EMS World

OCT 2018

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

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78 OCTOBER 2018 | EMSWORLD.com S P O T L I G H T: Methods—Data were obtained from the South Carolina EMS data system. NREMT first attempts from 2016 to 2017 were included, and the outcome of interest was pass/fail. Courses were categorized as hybrid or traditional. Descriptive statistics, univariate odds ratios (ORs), and 95% confidence intervals were calculated. Multivariable logistic regression was performed to adjust for student age and gender. Results—During the study period, 1,690 people completed their first attempt of the NREMT exam in South Carolina. Of these, 1,314 (77.8%) passed. Course format information was available for 1,688 (99.9%), of which 1,490 (88.3%) were tra- ditional. There were 198 (11.7%) whose classes were hybrid. There was no statistically significant difference when comparing course format and success on the first attempt of the NREMT exam, with 1,156 (77.6%) who attended traditional courses pass- ing vs. 156 (78.8%) who attended hybrid courses (OR 1.07; 95% CI, 0.75–1.54, p=0.702). This relationship remained statistically insignificant after adjustment for student age and gender (OR 1.08; 95% CI, 0.75–1.55, p=0.677). Conclusion—This study suggests students who attend hybrid EMT courses have similar first-time pass rates on the NREMT exam when compared to traditional courses. Students should be encouraged to choose course formats that fit their preferred learning style. EMT Student Self-Confidence and Its Eect on a Summative Examination Author: Jackson Déziel, PhD, MPA, NRP Associate authors: Edward Oliphant, BA, NRP, Logan Smestad, BA, NRP Objective—The connection between academic performance and self-efficacy (i.e., self-confidence) is well-established in many disciplines. Yet this relationship among entry-level EMT students remains to be determined. This study seeks to identify a correlation to serve as a predictive measure between EMT student self-efficacy and academic performance on a summa- tive EMT exam. Student self-confidence scores were compared in relation to their respective summative Fisdap EMT Readiness Exam 2.0 (ERE2) scores. Method—A retrospective analysis of the ERE2 was performed utilizing Fisdap educational data. Fisdap is an online database for EMS and healthcare education. Analysis employed the Fisdap precourse general self-efficacy evaluation. Multivariate linear regression analyses were conducted using robust standard errors while controlling for potential confounders. Results—A sample of 11,680 EMT students was included for analysis. Students scoring above the mean on the general self- efficacy evaluation scored an average of over six points higher on the ERE2 (B=6.44, p<0.0001). Conclusion— Results indicated that student-reported self- confidence is a positive predictor of success on the ERE2. Similar to other fields, self-efficacy of EMT students appears to have a positive relationship with end-of-course academic performance. As EMT training grows in demand and scope, educators must be highly cognizant of their incoming students' emotional readiness and self-efficacy. The results of this study might aid the efficient allocation of educational resources in the classroom and beyond. With Age Comes Wisdom? Student Age as a Predictor of Success on an EMT Readiness Exam Author: Edward Oliphant, BA, NRP Associate authors: Logan Smestad, BA, NRP, Jackson D. Déziel, PhD, MPA, NRP Objective—Most states mandate an EMT candidate reach 18 years of age before initial certification/licensure. Additionally, many EMS employers require potential employees reach the age of 21 before employment. At the same time, EMT courses admin- istered through high schools have grown in popularity. Given the disparity between regulatory policies and educational program requirements regarding candidate age, the predictive nature of student age on EMT course success warrants closer examination. Method—This study evaluated student age as a predictive measure in relation to the summative Fisdap EMT Readiness Exam 2.0 (ERE2). A retrospective analysis of the ERE2 exam was performed utilizing Fisdap, an online database for EMS and healthcare education data. Analysis employed student age as a predictive measure of ERE2 success. EMT students aged 14 to 99 years were included for analysis. Multivariate linear regres- sion analyses were conducted using robust standard errors while controlling for potential confounders. Results—A sample of 26,482 EMT students was included for analysis. Results indicated that age is a positive predictor of suc- cess on the ERE2. Students under 25 (referent) had statistically significant lower scores than older students. These lower scores ranged from 1–6 points (p<0.0001) on a typical 100-point scale. Students over 45 years of age showed no statistically significant differences in ERE2 score. Conclusion—As EMT educational offerings continue to tar- get an increasingly younger student population, educators must carefully assess the readiness of incoming students. Older students earn higher scores on the ERE2 than do their younger peers.

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