clinical skills.

These clinical-specific sheets were removed after the NREMT received feedback that they were too time consuming for evaluators. That said, while the NREMT has removed this recommendation, programs are still welcome to use these forms to enhance their documentation.

An implementation manual to help programs adopt the evaluation model.

This manual includes a sample scenario, along with directions on how to track evaluations and skills. Beginning as early as 2007, the NREMT began work on this manual. The NREMT has released this document as the culmination of years of work (going back as far as 2007) with a group of subject-matter experts and programs piloting the PPCP.

A how-to guide for creating psychomotor scenarios.

This version of the PPCP includes a word document template which educators can use as a foundation for creating psychomotor scenario-based evaluations. The scenario description includes minimum required equipment, setup instructions, background information, and moulage. The template also lays the groundwork for the scenario script, including dispatch information, scene survey information, primary assessment, and patient management. Creating your own scenarios can seem daunting, but this template gives you a leg up on the process.

A few other small changes:

  • In Appendix B, there have been a few changes in which evals must be administered by an instructor (specifically, abnormal/normal delivery and needle cricothyrotomy).
  • Candidates testing for their NREMT cert will have 20 minutes scenario rather than 15.

Check here for the latest version of the PPCP and related documents.

The newest versions of the PPCP evaluations will be available in Fisdap soon. To receive notice when they become available for your program, email Mike Mayne at mmayne [at] fisdap [dot] net (subject: New%20PPCP%20Evals) .

(Updated 3/17/15)

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