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cme recert

The NYS CME Recertification Program is currently a statewide EMS agency based program designed to allow an EMT, Advanced EMT, EMT- Critical Care, or Paramedic:
1. who is in continuous practice;
2. is able to demonstrate competency in applicable behavioral and performance objectives; and
3. completes appropriate continuing medical education, to renew their certification without taking a traditional recertification course and the state examinations.

EMTs, AEMT’s, EMT-Critical Care and Paramedics may participate in the CME Program if they are currently certified, in continuous practice providing pre-hospital care at the certification level they are seeking with an agency already registered in the CME Program, and meet all other BEMS Program requirements as stated in this manual. The agency must be authorized to provide the level of care for which the participant is seeking recertification.

Participation is voluntary. An EMS Agency can not require a member/employee to participate in the CME Program. Participants may withdraw from the Program at any time.

Participants must be in continuous practice as defined by NYS DOH BEMS, to participate in the CME Program. The EMT/AEMT must be currently certified and actively providing pre-hospital care with the agency they are enrolled with for the CME Program.

Continuous Practice - The definition of continuous practice and an “active” member of an agency will differ between agencies. However, BEMS considers proof of continuous practice as meeting the following requirements:
  1. Meeting the agency criteria for “active” member or employee of an EMS agency recognized by the Department, during their period of certification Participation in the New York State DOH Bureau of EMS 3 year CME Recertification Program requires that a participant remain in continuous practice. Continuous practice is defined by the Bureau of EMS as a NYS DOH certified EMT/AEMT who in addition to participating in continuing medical education, also responds to emergency and/or non-emergency requests for medical assistance representing the CME agency sponsoring their recertification, and on a routine basis provides pre-hospital patient care within their scope of practice as defined by Article 30 PHL and Title X NYCRR Part 800 during the recertification cycle up to and including the period of time that the recertification application has been submitted. Proof of active participation with patient care must be verifiable through run reports and PCR’s within the 3 year cycle prior to recertification.
  2. The agency is able to produce Patient Care Reports (PCR) with the CME participants name as providing care to the patient at the level of care for which the CME recertification is being sought. These Patient Care Reports must be dated after the CME participant received their last certification.
  3. ALS providers must be currently providing care at the level for which recertification is being sought. For example, a NYS certified Paramedic must be providing Paramedic level care during the period since their last certification date and must be in good standing with the region in which the agency operates. This may mean that the Paramedic must be credentialed and online in the region in which they provide EMS care. If this provider never provided Paramedic level care during their last certification cycle, then he/she is not eligible to recertify through the CME program.
**Members participating in our CME program must have 25 documented patient contacts, where you are involved in patient care, and complete the "CME Program Continuous Practice form" to get credit for Continuous Practice no later than 7 days after the call.  Documents produced after 7 days will not count towards continuous practice.

Applicants must submit, through the participating agency, a BEMS Participant Registration Form (DOH-4226). This form must be received prior to, or at the time of, recertification in the CME Program.

Application to renew their certification must be postmarked at least 45 days before their card expires.

Applications may not be submitted more than 9 months prior to their current certification expiration date.

Participants must not allow their certification to expire during the Program. Expired certifications are not eligible for renewal through the CME Program.  Participants who are taken off line are not eligible for renewal through the CME Program.
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Requirements by level

Core Refresher Training requirements for the EMT, Advanced EMT, EMT- Critical Care, and Paramedic each have specific hour and topic requirements. The following breaks down those requirements for each level of provider:

EMT-Basic
• 26 Hours of Core Refresher Training
o 1 hour Preparatory
o 2 hours Airway
o 3 hours Patient Assessment (Combined Medical and Trauma)
o 1 hour Pharmacology/ Med Administration/ Emergency Meds.
o 1 hour Immunology/ Toxicology
o 1 hour Endocrine/ Neurology
o 3 hour Abdominal/ Geni-Renal/ GI/ Hematology
o 1 hour Respiratory
o 1 hour Psychiatric
o 1 hour Cardiology
o 1 hour Shock and Resuscitation
o 4 hour Trauma
o 2 hour Geriatrics
o 2 hour OB/Neonate/Pediatrics
o 1 hour Special Needs Patients
o 1 hour EMS Operations

