Transition to the National Scope of Practice

Gap Analysis Resources

           Thank you to Diane Barletta, Assistant Director, Central MA EMS Region II

20 A Del Carmine St., Wakefield MA 01880

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

CMED:  978-946-8130

neems@neems.org

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 using 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 the National 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/R 2-212A 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.