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Re: NREMT Computer Testing

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Stinks, Sucks, Smells, Crap, Private Enterprise smells of money,

ecttttt.......... Just another example where TDH sold us out instead of

making test writing a priority. The same old we don't have enough help,

money, time or whatever to get it done. They seem to have enough help to

collect fees for nothing. We all know that NR works with you if a test

is lost or you think it has been graded in error NOT!!!!!!!! So what

would give anyone with even a little common sense the impression that

when the internet screws up that NR will do anything but charge you

again.

Henry

Henry

ExLngHrn@... wrote:

> Does anyone have any thoughts or opinions on NREMT's upcoming

> transition to computer-based testing (conducted by a private service)

> as opposed to the current written exams?

>

> While I like the rapid turnaround for grading, it seems to me that now

> that Texas gave up its independence in testing to become a NR state,

> we are stuck with whatever NREMT produces, including higher costs.

>

> -Wes Ogilvie, MPA, JD, EMT-B

> Austin, Texas

>

>

>

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I think it is a great idea!!!!!!!!!!!!

--- ExLngHrn@... wrote:

> Does anyone have any thoughts or opinions on NREMT's

> upcoming transition to computer-based testing

> (conducted by a private service) as opposed to the

> current written exams?

>

> While I like the rapid turnaround for grading, it

> seems to me that now that Texas gave up its

> independence in testing to become a NR state, we are

> stuck with whatever NREMT produces, including higher

> costs.

>

> -Wes Ogilvie, MPA, JD, EMT-B

> Austin, Texas

>

>

> [Non-text portions of this message have been

> removed]

>

>

__________________________________________________

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Why? Do you like the increased costs as well?

-Wes

Re: NREMT Computer Testing

I think it is a great idea!!!!!!!!!!!!

--- ExLngHrn@... wrote:

> Does anyone have any thoughts or opinions on NREMT's

> upcoming transition to computer-based testing

> (conducted by a private service) as opposed to the

> current written exams?

>

> While I like the rapid turnaround for grading, it

> seems to me that now that Texas gave up its

> independence in testing to become a NR state, we are

> stuck with whatever NREMT produces, including higher

> costs.

>

> -Wes Ogilvie, MPA, JD, EMT-B

> Austin, Texas

>

>

> [Non-text portions of this message have been

> removed]

>

>

__________________________________________________

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Any particular reasons why?

Mike :)

> I think it is a great idea!!!!!!!!!!!!

>

> --- ExLngHrn@... wrote:

>

> > Does anyone have any thoughts or opinions on NREMT's

> > upcoming transition to computer-based testing

> > (conducted by a private service) as opposed to the

> > current written exams?

> >

> > While I like the rapid turnaround for grading, it

> > seems to me that now that Texas gave up its

> > independence in testing to become a NR state, we are

> > stuck with whatever NREMT produces, including higher

> > costs.

> >

> > -Wes Ogilvie, MPA, JD, EMT-B

> > Austin, Texas

> >

> >

> > [Non-text portions of this message have been

> > removed]

> >

> >

>

>

> __________________________________________________

>

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Now, now Henry! From the sound of your post I would say you have been

spending too much time with that low life trouble maker Lee !

Re: NREMT Computer Testing

Stinks, Sucks, Smells, Crap, Private Enterprise smells of money,

ecttttt.......... Just another example where TDH sold us out instead of

making test writing a priority. The same old we don't have enough help,

money, time or whatever to get it done. They seem to have enough help to

collect fees for nothing. We all know that NR works with you if a test

is lost or you think it has been graded in error NOT!!!!!!!! So what

would give anyone with even a little common sense the impression that

when the internet screws up that NR will do anything but charge you

again.

Henry

Henry

ExLngHrn@... wrote:

> Does anyone have any thoughts or opinions on NREMT's upcoming

> transition to computer-based testing (conducted by a private service)

> as opposed to the current written exams?

>

> While I like the rapid turnaround for grading, it seems to me that now

> that Texas gave up its independence in testing to become a NR state,

> we are stuck with whatever NREMT produces, including higher costs.

