title: Continuous Professional Competence (CPC) for Irish paramedics and advanced paramedics: a national study.
abstract: BACKGROUND
  Internationally, continuing professional competence (CPC) is an increasingly important issue for all health professionals. With the imminent introduction of a CPC framework for paramedics and advanced paramedics (APs) in Ireland, this paper aims to identify factors that will inform the implementation of this CPC framework by seeking stakeholder input into the development of a CPC model for use by the regulatory body. Our secondary objective is to determine the attitudes of registrants towards CPC and what they consider as optimal educational outcomes and activities, for the purposes of CPC.
  
  
  METHODS
  All paramedics and APs registered in Ireland (n = 1816) were invited by email to complete an anonymous on-line survey. The study instrument was designed based on CPD questionnaires used by other healthcare professions. Quantitative and qualitative analyses were performed.
  
  
  RESULTS
  The overall response rate was 43% (n = 789), with 82% of APs and 38% of paramedics participating. Eighty-nine per cent agreed that registration was of personal importance; 74% agreed that evidence of CPC should be maintained and 39% believed that persistent failure to meet CPC requirements should mandate denial of registration. From a pre-determined list of activities, respondents indicated practical training scenarios (94%), cardiac re-certification (92%), e-learning supplemented by related practice (90%) and training with simulation manikins (88%) were most relevant, while e-learning alone (36%), project work (27%) and reading journal articles (24%) were least relevant.
  
  
  CONCLUSIONS
  Irish Paramedics and APs are supportive of CPC linked with their professional development and registration. Blended learning, involving evidence of patient contact, team-based learning and practical skills are preferred CPC activities.
authors.affiliation: Graduate Entry Medical School and Centre for Interventions in Infection, Inflammation & Immunity (4i) University of Limerick, Limerick, Ireland. shane.knox@hse.ie.
authors.forename: Shane
authors.initials: S
authors.lastname: Knox
authors.forename: Walter
authors.initials: W
authors.lastname: Cullen
authors.forename: Colum
authors.initials: C
authors.lastname: Dunne
mesh_terms: D000488:Allied Health Personnel / Q000193:education* / Q000706:statistics & numerical data; D000552:Ambulances; D001291:Attitude of Health Personnel; D004496:Education, Continuing; D005260:Female; D006801:Humans; D007494:Ireland; D008297:Male; D011361:Professional Competence; D011795:Surveys and Questionnaires