(1) All levels of licensed ECPs are required to complete continuing education and refresher requirements prior to their expiration date.

(a) EMRs must complete an EMR refresher program, which reviews the knowledge and skills of the current curriculum, and documents continued competence.

(b) EMTs must complete 48 hours of continuing education topics contained within the original EMT course and an EMT refresher program, which reviews the knowledge and skills of the current curriculum, and documents continued competence.

(c) AEMTs must complete 36 hours of continuing education topics contained within the original EMT course and an AEMT refresher program, which reviews the knowledge and skills of the current curriculum, and documents continued competence.

(d) Paramedics must complete 24 hours of continuing education topics contained within the original EMT course and a paramedic refresher program, which reviews the knowledge and skills of the current curriculum, and documents continued competence.

(2) ECPs must complete a refresher course in which a lead instructor or medical director validates knowledge and skills. An ECP cannot build a refresher course by combining continuing education topics or offerings.

(a) The refresher course must assess the licensee's competency demonstrated during the course to function at the level of the ECP license in accordance with the scope of education and practice.

(b) The refresher may be a course of instruction or a combination of quality improvement and quality assurance activities coordinated by an active local medical director.

(i) The content must be structured to assess competency of the core knowledge and skills for the level of the ECP license.

(ii) The refresher need not be structured in a setting of traditional classroom sessions, but may be extended throughout the biennial renewal cycle.

(3) ECPs certified by the NREMT may report completed continuing education and refresher course credits to the NREMT for registration purposes and also to the board to meet, in whole or in part, the requirements of (1) and (2).

(4) The lead instructor is responsible for the refresher training at the EMR and EMT levels.

(5) The medical director is responsible for the refresher training at the endorsed EMT level and above. The medical director may assign duties as appropriate, but retains the overall responsibility for the refresher.

(6) The lead instructor conducting a refresher course must provide an agenda and detailed student performances that document the licensee's ability demonstrated during the course of instruction to function in accordance with knowledge and skills within the original scope of education.

(a) If audited by the board, the lead instructor must justify the content of the EMR and EMT refresher.

(b) If audited by the board, the medical director must justify the AEMT and paramedic refresher content.

(7) Endorsement continuing education requirements and continued competence is the responsibility of the medical director.

(8) Documentation of all continuing education and continued competence must be retained by the ECP, and made available to the board if requested.

(9) The board or their designee may conduct onsite visits of continuing educational offerings to assure the content and accuracy of the offering.