Advanced EMT
• 40 Hours of Core Refresher Training divided into categories of 26 hours Basic Core Refresher and 14 hours of Advanced EMT Core refresher training.
o 1 hour Basic Preparatory
o 1 hours Advance Preparatory
o 2 hours Basic Airway
o 2 hours Advanced Airway Management & Ventilation
o 3 hours Basic Patient Assessment
o 2 hours Advanced patient Assessment
o 1 hour Pharmacology/Med Admin/Emergency Meds
o 1 hour Immunology/Toxicology
o 1 hour Endocrine/Neurology
o 3 hours Abdominal/Geni-Renal/GI/Hematology
o 1 hour Respiratory
o 1 hour Psychiatric
o 1 hour Cardiology
o 1 hour Shock & Resuscitation
o 4 hours Advanced Medical
o 2 hours Advanced Pharmacology
o 4 hours Basic Trauma
o 3 hours Advanced Trauma
o 2 hours Geriatrics
o 2 hours OB/Neonate/Pediatrics
o 1 hour Special Needs Patients
o 1 hour EMS Operations

EMT-Critical Care
• 36 Hours of Core Refresher Training
o 5 hours Preparatory
o 5 hours Airway Management & Ventilation
o 8 hours Trauma
o 12 hours Medical, Behavioral to include;
o 5 hours Respiratory & Cardiac Emergencies
o 2 hours Allergic Reactions and Poisoning
o 2 hours Neurological and Abdominal Emergencies
o 3 hours Environmental, Behavioral, Gynecological
o 5 hour Special Considerations to include;
o 2 hours Obstetric Emergencies
o 1 hour Neonatology
o 2 hours Pediatrics
o 1 hour Operations

EMT- Paramedic
48 Hours of Core Refresher Training
o 6 hours Preparatory
o 6 hours Airway Management & Ventilation
o 10 hours Trauma
o 18 hours Medical to include;
o 6 hours Pulmonary and Cardiology
o 3 hours Neurology, Endocrinology, Allergies & Anaphylaxis
o 3 hours Gastroenterology, Renal & Urology, Toxicology, Hematology
o 3 hours Environmental Conditions, Infectious & Communicable Diseases, Behavioral
o 3 hours Gynecology and Obstetrics
o 6 hour Special Considerations to include;
o 3 hours Neonatology and Pediatrics
o 1 hour Abuse and Assault
o 2 hours Patients with Special Challenges and Acute Interventions for Chronic Care Patients.
o 2 hours Operations

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Additional CME (Non-Core)
Additional CMEs allow for the study of a variety of EMS related topics to fit the interest of the participant or to meet the needs of the agency and community. It allows for more options and choices for an individual Provider and can be utilized to update and/or introduce new material. Unlike the Core refresher training, additional CME’s are intended to expand upon the basic knowledge learned in an original EMS course. Additional CME’s require a minimum number of CME hours depending on the level of recertification.

The required minimum levels of additional CME hours are:
• 46 Hours EMT- Basic
• 38 Hours AEMT
• 36 Hours EMT- Critical Care
• 24 Hours EMT- Paramedic

Ways to obtain additional CME credits include:
Agency drills and in-service EMS training such as:
• Skills workshops,
• Protocol updates and review,
• QI call reviews, and audits.
OSHA and other mandatory training including:
• Ambulance driving and safety,
• Some Hazmat,
• Weapons of Mass Destruction
• Incident Command System training.
EMS Conferences, Seminars, and Lectures such as:
• Vital Signs Conference
• Pulse Check
• EMS Today
• EMS Expo
Nationally recognized continuing education programs (original or refresher) including;
• Pediatric courses, PALS, PEPP, EPC etc.
• Trauma courses, PHTLS, ITLS, BTLS etc.
• Adult and Geriatric courses such as AMLS, GEMS etc.
Self Study Activities including;
• Internet and Web based courses and programs.
• Magazine articles and EMS Literature review etc.

WMD
WMD/Terrorism Awareness for Emergency Responders
Terrorism, Preparedness, and Public Health: An Introduction

GERIATRICS
Register at:  www.MedPageToday.com

OTHER RESOURCES
http://americancme.com

Ref: http://www.health.ny.gov/professionals/ems/certification/docs/2013_cme_recertification_program_manual.pdf

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