Training for Community Paramedicine Programs
Training requirements to practice as a community paramedic or community emergency medical technician
(EMT) vary depending on state scope-of-practice regulations; there
are no uniform community paramedicine regulations across states. Many local jurisdictions or emergency
medical service (EMS) agencies also have their own existing training standards. If that is the case, program
administrators and staff may be able to adopt existing curricula to fit the needs of their program.
Depending on state and local regulations, some community paramedicine programs may require their
staff to become Certified Community Paramedics. The International Board of Specialty Certification
administers this designation and provides information and guidance specific to the community paramedic exam (CP-P),
including a handbook
with a content outline and sample questions to prepare for the certification exam.
EMS programs may require that their community paramedics be CP-P certified; however, this process can
be too costly or require too much time for rural programs. Often, rural EMS agencies employ EMTs, who
would need to be trained to the paramedic level and then to the community paramedic level. As an
alternative, EMTs may be trained as community EMTs (C-EMTs), or what is nationally known as a
care technician. Another option is
for mobile integrated health programs to send a community nurse or primary care provider on home
visits to conduct health screenings while the paramedic conducts home safety checks. This type of
program does not expand a paramedic's scope of practice and does not require additional training.
Programs may also benefit from seeking feedback from students who have participated in their training
and are currently working in the field. These employees will be able to provide insight into how a
program's training should be altered and updated to meet the unique needs of the local rural
A number of training resources already exist and are widely used across the country, including curricula from Hennepin
Technical College and Eagle
County, Colorado. Several of the resources described below have been adopted or adapted by rural
community paramedicine programs.
Resources to Learn More
Community Health Paramedicine
Targeted for academic settings, this teaching resource outlines how to develop a successful community
paramedicine program by taking into consideration a variety of factors including personal safety and
wellness, professional boundaries, cultural competence, chronic disease management, and communication
Organization(s): American Academy of Osteopathic Surgeons
Community Paramedic Program Handbook
Provides information about developing and evaluating a community paramedicine program. Includes
insights regarding program feasibility, state regulations, partner commitment, training, policies and
procedures, and evaluation. Resource is free to accredited institutions.
Organization(s): North Central EMS Institute, Western Eagle County Health Services District,
MIH-CP Program Toolkit
A toolkit supporting the provision of healthcare using mobile integrated healthcare-community
paramedicine (MIH-CP). Provides a variety of resources, tools, and informational videos for training
community paramedics and for implementing a successful program.
Organization(s): National Association of Emergency Medical Technicians (NAEMT)