>

> -Wes Ogilvie, MPA, JD, EMT-B

> Austin, Texas

>

>

>

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Don't hold back, Henry. Tell us what you REALLY think. <eg>

Gene

> Stinks, Sucks, Smells, Crap, Private Enterprise smells of money,

> ecttttt.......... Just another example where TDH sold us out instead of

> making test writing a priority. The same old we don't have enough help,

> money, time or whatever to get it done. They seem to have enough help to

> collect fees for nothing. We all know that NR works with you if a test

> is lost or you think it has been graded in error  NOT!!!!!!!! So what

> would give anyone with even a little common sense the impression that

> when the internet screws up that NR will do anything but charge you

> again.

>

> Henry

>

>

> Henry

>

> ExLngHrn@... wrote:

>

> >  Does anyone have any thoughts or opinions on NREMT's upcoming

> > transition to computer-based testing (conducted by a private service)

> > as opposed to the current written exams?

> >

> > While I like the rapid turnaround for grading, it seems to me that now

> > that Texas gave up its independence in testing to become a NR state,

> > we are stuck with whatever NREMT produces, including higher costs.

> >

> > -Wes Ogilvie, MPA, JD, EMT-B

> > Austin, Texas

> >

> >

> >

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Quinten:

That's a knee slapper all right! Texas has NO money. When it gets done

with the school funding fiasco there won't be anything left for anybody else.

I suggest you find a good CE program and join it. BTW, why isn't your

service providing you with the CE you need?

Gene G.

>

> I

>   Maybe

> Texas can take the money it saves in test creation and provide some CE

> training for EMS.

>

> Quinten

> Firefighter/Paramedic

>

> NREMT Computer Testing

>

>

> Does anyone have any thoughts or opinions on NREMT's upcoming transition to

> computer-based testing (conducted by a private service) as opposed to the

> current written exams?

>

> While I like the rapid turnaround for grading, it seems to me that now that

> Texas gave up its independence in testing to become a NR state, we are stuck

> with whatever NREMT produces, including higher costs.

>

> -Wes Ogilvie, MPA, JD, EMT-B

> Austin, Texas

>

>

>

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I like the idea of one test for paramedics nation wide. As much as we hate

comparing ourselves to nurses it will be like their NCLEX. There should be

some continuity from state to state on EMS skills. I transferred here from

a NR state and using the NR for an exam did in no way take away from the

state or the pride in EMS.

If we strive to be recognized nationally as professionals...what is wrong

with one national test.

BTW it is more money out of my pocket keeping current as a medic here in

Texas than it was in Arizona so I don't think it is a money issue. Maybe

Texas can take the money it saves in test creation and provide some CE

training for EMS.

Quinten

Firefighter/Paramedic

NREMT Computer Testing

Does anyone have any thoughts or opinions on NREMT's upcoming transition to

computer-based testing (conducted by a private service) as opposed to the

current written exams?

While I like the rapid turnaround for grading, it seems to me that now that

Texas gave up its independence in testing to become a NR state, we are stuck

with whatever NREMT produces, including higher costs.

-Wes Ogilvie, MPA, JD, EMT-B

Austin, Texas

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We have given up many of our concessions that were originally talked

about whenever the NR came in. Then the old bait and switch thing

happened.

Giving up decentralized paramedic skills testing by the educational

institution and keeping the Texas ECA tests were a few. Our program had

to increase tuition in order to have a scheduled skills test for our

students. In order to be an ECA, one now must take the NR First

Responder exam. It seems there are a lot fewer ECAs around these days.

I still do not believe that the NR test is a better testing mechanism.

In fact, the NR has never shown any educational testing and measure

research concerning the validity of test failure by subscales.

Make no mistake - the NR still smiles like a Cheshire cat when they

think of " getting " Texas.

-MH

>>> ExLngHrn@... 5/11/2006 1:53 pm >>>

Does anyone have any thoughts or opinions on NREMT's upcoming

transition to computer-based testing (conducted by a private service) as

opposed to the current written exams?

While I like the rapid turnaround for grading, it seems to me that now

that Texas gave up its independence in testing to become a NR state, we

are stuck with whatever NREMT produces, including higher costs.

-Wes Ogilvie, MPA, JD, EMT-B

Austin, Texas

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Anyone here into Star Trek? All of a sudden, I'm picturing Locutus of NREMT.

" Resistance is futile. You will be assimilated. "

-Wes

Re: NREMT Computer Testing

We have given up many of our concessions that were originally talked

about whenever the NR came in. Then the old bait and switch thing

happened.

