EMS Education

The National EMS Education Standards help educators, regulators, and certifiers ensure EMS providers receive the proper education that will prepare them to perform their roles with competency. The National EMS Certification assures the public, employers, and licensing officials that the EMS professional is competent to perform their duties and roles.

Become an EMS Provider

Education Requirements

Students who successfully complete an initial EMS course from an Idaho-approved EMS education program and pass both the cognitive and psychomotor exams are eligible to apply for a license of that level in Idaho. Visit EMS Providers for information on the license application process and requirements.

Initial EMS courses are taught by Idaho-certified EMS instructors and provide students training on the knowledge and skills used by EMS providers in emergency patient care. Initial EMS courses are offered at four different levels in Idaho: EMR (emergency medical responder), EMT (emergency medical technician), AEMT (advanced emergency medical technician), and paramedic.

NOTE: The latest versions of the BLS skill sheets have been added to the Education Program section.

Group of EMS responders
Find EMS Courses by Level
All students will need to create an account in IGEMS and with NREMT to be added to courses and take exams.
NREMT Update

The National Registry of Emergency Medical Technicians (NREMT) has revised the skill sheets for psychomotor examinations. The new NREMT skill sheets are at: https://www.nremt.org/document/aemt-paramedic-psychomotor-exams

Two of the most requested revisions are highlighted below.  

  1. The “critical criteria” for many of the skills have been modified. You can expect to see fewer critical criteria than on previous versions of the skill sheets. 
  2. The Static Cardiology station has also been revised. Previously, progression to treatment of an ECG rhythm was dependent on correct identification of that rhythm. Now, the two tasks are decoupled and are scored as two separate skills. Candidates will be able to progress to treatment whether or not the correct ECG rhythm was identified.    

Anyone testing on or after March 17, 2021, will be evaluated using the new skill sheets with the revisions mentioned above. This revision will not overturn the result of any successful or unsuccessful examinations attempts taken prior to March 17, 2021.  

All cognitive and psychomotor examinations are continually reviewed and revised to ensure they reflect accurate, relevant, and current EMS practice and compliance with AHA guidelines.

NREMT Skill Sheets
Get information on NREMT advanced level Psychomotor exams.
EMS Standardized Exams


Standardized exams are used to test a student’s competency in the knowledge (cognitive exam) and hands-on skills (psychomotor exam) at the level of the EMS course. Idaho uses the National Registry of EMT’s (NREMT) computer-based cognitive exams and psychomotor exams to test competency. Students have two years to complete both standardized exams after completing an EMS course.

Cognitive exam information

To take the NREMT computer based cognitive exam, you will need to go to the NREMT’s website (linked below), create an account, and submit an application. 

Detailed instructions for creating an account, submitting an application, and scheduling an exam are found in the certification handbooks for each level under Candidate Resources on the NREMT’s Candidate web page.

Psychomotor exam information


EMT and EMR course students in Idaho complete a psychomotor exam that is coordinated by the education program and Idaho EMS and Preparedness. Results from this psychomotor exam are updated with NREMT after completing the exam.

Paramedic & advanced EMT

Approval for students to take the NREMT psychomotor exam at the paramedic or advanced EMT level is done with your approval to take the cognitive exam application.

Your approval to test must be done BEFORE the date of the scheduled psychomotor exam organized by your education program. Students who haven’t received approval to test at least two weeks before the exam won’t be allowed to test.

Detailed instructions for creating an account, submitting an application, and getting approval to take the psychomotor exam are found in the certification handbooks for each level under candidate resources on the NREMT’s candidate web page.

NREMT exam vouchers

Students sponsored by a volunteer EMS agency may be eligible for an exam voucher. Exam vouchers are used to pay the fee charged by NREMT to take the exam and can only be used for the student’s first attempt at the exam.

To apply for a NREMT exam voucher, log into your IGEMS account, select "applications" in the menu and go to the NREMT cognitive exam voucher application.

Become an Idaho-Certified EMS Instructor

Initial EMS courses in Idaho are taught by state-certified EMS instructors. Instructors must be certified for the level of course they are teaching or higher.

Instructor certification requirements

  • Hold a current EMS license or EMS certificate at or above the instructor level requested
  • Have been licensed or certified at or above the instructor level requested for a minimum of three years
  • Have successfully passed an Idaho Background Check Unit background check
  • Complete the Idaho EMS Instructor Orientation course within the last 24 months.
  • Complete an adult methodology course approved by the department that is developed professionally, and includes content on:

01. The adult learner

02. Goals and objectives

03. Learning styles

04. Lesson plans

05. Teaching resources

06. Teaching aids

07. Teaching methods

08. Measurement and evaluation techniques

09. Remediation, communication, and feedback.

To apply for instructor certification, log in to your IGEMS account and select "applications" in the menu and go to the instructor certification – initial application.

EMS Education Programs

EMS education programs in Idaho must be approved by the Bureau of EMS and Preparedness for successful graduates of EMS courses to be eligible for standardized exams. Qualifying EMS agencies, hospitals, state government entities, and schools are eligible for approval as an EMS education program and must be approved before requesting an initial EMS course.

Contact the Bureau of EMS and Preparedness to start a new education program and directions for submitting an education program application.

16.01.05 rules governing EMS-education, instructor, and examination requirements

National EMS education standards

IdahoEMSEducationStandards – 2022

Education equipment standards - 2016

Course and exam resources

Idaho-specific content - In addition to the level-specific guidelines, all Idaho initial EMS courses must include the following content: 

Incident Command System ICS-100ICS-700, and HazMat Awareness are available on the FEMA website.

