The Role of an Agency Medical Directors
Medical Directors ensure the continued competency of Nationally Registered EMS personnel by validating level specific skills. To maintain an 'Active' National EMS Certification, all advanced level providers (Paramedics and Advanced-EMTs) are required to have a licensed physician medical director attest to their skill competency every 2-year recertification cycle.National Component Guides
For expiration dates through Sept. 30, 2025:
National 2016 NCCP Model
NCCP 2016 V4 - Standardized Course Guide
The new 2025 NCCP Model will begin on April 1, 2025 for EMT/AEMT/Paramedic and October 1, 2025 for EMR:
National 2025 NCCP Model
Certification handbooks and Recertification Guide
Access the official handbooks for EMR, EMT, AEMT, and Paramedic certification, along with the EMS Recertification Guide.
View certification guides
Before a Medical Director can request the Medical Director role, they must have a NREMT account. If you already have a NREMT account, do not create a new account. See the section below "Add the Medical Director Role to my NREMT Account" for detailed instructions.
Step 1. Login to your account
Step 2. Enter your person information
Use these instructions if you have a NREMT account and need to add the Medical Director role to your existing account.
Step 1. Login to your NREMT User Account
Step 2. Click on your badge icon on the homepage
Step 3. Click on Add A User Role
Step 4. Select Add a Medical Director Role
Step 5. Read the pop up box and click Add Role
Step 6. Read the next screen and select Log out now
Step 1. Log in with your username and password
Step 2. Ensure your credentials
Ensure that you are in your Medical Director role and Select Agency from the left margin.
Step 3. Complete information
Select Affiliate with another Agency, complete the Request Agency Affiliation information, click Submit Affiliation Request.
Step 4. Agency Approval
The agency's current Training Officer on file must approve your Medical Director role request. If the Training Officer currently listed for the agency is no longer with the agency the agency will change the Training Officer. See “HOW TO AFFILIATE AS A TRAINING OFFICER AT AN EXISTING AGENCY” on the Information for Training Officer page.
As the Physician Medical Director for a service, one of your primary responsibilities is to verify the continued skills competency for advanced level EMS providers.
Step 1. Ensure you are logged on to the proper account
Ensure you are logged on to your NREMT Medical Director account, from the Medical Director dashboard select skills verifications.
Step 2. Approve or deny
Select either approve or deny and submit. An individuals skills competency can only be denied after the recertification application has been submitted. If an individual hasn’t submitted a recertification application you will see Provider’s Recert Application has not been submitted yet when you roll over their deny button.
Recert2.0 allows you to approve the skills of an individual without the individual submitting a recertification application. The two processes are now independent.
Step 1. Ensure you are logged on to the proper account
Ensure you are logged onto your NREMT Medical Director dashboard and select Add or Remove Medical Director Affiliation
Step 2. Make a Selection
On the next screen select the agency.
Step 3. Select View all Medical Directors.
Step 4. Select Remove Affiliation With This Agency
Step 5. Select Yes. Remove my affiliation.
Step 1. Log In
Log in with your user ID and password.Step 2. Make the Proper Selection
Select Medical Director for My Current Role to ensure you are on your Medical Director dashboard, select the agency, and select view next to Inactive To Active Request under Pending Actions and Requests.
Step 3. Approve or Deny
Read the instructions at the top of the screen, select approve or deny, and click submit