Giving up decentralized paramedic skills testing by the educational

institution and keeping the Texas ECA tests were a few. Our program had

to increase tuition in order to have a scheduled skills test for our

students. In order to be an ECA, one now must take the NR First

Responder exam. It seems there are a lot fewer ECAs around these days.

I still do not believe that the NR test is a better testing mechanism.

In fact, the NR has never shown any educational testing and measure

research concerning the validity of test failure by subscales.

Make no mistake - the NR still smiles like a Cheshire cat when they

think of " getting " Texas.

-MH

>>> ExLngHrn@... 5/11/2006 1:53 pm >>>

Does anyone have any thoughts or opinions on NREMT's upcoming

transition to computer-based testing (conducted by a private service) as

opposed to the current written exams?

While I like the rapid turnaround for grading, it seems to me that now

that Texas gave up its independence in testing to become a NR state, we

are stuck with whatever NREMT produces, including higher costs.

-Wes Ogilvie, MPA, JD, EMT-B

Austin, Texas

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If he agrees with my thoughts then he is the mannnnnnnn.

Henry

Lee wrote:

> Now, now Henry! From the sound of your post I would say you have been

>

> spending too much time with that low life trouble maker Lee

> !

>

> Re: NREMT Computer Testing

>

> Stinks, Sucks, Smells, Crap, Private Enterprise smells of money,

> ecttttt.......... Just another example where TDH sold us out instead

> of

> making test writing a priority. The same old we don't have enough

> help,

> money, time or whatever to get it done. They seem to have enough help

> to

> collect fees for nothing. We all know that NR works with you if a test

>

> is lost or you think it has been graded in error NOT!!!!!!!! So what

> would give anyone with even a little common sense the impression that

> when the internet screws up that NR will do anything but charge you

> again.

>

> Henry

>

>

> Henry

>

> ExLngHrn@... wrote:

>

> > Does anyone have any thoughts or opinions on NREMT's upcoming

> > transition to computer-based testing (conducted by a private

> service)

> > as opposed to the current written exams?

> >

> > While I like the rapid turnaround for grading, it seems to me that

> now

> > that Texas gave up its independence in testing to become a NR state,

>

> > we are stuck with whatever NREMT produces, including higher costs.

> >

> > -Wes Ogilvie, MPA, JD, EMT-B

> > Austin, Texas

> >

> >

> >

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Very few places provide CEs for their personnel. This is another problem with

our profession.

Since we are nationally registered in Texas only a very small portion of our

CEs are available to be obtained by computer. Most of the CEs must be obtained

by formal classes.

I understand the problem. I believe the solution is for the available

instructors in an area to get together and come up with a lesson plan for CEs,

submit it to TDSHS (which can be done), and then go forth and teach. But alas

money is still the issue. Who will pay for the instructors time?

wegandy1938@... wrote:

Quinten:

That's a knee slapper all right! Texas has NO money. When it gets done

with the school funding fiasco there won't be anything left for anybody else.

I suggest you find a good CE program and join it. BTW, why isn't your

service providing you with the CE you need?

Gene G.

>

> I

> Maybe

> Texas can take the money it saves in test creation and provide some CE

> training for EMS.

>

> Quinten

> Firefighter/Paramedic

>

> NREMT Computer Testing

>

>

> Does anyone have any thoughts or opinions on NREMT's upcoming transition to

> computer-based testing (conducted by a private service) as opposed to the

> current written exams?

>

> While I like the rapid turnaround for grading, it seems to me that now that

> Texas gave up its independence in testing to become a NR state, we are stuck

> with whatever NREMT produces, including higher costs.

>

> -Wes Ogilvie, MPA, JD, EMT-B

> Austin, Texas

>

>

>

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Maintaining NREMT certification is only one way to maintain Texas certification.

We take the NREMT exam for initial certification/licensure, but the other ways

to MAINTAIN certification remain:

1) CE hours alone

2) Maintaining NREMT certification

3) Refresher course

4) Taking an exam

5) Comprehensive Clinical Management Program (CCMP)

-Wes Ogilvie

NREMT Computer Testing

>

>

> Does anyone have any thoughts or opinions on NREMT's upcoming transition to

> computer-based testing (conducted by a private service) as opposed to the

> current written exams?

