Authors: Edward Oliphant, BA, NRP Santa Fe Community College; Logan Smestad, BA, NRP University of Minnesota Medical School; Jackson D. Déziel, PhD, MPA, NRP Western Carolina University

Objective: The connection between academic performance and self-efficacy (i.e., self-confidence) is well-established in many disciplines. Yet, this relationship among entry-level EMT students remains to be determined This study seeks to identify a correlation to serve as a predictive measure between EMT student self-efficacy and academic performance on a summative EMT exam. Student self-confidence scores were compared in relation to the their respective summative Fisdap EMT Readiness Exam 2.0 (ERE2) scores.

Methods: A retrospective analysis of the ERE2 was performed utilizing Fisdap educational data. Analysis employed the Fisdap pre-course General Self-Efficacy evaluation. Multivariate linear regression analyses were conducted using robust standard errors while controlling for potential confounders.

Results: A sample of 11,680 EMT students were included for analysis. Results indicated that student-reported self-confidence is a positive predictor of success on the ERE2. Students scoring above the mean on the General Self-Efficacy evaluation (i.e., high self-confidence) scored an average of over six-points higher on the ERE2 (: 6.44, p<0.0001).

Conclusion: Similar to other fields, self-efficacy of EMT students appears to have a positive relationship with end-of-course academic performance. As EMT training grows in demand and scope, educators must be highly cognizant of their incoming students’ emotional readiness and self-efficacy. The results of this study may aid the efficient allocation of educational resources in the classroom and beyond.