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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