>

> While I like the rapid turnaround for grading, it seems to me that now that

> Texas gave up its independence in testing to become a NR state, we are stuck

> with whatever NREMT produces, including higher costs.

>

> -Wes Ogilvie, MPA, JD, EMT-B

> Austin, Texas

>

>

>

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Guest guest

Yes those are correct. However, did you realize that to keep the CEs you can

only have 12 on computer?

ExLngHrn@... wrote:

Maintaining NREMT certification is only one way to maintain Texas

certification. We take the NREMT exam for initial certification/licensure, but

the other ways to MAINTAIN certification remain:

1) CE hours alone

2) Maintaining NREMT certification

3) Refresher course

4) Taking an exam

5) Comprehensive Clinical Management Program (CCMP)

-Wes Ogilvie

NREMT Computer Testing

>

>

> Does anyone have any thoughts or opinions on NREMT's upcoming transition to

> computer-based testing (conducted by a private service) as opposed to the

> current written exams?

>

> While I like the rapid turnaround for grading, it seems to me that now that

> Texas gave up its independence in testing to become a NR state, we are stuck

> with whatever NREMT produces, including higher costs.

>

> -Wes Ogilvie, MPA, JD, EMT-B

> Austin, Texas

>

>

>

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Guest guest

Which , by the way, the NR needs to update. WebCT courses, on-line EMS

courses, and CAI abound and are very sophisticated. Research paper

after research paper show evidence that computer based learning is just

as effective as classroom instruction. Certainly, CQI based case

reviews for higher level objectives with computer generated instruction

for lower level objectives would be ideal and cost effective.

Instead the required NR CE slants toward the once every two year

regurgitation of alphabet soup card course updates.

-MH

>>> petsardlj@... 5/12/2006 12:31 pm >>>

Yes those are correct. However, did you realize that to keep the CEs

you can only have 12 on computer?

ExLngHrn@... wrote:

Maintaining NREMT certification is only one way to maintain Texas

certification. We take the NREMT exam for initial

certification/licensure, but the other ways to MAINTAIN certification

remain:

1) CE hours alone

2) Maintaining NREMT certification

3) Refresher course

4) Taking an exam

5) Comprehensive Clinical Management Program (CCMP)

-Wes Ogilvie

NREMT Computer Testing

>

>

> Does anyone have any thoughts or opinions on NREMT's upcoming

transition to

> computer-based testing (conducted by a private service) as opposed to

the

> current written exams?

>

> While I like the rapid turnaround for grading, it seems to me that

now that

> Texas gave up its independence in testing to become a NR state, we

are stuck

> with whatever NREMT produces, including higher costs.

>

> -Wes Ogilvie, MPA, JD, EMT-B

> Austin, Texas

>

>

>

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I don't have the magazine article in front of me, but the NREMT-I exam went

to $100 and the NREMT-P exam went to $110.

-Wes

In a message dated 5/12/2006 5:01:21 PM Central Daylight Time,

THEDUDMAN@... writes:

Hey,

I'll never have to re-test so the costs are irrelevent to me man. I am not

aware of the increase in costs....is it like 250% or what? Have they

released them yet?

Dudley

-----Original Message-----

From: ExLngHrn@...

To: texasems-l

Sent: Thu, 11 May 2006 15:46:21 -0400

Subject: Re: NREMT Computer Testing

Why? Do you like the increased costs as well?

-Wes

Re: NREMT Computer Testing

I think it is a great idea!!!!!!!!!!!!

--- ExLngHrn@... wrote:

> Does anyone have any thoughts or opinions on NREMT's

> upcoming transition to computer-based testing

> (conducted by a private service) as opposed to the

> current written exams?

>

> While I like the rapid turnaround for grading, it

> seems to me that now that Texas gave up its

> independence in testing to become a NR state, we are

> stuck with whatever NREMT produces, including higher

> costs.

>

> -Wes Ogilvie, MPA, JD, EMT-B

> Austin, Texas

>

>

> [Non-text portions of this message have been

> removed]

>

>

__________________________________________________

Do You Yahoo!?

Tired of spam? Yahoo! Mail has the best spam protection around

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Danny, the last time I checked the DSHS rules, there is not a limit on the CEs

you obtain online for your Texas certification. NREMT does restrict the amount

of online hours.

-Wes

NREMT Computer Testing

>

>

> Does anyone have any thoughts or opinions on NREMT's upcoming transition to

> computer-based testing (conducted by a private service) as opposed to the

> current written exams?

