title: Assessment of nationally registered emergency medical technician certification training in the United States: the LEADS Project. Longitudinal Emergency Medical Technician Attributes Demo-graphic Study.
abstract: OBJECTIVE
  To describe the adequacy and characteristics of emergency medical services education as assessed by a population-based sample of emergency medical technician (EMT)-basics and EMT-paramedics from the National Registry of Emergency Medical Technicians.
  
  
  METHODS
  Stratified random samples of EMT-basics and EMT-paramedics from the National Registry of Emergency Medical Technicians were mailed a 46-item demographic survey and a 16-question education survey in 1999.
  
  
  RESULTS
  Overall, EMT-basics and EMT-paramedics reported that course cost and distance to the course were not barriers. The majority of EMT-basic and EMT-paramedic respondents rated their course instructors and course materials as excellent or very good. EMT-basic and EMT-paramedic respondents felt that they were very well prepared from their training in the areas of trauma assessment (63% and 72%), medical assessment (59% and 65%), cardiac arrest management (64% and 76%), and airway management (69% and 77%), respectively. However, EMT-basic and EMT-paramedic respondents were less likely to feel very well prepared regarding childbirth (29% and 44%) and pediatric patient management (36% and 38%). Overall, EMT-paramedics were more likely to report being very well prepared for clinical activities and tasks from their training compared with EMT-basics.
  
  
  CONCLUSIONS
  These findings suggest that EMT-basics and EMT-paramedics were satisfied and felt well prepared by their certification courses. Opportunities to improve certification training exist, particularly related to childbirth and pediatric patient management.
authors.affiliation: Montana Department of Public Health and Human Services, Helena, Montana 59620-2951, USA. ddawson@state.mt.us
authors.forename: Drew E
authors.initials: DE
authors.lastname: Dawson
authors.forename: William E
authors.initials: WE
authors.lastname: Brown
authors.forename: Todd S
authors.initials: TS
authors.lastname: Harwell
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D002568:Certification; D004634:Emergency Medical Technicians / Q000193:education*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014481:United States