NAEMSP Mobile Integrated Health/Community Paramedic Workshop Michael Wilcox M.D., FACEP, FAAFP 1/22/2017

North Central EMS Institute/ Paramedic Foundation, Community Paramedic Curriculum

Disclosures: None

Today’s Agenda Objectives Introduction Curriculum structure Credentialing/ Certification Future considerations Conclusion

Objectives After attending this presentation the participant will know the: Origin of the Community Paramedic curriculum Modular components of the CP Curriculum Manner of testing and certification of the CP candidate Dynamic nature of making changes in curriculum based upon student feedback

Today’s Agenda Objectives Introduction Curriculum structure Credentialing/ Certification Future considerations Conclusion

Introduction Curriculum Initial curriculum was developed at Hennepin Technical College within the Minnesota State College and University System in 2008. (MNSCU) Funding was provided by a grant from the Office of Rural Health- Minnesota Department of Health Assistance in developing the curriculum came from additional educational organizations

The Community Healthcare and Emergency Collaborative

Introduction Acceptance To be accepted as a Community Paramedic candidate the student must meet 3 qualifications: 2 years of experience as a “street” paramedic (911 responder) An interest in community health initiatives Letter of recommendation from the candidate’s EMS Medical Director

Introduction Nationwide Since its inception 177 Minnesota Paramedics and 600 National and International Paramedics have completed the course 38 States 2 Canadian providences 1 candidate from Saudi Arabia

Hennepin Technical College Trained by Location 2 Canada 24 Maine 12 Washington Montana 23 North Dakota 177 Minnesota Oregon 10 Idaho 46 Wisconsin Michigan New Jersey Wyoming Iowa 8 Indiana California Nebraska Ohio 6 Illinois Colorado Nevada Kansas Missouri Kentucky 34 North Carolina Arkansas South Carolina 10 Georgia Texas Saudi Arabia

Agenda Objectives Introduction Curriculum structure Credentialing/ Certification Future considerations Conclusion

Curriculum Structure Levels Level 1- Non- paramedic filling some roles of the Community Paramedic Level 2- Certificate or Associate Degree Level 3- Bachelor’s degree Level 4- Master’s degree

Curriculum Structure Standardized multi-module delivery model Applicable across America and internationally 14 credit certificate

Curriculum Structure Didactic Component 10 modules 114 hours offered by classroom or webcam sessions Extends over 1 semester Part-time program

Curriculum Structure Modules Covered Chronic Disease: Cardiac Respiratory Diabetes Neurological Mental Illness Pathophysiology Pharmacology Social determinants of health Cultural Components Economical Components Ethics

Curriculum Structure Didactic Testing Quiz follows each module Case scenarios are folded into discussion after each module Final examination is completed (Nationally recognized exam) 40 % of the didactic grade is based upon a community healthcare needs assessment

Curriculum Structure Clinical Component Clinical skills @ 200-220 hours Clinicals are established with local mentors and completion of each clinical experience is verified by the mentor

Curriculum Structure Clinical Component The Clinical Experience Primary care Community Health/Hospice Wound care Behavioral Cardiology Respiratory Endocrinology Neurological Pediatrics Geriatrics Informatics Technology Networking

Curriculum Structure Clinical Experience

Curriculum Structure Clinical Experience The focus of the clinical experience is based upon the unique healthcare needs of each community. - Dr. Michael Wilcox

Today’s Agenda Objectives Introduction Curriculum structure Credentialing/ Certification Future considerations Conclusion

Credentialing/Certification Credentialing and Certification will be granted upon: Satisfactory completion of both the didactic and clinical components of the curriculum Acceptance by the EMS Medical Director of the Community Paramedic candidate Designation of certification as a Community Paramedic at the State EMS Agency level

Today’s Agenda Objectives Introduction Curriculum structure Credentialing/ Certification Future considerations Conclusion

Future Considerations A soon to be augmented version of this curriculum will be available within the next year Parameters of time to completion and academic credits obtained will not change Additional focus upon: Informatics Technology Lab analysis Education Care of the disabled

Today’s Agenda Objectives Introduction Curriculum structure Credentialing/ Certification Future considerations Conclusion

Conclusion Future healthcare needs will necessitate a greater presence of EMS in the provision of community care. The Community Paramedic will play a major role in the delivery of this care

Michael Wilcox M.D., FACEP, FAAFP Questions? Michael Wilcox M.D., FACEP, FAAFP mwilcox3090@yahoo.com 612-803-2912