Transition Training Resources

All EMTs in Massachusetts are expected to be educated to the National Scope of Practice by the timelines outlined in:

​There is no separate transition course at the EMT-B level.  EMT-Basics will transition to EMT after they complete their first renewal process under the National Continued Competency Program.​

​​The transition to the Paramedic level does require a separate transition course.  This course will count towards continuing education (under either the local or individual categories).  The content is driven by theNational Scope of Practice and a gap analysis.The amount of transition training needed is dependent on the training each individual EMT-P has already acquired. For example, an EMT-P who has taken an Interfacility Transfer training program would not need as much transition training as one who hasn't. Training gap analysis resources, to help the educator structure a transition training program, are listed below.

The transition course for EMT-I to Advanced EMT is much more extensive.  The minimum requirements for the I to A transition are outlined in A/R2-212A which was updated on October 23, 2014.  Instructors, Program Coordinators and Training Officers are allowed to apply to offer the transition course through OEMS rather than the Regional Councils.  AR 2-205, updated March 13, 2015 details the transition requirements for EMT-Intermediates and ALS-Intermediate Licensed Ambulance Services.

Blanket Approval Numbers

​BLANKET approval numbers are available to Program Coordinators, Instructors and Training Officers who plan to offer the same course multiple times during the year and/or in multiple locations.  The application process for a BLANKET approval number is the same as for a single approval number. Be sure to indicate the date range on your application for a BLANKET approval number. When using a BLANKET approval number the Program Coordinator, Instructor or Training Officer must notify OEMS at and the Region at least two weeks before the start date via phone 781-224-3344, email: or by using the online notification system. BLANKET Approval Number Notificaiton

Course Completion Certificates

Instructors of all MA EMS Continuing Education must provide students with a Course Completion Certificate that

includes the name of the course, date, time, OEMS approval number and the
instructor’s signature or a copy of the class roster.  

Training Officers

All affiliate agencies must have a training officer who is responsible for registering their service and all of their providers on the national registry website ( or; processing pending affiliation requests; maintaining training records; adding and editing courses for providers; and reviewing/approving recertification packets for affiliated providers.

The following documents offer additional information.

Instructors / Program Coordinators / Training Officers

Gap Analysis Resources

           Thanks to Central MA EMS Region II

Instructors, Program Coordinators and Training Officers planning to offer EMS continuing education should first refer to AR-2-212, EMT Continuing Education Standards, which was updated on August 1, 2013.  This Administrative Requirement (AR) specifies the subject matter of training programs eligible for EMT continuing education credit by the Office of Emergency Medical Services; the administrative standards for continuing education; and the transition timeline for continuing education training hour requirement adjustments.  

Training programs for EMTs may be awarded continuing education credits by OEMS for subject matter that is:

​1.  within the EMTs defined scope of practice,

2.  within the defined roles and responsibilities of the EMT,

3.  at the appropriate level of training for the EMT in attendance.

EMS Continuing Education programs that meet recertification criteria must be approved by the Office of Emergency Medical Services (OEMS) and be assigned an OEMS Approval Number.  An educational program that does not have an OEMS Approval Number will not count towards recertification for providers that are certified by Massachusetts only.  Providers that are certified by MA and the National Registry are able to use continuing education that have OEMS and/or Continuing Education Coordinating Board of EMS (CECBEMS) approval numbers.

Each Regional EMS Council assists OEMS in assuring quality education programs for EMS personal by reviewing applications for continuing education submitted by non-accreded training programs and assigning registration numbers to continuing education programs conducted by Accredited Training Institutions.  The OEMS continuing education training application is sent to the regional office in which the course will be held. Applications for courses that are held in multiple regions are sent to the regional office according to the Sponsoring Institution's address.  Continuing Education programs that are sponsored by entities from outside of Massachusetts and will be held in multiple regions must be reviewed by OEMS.

20 A Del Carmine St., Wakefield MA 01880

Office: 781-224-3344   Fax: 781-213-9417

CMED:  978-946-8130

Continuing Education Approval Process

Fill out the EMT Continuing Education Program Application and send to EMS Region III via email, education@neems.orgfax 781-213-9417 or mail to 20A DelCarmine St., Wakefield, MA 01880. Or submit the application online. ONLINE APPLICATION

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Each application must be accompanied by a timed outline.  Please see the Region III Application Submission Guidelines for additional information and timelines.  

After you receive your approval number if you cancel or change any aspect of the program including date, time, location and/or instructor please email as soon as possible.