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On the Assessment of Paramedic Competence: A Narrative Review with Practice Implications

Published online by Cambridge University Press:  30 November 2015

W. Tavares  and
S. Boet
W. Tavares*
Affiliation:
Centennial College, Paramedic Program, Toronto, Ontario, Canada McMaster University, Faculty of Medicine, Division of Emergency Medicine, Hamilton, Ontario, Canada ORNGE Transport Medicine, Mississauga, Ontario, Canada York Region Paramedic Services, Newmarket, Ontario, Canada Paramedic Association of Canada, Ottawa, Ontario, Canada
S. Boet
Affiliation:
University of Ottawa, Skills and Simulation Centre and Department of Anesthesiology, Ottawa Hospital, Ottawa, Ontario, Canada
*
Correspondence: Walter Tavares, PhD Centennial College P.O. Box 631, Station A Toronto, Ontario, Canada M1K 5E9 E-mail: wtavares@centennialcollege.ca
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Abstract

Introduction

Paramedicine is experiencing significant growth in scope of practice, autonomy, and role in the health care system. Despite clinical governance models, the degree to which paramedicine ultimately can be safe and effective will be dependent on the individuals the profession deems suited to practice. This creates an imperative for those responsible for these decisions to ensure that assessments of paramedic competence are indeed accurate, trustworthy, and defensible.

Purpose

The purpose of this study was to explore and synthesize relevant theoretical foundations and literature informing best practices in performance-based assessment (PBA) of competence, as it might be applied to paramedicine, for design or evaluation of assessment programs.

Methods

A narrative review methodology was applied to focus intentionally, but broadly, on purpose relevant, theoretically derived research that could inform assessment protocols in paramedicine. Primary and secondary studies from a number of health professions that contributed to and informed best practices related to the assessment of paramedic clinical competence were included and synthesized.

Results

Multiple conceptual frameworks, psychometric requirements, and emerging lines of research are forwarded. Seventeen practice implications are derived to promote understanding as well as best practices and evaluation criteria for educators, employers, and/or licensing/certifying bodies when considering the assessment of paramedic competence.

Conclusions

The assessment of paramedic competence is a complex process requiring an understanding, appreciation for, and integration of conceptual and psychometric principles. The field of PBA is advancing rapidly with numerous opportunities for research.

TavaresW, BoetS. On the Assessment of Paramedic Competence: A Narrative Review with Practice Implications. Prehosp Disaster Med. 2016;31(1):64–73.

Keywords

clinical competenceeducational measurementEmergency Medical ServicesEmergency Medical Technicians
Type
Comprehensive Review
Information
Prehospital and Disaster Medicine , Volume 31 , Issue 1 , February 2016 , pp. 64 - 73
Copyright
© World Association for Disaster and Emergency Medicine 2015 

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