>

> While I like the rapid turnaround for grading, it seems to me that now that

> Texas gave up its independence in testing to become a NR state, we are stuck

> with whatever NREMT produces, including higher costs.

>

> -Wes Ogilvie, MPA, JD, EMT-B

> Austin, Texas

>

>

>

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Guest guest

That is correct. If you want to keep your National Registry and in turn keep

your Texas Certification you must meet the requirements of CE per National

Registry.

If you only wish to retain your Texas Certification then retaining your

National Registry is not required. Why allow your National Registry to expire?

The process to regain National Registry is time consuming.

From an educational standpoint having to reacquire your National Registry

would be beneficial for information retention.

I believe it would be the same as allowing your legal specialization to expire

and just staying an attorney. (Am I close to a comparison here?)

ExLngHrn@... wrote:

Danny, the last time I checked the DSHS rules, there is not a limit on the CEs

you obtain online for your Texas certification. NREMT does restrict the amount

of online hours.

-Wes

NREMT Computer Testing

>

>

> Does anyone have any thoughts or opinions on NREMT's upcoming transition to

> computer-based testing (conducted by a private service) as opposed to the

> current written exams?

>

> While I like the rapid turnaround for grading, it seems to me that now that

> Texas gave up its independence in testing to become a NR state, we are stuck

> with whatever NREMT produces, including higher costs.

>

> -Wes Ogilvie, MPA, JD, EMT-B

> Austin, Texas

>

>

>

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Guest guest

The place I work has a CCMP, and attendance is required (and paid). Yes,

there is usually a fair choice of dates to attend, but that's not to say

you won't have to cancel something in your personal life to attend.

Sometimes you're just assigned a date on which you must attend. Since it's

a CCMP, I guess maintaining certification is assured, but if you want

training other than what's offered, you're on your own to find it, schedule

it, pay for it. The card courses are offered, but not included in the CCMP;

and scheduling for them is more difficult, sometimes impossible. And

scheduling them outside the CE program can be equally difficult/impossible.

Conley Harmon

> Instead the required NR CE slants toward the once every two year

> regurgitation of alphabet soup card course updates.

>

> -MH

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Guest guest

so where do you work...Arlington, Mc or Harker Heights?

Re: NREMT Computer Testing

The place I work has a CCMP, and attendance is required (and paid). Yes,

there is usually a fair choice of dates to attend, but that's not to say

you won't have to cancel something in your personal life to attend.

Sometimes you're just assigned a date on which you must attend. Since it's

a CCMP, I guess maintaining certification is assured, but if you want

training other than what's offered, you're on your own to find it, schedule

it, pay for it. The card courses are offered, but not included in the CCMP;

and scheduling for them is more difficult, sometimes impossible. And

scheduling them outside the CE program can be equally difficult/impossible.

Conley Harmon

> Instead the required NR CE slants toward the once every two year

> regurgitation of alphabet soup card course updates.

>

> -MH

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Guest guest

We offer monthly CE's to our employees. If they miss our monthly CE class,

our employees can attend the CE classes of any of the 12 plus provider's

under the Biocare medical control system. The trouble is getting people

motivated to attend. Some folks will attend like clockwork and others would

rather

have a root canal. We send on duty crews to the CE class but more often than

not they end up getting a call. Inevitably, we will have at least one person

per year want to take a short notice vacation to attend a week long

refresher.

Outside of the standard " attend so many CE classes and X amount of points on

your review... " What are some of the ways other providers motivate they

crews to attend CE class?

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Just for clarification - I believe you must be referring to something

other than the CCMP found in 157.34.

There are NO agencies in Texas that are Comprehensive Clinical

Management Program (CCMP) approved sites. We recently completed the

three site visits in the full pilot study. The CCMP work group will be

meeting at GETAC to determine the next course of action and consult with

DSHS on the outcomes of the three site visits.

The three site visits went well and we learned a lot about our process.

We cannot thank them enough for their hospitality, courage to be

studied, and willingness to help us move the program forward.

************************************************

, MPA

Chief Administrative Officer

Montgomery County Hospital District

________________________________

From: texasems-l [mailto:texasems-l ] On

Behalf Of Conley Harmon

Sent: Friday, May 12, 2006 1:56 PM

To: texasems-l

Subject: Re: NREMT Computer Testing

The place I work has a CCMP, and attendance is required (and paid). Yes,

there is usually a fair choice of dates to attend, but that's not to say

you won't have to cancel something in your personal life to attend.

