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Paramedic Equivalency Process
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Paramedic Equivalency


Questions and Answers

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 process for determining whether the skills meet Ontario's minimum is called the Paramedic Equivalency Challenge Process.

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What is the Paramedic Equivalency Process?

The two part 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. For more information please visit the Paramedic Equivalency section.

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What happens after I successfully complete the equivalency process?

Upon successful completion of Phase 2 of the equivalency process, the candidate is considered "equivalent" for the purposes of Ontario Regulation 257/00, Part III (4) (a), and depending on the equivalency process will either be eligible to write the Advanced Emergency Medical Care Assistant Theory Examination or will be issued an Advanced Emergency Medical Care Assistant certificate without writing the examination. The Emergency Health Services Branch will provide candidates who need to write the AEMCA exam with a registration package.

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I am a qualified paramedic in another Province or Territory of Canada. What steps must I take before I can be employed as a paramedic in Ontario?

Ontario has implemented the Labour Mobility Provision of the Agreement on Internal Trade (AIT) as it applies to paramedics, and this will improve the opportunities for employment in Ontario of qualified paramedics who are active in another Canadian province or territory.

A paramedic who holds a license or is registered as a Primary Care Paramedic (PCP) from a recognized Canadian province or territory can apply for AIT Equivalency. A further assessment of knowledge and skills is required prior to being deemed equivalent to AEMCA.

If a paramedic does not hold license or registration as a Primary Care Paramedic from a recognized province or territory, an application for the Standard Equivalency Process may be submitted.

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I am a qualified paramedic in a foreign country. What steps must I take before I can be employed as a paramedic in Ontario?

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.

The documentation requirements and testing process for obtaining equivalency is outlined in the Paramedic Equivalency section. The equivalency process is designed to recognize training that foreign applicants have acquired, and allows individuals to present their experience and qualifications on a case-by-case basis, to determine eligibility to challenge the AEMCA certification examination.

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I am a graduate of a foreign medical school. Can I apply for paramedic equivalency in order to be employed as a paramedic in Ontario?

Physicians who graduate from a foreign medical school may apply to the Standard Paramedic Equivalency Process. Please note that individuals who have completed the Medical Council of Canada (MCC) Evaluating Exam may submit proof of successful completion of the exam in lieu of a detailed course curriculum. For more information please visit the Paramedic Equivalency section or contact the equivalency liaison.

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I am a Registered Nurse and wish to pursue a career as a paramedic. What do I need to qualify?

You would be required to attain certification as an Advanced Emergency Medical Care Assistant (AEMCA). Certification follows the successful completion of an Ontario paramedic program or by completing the Paramedic Equivalency process.

Registered Nurses in Ontario with at least 450 hours of land ambulance pre-hospital patient care experience are considered equivalent for the equivalency process. Registered Nurses with extensive experience in critical care areas (emergency, ICU) may receive up to 330 hours of credit towards the 450 hours of land ambulance pre-hospital experience. For more information please visit the Paramedic Equivalency section or contact the equivalency liaison.

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I am a Registered Nurse and wish to pursue a career as an air ambulance flight nurse. What do I need to qualify?

As per the Ontario Ambulance Act and current regulations, air ambulance operators do not employ, nor are able to employ, flight nurses. All air ambulance medical flight personnel are flight paramedics that hold Advanced Emergency Medical Care Attendant (AEMCA) certification and are aero-medically certified at the pre-hospital level. While several nurses have their AEMCA and aeromedical theory qualifications, they are not utilized nor recognized as nurses but rather as flight paramedics.

In addition, Ontario legislation does not allow for nurses to be substituted for flight paramedics on air ambulance flights. If a sending facility provides a nurse escort for outgoing patient treatment, they might use a flight nurse procurement company on a per-need basis. However all air ambulance flights must have a flight paramedic in attendance with the patient at all times, even if there is a registered nurse escort accompanying the patient. The flight paramedic is trained in emergency procedures and been trained on the specific aircraft's emergency procedures.

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I need more information on equivalency. Who do I contact?

For more information, contact the equivalency liaison.


For more information

Emergency Health Services Branch
5700 Yonge Street, 6th Floor
Toronto, Ontario
Canada     M2M 4K5

Tel : 1-800-461-6431 (Toll-free in Ontario only)
Fax : 416-327-7911
Email : ehs.websitecontact@sdsx.moh.gov.on.ca

Call the ministry INFOline at 1-866-532-3161
(Toll-free in Ontario only)
TTY 1-800-387-5559
Hours of operation : 8:30am - 5:00pm
 
  
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