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Ontario Paramedic Equivalency Process
In order to become employed in Ontario as a paramedic at any level, a person must hold an Advanced Emergency Medical Care Assistant (AEMCA) qualification or hold training and qualifications deemed equivalent by the Director, Emergency Health Services Branch, as identified within Ontario Regulation 257/00 Part III, made under the Ambulance Act.
The Ontario Paramedic Equivalency Process provides an opportunity for paramedics who have not graduated from an Ontario College Paramedic Program to present their experience and qualifications on a case-by-case basis, to determine eligibility to challenge the AEMCA Theory Examination. The Equivalency Process for all applicants involves two phases - validation of educational and work experience, and qualifying evaluations.
The outline below describes the competencies required for AEMCA Equivalency, and the components that are included within the Ontario College Paramedic Program. The candidate's qualifications will be verified and assessed against these standards in Ontario.
Advanced Emergency Medical Care Assistant (AEMCA) Competencies
The following outline lists the abilities paramedic candidates without Ontario AEMCA credentials (or recognized equivalent credentials) will be judged on while being considered for equivalency. The Advanced Emergency Medical Care Assistant must :
Ontario College Paramedic Program
The following components are included within the educational program that an Ontario AEMCA completes. Consider them if you are interested in studying to be an Ontario AEMCA or applying for equivalency :
Theory component (800+ hours), including topics such as :
Practical lab and hospital clinical component (300 hours), including areas such as :
Land ambulance field placement (minimum 450 hours) :
The outline below describes the competencies required for ACP Equivalency, and the components that are included within the Ontario College ACP Program. The candidate's qualifications will be verified and assessed against these standards in Ontario.
Advanced Care Paramedic (ACP) Competencies
The clinical skills must match the National Occupational Competency Profiles (NOCP’s). All areas marked as “C” in the NOCP’s must be demonstrated in the clinical environment. This must be signed-off by the clinical supervisor.
As mentioned earlier, the Equivalency Process for all applicants involves two phases - validation of educational and work experience, and qualifying evaluations.
Phase 1 - Validation of Education and Work Experience
The Emergency Health Services Branch sees the interpretation, judgement and critical decision-making skills developed during Ontario Advanced Emergency Medical Care Assistant (AEMCA) education as essential. Therefore, an equivalency candidate must demonstrate that they have had an opportunity to develop such skills either through a similar educational program or through extensive EMS work experience.
Once all required documentation is received, a determination is made on which Equivalency Process the applicant will enter - either AIT Equivalency or Standard Equivalency (both described below) - based upon the documentation provided.
Analysis of the documentation will be conducted and a decision on equivalency status will be provided in writing. The applicant will be advised of the next steps required to complete the Equivalency Process, as applicable.
Therefore, all applicants should carefully review the Required Documents and Qualifications section of the Equivalency Process being completed to ensure that all required documentation is included when submitting an application. Applications with missing documentation may cause a delay in processing.
Applications and documentation submissions should be sent to Education and Patient Care Standards.
Phase 2 - Qualifying Evaluations
Once a candidate successfully completes Phase 1, they must then complete the qualifying evaluations within twenty-four (24) months to determine their knowledge and skills for pre-hospital care in Ontario. English proficiency will be assessed throughout the tests. Candidates are permitted a maximum of four attempts to complete all testing components. At each re-attempt, only the components that were completed unsuccessfully will be re-administered.
Practical, scenario based evaluations are conducted in "real" time, with the call to be completed as if it were a real situation. The following main categories will be evaluated against applicable standards, i.e. Basic Life Support and Patient Care Standards (BLS), Advanced Life Support and Patient Care Standards (ALS) :
There are nine dates scheduled for equivalency qualifying testing during the year. Typically, qualifying testing dates are scheduled to precede the AEMCA exam. Equivalency candidates who are successful at Phase 1 and are required to write the AEMCA exam are provided with a list of those scheduled dates for Phase 2.
Candidates eligible for Phase 2 must submit their application along with a certified cheque or money order made payable to the Minister of Finance for the amount of the administrative fees required for the components they will be undertaking.
Application and payment must be received by the Education and Patient Care Standards section of Emergency Health Services Branch no later than two weeks prior to the requested testing date.
The Emergency Health Services Branch of the Ministry of Health and Long-Term Care (MOHLTC) continues to be an active supporter of paramedic mobility in Canada. To this end, Ontario has a revised equivalency process for Primary Care Paramedics (PCP) and Advanced Care Paramedics (ACP) licensed/registered in other Canadian provinces and territories. This revised process meets the most recent updated requirements of the Labour Mobility Provisions (Chapter 7) of the Agreement on Internal Trade (AIT).
The Ministry of Health and Long-Term Care (MOHLTC) AIT Paramedic Equivalency process ensures that paramedics who hold a valid license or certification in good standing from another Canadian province or territory as a PCP or ACP have employment opportunities in Ontario. Paramedics seeking equivalency in Ontario who do not hold licensure/registration in another province or territory need to enter the MOHLTC Standard Paramedic Equivalency process.
Paramedics who have completed a paramedic training program from another country or do not meet the AIT Equivalency requirements and want to work as a paramedic in Ontario must undertake the Standard Equivalency Process. Individuals from other disciplines, for example, Registered Nurses or Physicians, who may have experience and qualifications that is equivalent to an Ontario Paramedic graduate can also apply to undertake the Standard Equivalency Process.
Standard Equivalency applicants must successfully complete both Phase 1 and Phase 2 of the Standard Equivalency Process and successfully complete the Ministry of Health and Long-Term Care (MOHLTC) AEMCA Theory Examination. The successful completion of the MOHLTC AEMCA Theory Examination is required to obtain AEMCA certification.
Emergency Health Services Branch
Call the ministry INFOline at 1-866-532-3161|
(Toll-free in Ontario only)
Hours of operation : 8:30am - 5:00pm
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