Sometimes you're just assigned a date on which you must attend. Since

it's

a CCMP, I guess maintaining certification is assured, but if you want

training other than what's offered, you're on your own to find it,

schedule

it, pay for it. The card courses are offered, but not included in the

CCMP;

and scheduling for them is more difficult, sometimes impossible. And

scheduling them outside the CE program can be equally

difficult/impossible.

Conley Harmon

> Instead the required NR CE slants toward the once every two year

> regurgitation of alphabet soup card course updates.

>

> -MH

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Guest guest

Hey,

I'll never have to re-test so the costs are irrelevent to me man. I am not

aware of the increase in costs....is it like 250% or what? Have they released

them yet?

Dudley

Re: NREMT Computer Testing

I think it is a great idea!!!!!!!!!!!!

--- ExLngHrn@... wrote:

> Does anyone have any thoughts or opinions on NREMT's

> upcoming transition to computer-based testing

> (conducted by a private service) as opposed to the

> current written exams?

>

> While I like the rapid turnaround for grading, it

> seems to me that now that Texas gave up its

> independence in testing to become a NR state, we are

> stuck with whatever NREMT produces, including higher

> costs.

>

> -Wes Ogilvie, MPA, JD, EMT-B

> Austin, Texas

>

>

> [Non-text portions of this message have been

> removed]

>

>

__________________________________________________

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Guest guest

So...the fact that almost all licensing tests in healthcare and many other

arenas are being done like this...EMS should stay on paper and allow some folks

who make low wages in Austin write the exams...based upon their feeling of what

we should know instead of using commonly accepted practices to write tests...

If I am not mistaken, the testing process through TDH was having serious issues

and concerns before it went away...and, although we like this arguement for

things like an EMS Commission and other neat ideas...but not this testing

piece...more and more states are getting out of the testing and certification

business...

Does anybody remember the headlines from Colorado that made national news within

the last 12 months about all those EMT's who had " passed " until it was

determined that the test was compromised and there was no way of knowing who or

how many had gotten through...that did so much for the confidence of the general

public...but then again what do they matter???

Dudley

Re: NREMT Computer Testing

Stinks, Sucks, Smells, Crap, Private Enterprise smells of money,

ecttttt.......... Just another example where TDH sold us out instead of

making test writing a priority. The same old we don't have enough help,

money, time or whatever to get it done. They seem to have enough help to

collect fees for nothing. We all know that NR works with you if a test

is lost or you think it has been graded in error NOT!!!!!!!! So what

would give anyone with even a little common sense the impression that

when the internet screws up that NR will do anything but charge you

again.

Henry

Henry

ExLngHrn@... wrote:

> Does anyone have any thoughts or opinions on NREMT's upcoming

> transition to computer-based testing (conducted by a private service)

> as opposed to the current written exams?

>

> While I like the rapid turnaround for grading, it seems to me that now

> that Texas gave up its independence in testing to become a NR state,

> we are stuck with whatever NREMT produces, including higher costs.

>

> -Wes Ogilvie, MPA, JD, EMT-B

> Austin, Texas

>

>

>

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Danny,

In our RAC surprisingly many agencies provide their own internal CE's. In

addition a couple of agencies have developed a rather strong training program

that delivers these CE's to other agencies as well. In addition, instructors

are shared across agencies so that you don't get the same talking heads up

there.

Now, that being said, there are a few agencies that don't do this as well and

just expect their folks to get it on their own. We include the fact that we do

this in our benefits package...helps draw some folks.

BTW, we pay for our instructors to teach and we try and do the classes on duty

if possible...cuts the cost down and still gets the classes in.

Dudley

NREMT Computer Testing

>

>

> Does anyone have any thoughts or opinions on NREMT's upcoming transition to

> computer-based testing (conducted by a private service) as opposed to the

> current written exams?

>

> While I like the rapid turnaround for grading, it seems to me that now that

> Texas gave up its independence in testing to become a NR state, we are stuck

> with whatever NREMT produces, including higher costs.

>

> -Wes Ogilvie, MPA, JD, EMT-B

> Austin, Texas

>

>

>

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