National Registry Introduces Multiple Response Items to the Written Examination.
In addition to the recent inclusion of video based test questions, the NREMT has begun including Multiple response Items to their exam. 

Implementation of the new NREMT - PARAMEDIC Psychomotor Testing Requirements

Beginning January 1, 2017, the NREMT implemented the new scenario-based psychomotor exam. In the new test model, Paramedic candidates are tested on a total of six skills. Five skills from the traditional NRP Psychomotor Examination (Patient Assessment – Trauma, Dynamic Cardiology, Static Cardiology, Oral Station Case A, Oral Station Case B) are tested, with the addition of an Integrated Out-Of-Hospital Scenario.

Implementation of the PARAMEDIC Psychomotor Competency Portfolio

The NREMT developed a portfolio of vital skills that each paramedic student must master to qualify for the NRP Certification examination. The program tracks each student's portfolio throughout the formative and summative phases of education in the laboratory, clinical, and field internship settings. The completed portfolio provides a mass of evidence that documents a candidate’s acquisition of psychomotor competency in the skills we previously evaluated on the 12-skill NRP Psychomotor Examination. All students that began their paramedic program on or after August 1, 2016 are now required to complete a portfolio that becomes a part of their permanent educational file and is a prerequisite to seeking NRP Certification.