Landing Zone Officer and Extrication Awareness should be included in the initial course curriculum. 

Safe Haven - PowerPoint

Safe Haven - PDF

Course guidelines and outlines


Emergency Medical Responder Instruction Guidelines

2011 IEC EMR Course Outline


Emergency Medical Technician Instruction Guidelines

2011 IEC EMT Course Outline


Advanced Emergency Medical Technician Instruction Guidelines

2011 IEC AEMT Course Outline

Paramedic Instruction Guidelines

BLS Training Equipment

The bureau maintains three full sets of BLS training equipment that can be loaned out to an EMS agency in need of equipment. The borrowing agency takes full responsibility for the equipment and ensures that all equipment is accounted for and kept in same condition upon return to the bureau. Items that are lost or damaged beyond normal wear and tear must be replaced at the agency’s expense.

If your agency is interested in using one of the education equipment kits, please send your request to EMSCourses@dhw.idaho.gov.

Psychomotor exams

AEMT/Paramedic Psychomotor Skill Sheets (located on NREMT website)

EMR/EMT Psychomotor Exams and Skill Sheets:

Recommended Required:

Recommended Random:

View the BLS Psychomotor Exam User's Guide.

Mobile written exams

The mobile written test bank is a method for the Bureau of EMS and Preparedness (EMSP) to provide the NREMT cognitive exam, in conjunction with NREMT and coordinated through Pearson VUE (a vendor contracted by NREMT), to rural education programs outside of Pearson VUE established sites.

The mobile written test bank is computer adaptive testing and adheres to the guidelines of NREMT which allows the Idaho Bureau of EMSP to administer NREMT cognitive exams in an onsite (mobile) capacity. Time limits for each level range from 145 minutes (EMR), two hours (EMT), and two hours 15 minutes (AEMT), and two hours 30 minutes (Paramedic). When reconnected to a data network source after the administration of the exam, results are uploaded to the Pearson VUE database and the NREMT is able to obtain exam results in 8 to 24 hours.

To request the mobile written test bank the education program director must log onto IGEMS, go to “training,” then go to “requests” under training in the menu, and select "apply for course approval." Select the course type: 2 – exams, course name: exam - mobile Written. Requests are reviewed and are approved on a case-by-case basis.

Continuing Education

Continuing Education Resources

EMS Instructors Renewal CEUs

NOTE: The links below may require creation of a user profile.





*Airway for BLS and ALS require instructor assessment post webinar*

Pediatric Training Opportunities


Optional Module Education Resources

Optional modules are skills identified by the EMS Physician Commission that exceed the floor level scope of practice for EMS personnel and may be adopted by the agency medical director. Requirements, training, and exam information for adopting optional modules can be found here and on the EMS Physician Commission page.

When an EMS medical director wants to incorporate an optional module:

  1. Make sure the EMS agency reports patient care response data to IGEMS-PCR directly or by way of an Idaho validated export. If an agency has not been able to obtain IGEMS-PCR validation, they must be in the process of validating an export into IGEMS-PCR. Agencies need to report their use of optional module interventions through one of these two methods. For information on becoming IGEMS-PCR compliant email James.Adair@dhw.idaho.gov or call (208)334-4000.
  2. Submit an addendum to their medical supervision plan to the EMSP bureau that indicates which optional modules they want to adopt. The optional module addendum is available online through IGEMS in the list of agency applications.
  3. Provide verification of credentialing providers to the EMSP bureau before using optional module skills or interventions by completing the OM Credentialing Matrix. Every agency should have a current matrix listing all providers authorized to conduct OMs and must be updated regularly.

Instructors The are no instructor requirements for a provider to be an instructor for optional module skills. Optional module instructors must be approved by the medical director.

Records Agencies conducting optional module training must maintain student and program records consistent with section IV.D. of the Education Standards Manual Version 2014.

Skills identified as "optional module" in the EMSPC scope of practice grid

The EMS medical director must make sure licensed EMS personnel receive appropriate initial and continuing training and take an active role in verifying competency in these skills and interventions as state EMS licensing does not address optional modules.

Skills identified as "2,OM" in the EMSPC scope of practice grid

Training must be conducted according to the approved standards and curriculum for the level where the 2,OM interventions exists as a floor skill.

  1. The training must provide for all didactic, psychomotor, lab, and clinical learning over the knowledge and skills as described in the National Education EMS Standards and Idaho EMS curriculum
  2. The student must be trained and evaluated to the depth and breadth of competency for the level of training where the skill exists as a floor skill
  3. Formal psychomotor testing is required for optional module skills and interventions that are tested for certification at a higher license level as a floor skill. For the candidate to be eligible to apply for an optional module skills test, the EMS medical director must verify the student has completed the training requirements.

Optional Module Exams

The process to host an optional module psychomotor examination mirrors the request for an initial EMS course psychomotor examination. Request the exam in IGEMS under training but use the course name exam – BLS optional modules. The bureau will evaluate each test request and resources available on a case-by-case basis.

Each candidate must have a completed Candidate Exam Registration Form. This form requires the signature of the medical director for permission to test. A hard copy will need to be presented by the candidate at the testing site.

The following skills require a formal psychomotor examination utilizing the corresponding skill sheets. Other OMs not identified here are trained and credentialed at the agency medical director’s discretion.

Emergency Medical Technician (EMT) Optional Module Skill Sheets

Emergency Medical Responder (EMR) Optional Module Skill Sheets