The goal of this document is to describe minimum expectations for student formative experiences and minimum expectations by which the program ensures entry-level competency. Formative experience is defined as an activity in which the student’s performance is assessed to provide feedback during the educational experience and to expose the student to the variety of patients and conditions seen by a practicing AEMT. Reasonable evidence of competency is defined as the performance expectation by which the educational program can attest that the student has amassed a portfolio of demonstrated performance of skills and abilities necessary for safe and effective care. The standards for reasonable evidence of competency are built on the concept that competent performance must be demonstrated over time in a variety of conditions.

A single evaluation of skills performance by the educational institution cannot provide sufficient evidence of competency. The use of portfolios is an established tool that contributes to the valid and reliable evaluation of competency.

The tracking system (e.g. portfolio) for demonstration of skills and experiences during training should track each of the four (4) dimensions for the educational activity that assesses skills and abilities:

  • Description of the assessed skill or ability
  • Age or developmental category of the patient
  • Pathophysiology or type of patient presentation
  • The environment of the evaluation: laboratory setting, simulated patient encounter, or live patient encounter

Each experience can then be compared to the tables that follow later for expected minimums.

Portfolios are subject to the record retention policy in force by the Louisiana Bureau of EMS of a minimum of two consecutive license cycles. These portfolios may be subject to audit to ensure a minimum level of quality and competency is maintained.

The Bureau of EMS does allow agencies to decide the most appropriate format for the portfolio. Electronic and paper mediums are both acceptable.

This document was created to provide standards for the verification of AEMT student minimum competencies. It endeavors to maximize efficiency, consistency of instructional quality, and student competence. Further, it supports a system of EMS personnel licensure that is consistent with other healthcare occupations.

Beginning July 1, 2024, the National Registry will require verification by the AEMT Program Director that student minimum competency has been verified in compliance with state EMS office requirements and in a manner consistent with this document. Any AEMT course finishing after June 30, 2024, must include the SMC .

CLICK HERE for AEMT SMC document.