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Medical Directors

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

STEP 1.

Login with your username and password. 

STEP 2.

Under My Roles, click Medical Director 

STEP 3.

From your Medical Director dashboard, locate the PENDING ACTIONS & REQUESTS section

STEP 4.

Click on the View button located in the Education and Skills Verification line  

STEP 5.

On the following screen, click the View Instructions button in the upper right corner to read the instructions  

STEP 6.

Click the box in the Approve column of the individual to approve when you are ready to approve them 

Note: You cannot approve the skill competency for yourself. Another individual with Medical Director access to the agency must perform the function. 

STEP 7.

Click Submit 

Note: Read the next screen; once the selection is finalized, your approval cannot be removed by you or the National Registry of EMT staff. Click Cancel to go back and not approve the individual at this time, or click OK to finalize your selection.  

You can email questions to support@nremt.org using the subject ATTN Partners. 

 

Step 1.

Login with your username and password 

Step 2.

Under MY ROLES, click on Medical Director to access the Medical Director dashboard 

Step 3.

Click on the Agency tab on the left margin under your Medical Director role 

Step 4.

On the Manage My Affiliations screen, click on the agency you want to remove yourself from 

Step 5.

Click on View All Medical Directors 

Step 6.

Click on the Remove Affiliation With This Agency button 

Step 7.

Read the pop-up box and click Yes, Remove my Affiliation  


Note: If you are the only Medical Director listed, another must be added before you can remove yourself. When an agency has one affiliated Medical Director, another Medical Director must request to affiliate with the agency and be approved by a current agency Training  officer before the former Medical Director can be removed.   

 

Step 1.

Login with your username and password. 

Step 2.

Under My Roles, click on the Training Officer or Medical Director role. 

Step 3.

From your Training Officer or Medical Director dashboard, locate the PENDING ACTIONS & REQUESTS section 

Step 4.

Click on the View button located in the Inactive to Active Requests line 

Step 5.

On the following screen, read the information in the box at the top. 

Note: You cannot approve your own inactive to active request. Another individual with the Training Officer or Medical Director access to the agency must perform the function. 

Step 6.

Click the box in the Approve or Deny column of the individual 

Step 7.

Click Submit 


Note: A Training Officer approves electronic Inactive to Active requests for BLS providers and cannot see the ALS  requests. The Medical Director must approve the Inactive to Active request for ALS providers and cannot see the BLS requests. 


You can email questions to support@nremt.org using the subject ATTN Partners.