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Paramedic Equivalency Process
Standard PCP Equivalency
Standard ACP Equivalency
AIT Equivalency
Q&A - Equivalency
Education Contacts
Paramedic Courses

Standard PCP Equivalency

Phase 1 – Documentation

Candidates applying for Standard-PCP Equivalency must forward the following documentation to the Education and Patient Care Section of Emergency Health Services Branch :

  • Administrative fee in the amount of $50.00 made payable to the Minister of Finance in the form of a certified cheque or money order. Personal cheques are not accepted
  • Letter from Ambulance Manager/Supervisor confirming – must be on official letterhead
    • Minimum of 450 hours of Land Ambulance Time
    • Quality of Work and/or Recommendation
  • Original copy of College Paramedic Certificate
  • Official Educational Transcript(s) – must be on official, secure paper
  • Copy of Course Outlines/Curriculums for the year(s) in which you attended – must include course objectives
US EMT-P
  • Administrative fee in the amount of $50.00 made payable to the Minister of Finance in the form of a certified cheque or money order. Personal cheques are not accepted
  • Letter from Ambulance Manager/Supervisor confirming – must be on official letterhead
    • Minimum of 450 hours of Land Ambulance Time
    • Quality of Work and/or Recommendation
  • Original copy of College Paramedic Certificate
  • Official Educational Transcript(s) – must be on official, secure paper
  • Copy of Course Outlines/Curriculums for the year(s) in which you attended – must include course objectives

If you are an EMT-P and you are able to provide supporting documentation that you are Nationally Registered you do not need to provide a Copy of Course Outlines/Curriculums.

Registered Nurses
  • Administrative fee in the amount of $50.00 made payable to the Minister of Finance in the form of a certified cheque or money order. Personal cheques are not accepted
  • Letter from Ambulance Manager/Supervisor confirming – must be on official letterhead
    • Minimum of 450 hours of Land Ambulance Time
    • Quality of Work and/or Recommendation

Registered Nurses in Ontario with at least 450 hours of land ambulance pre-hospital patient care experience are considered equivalent for the Equivalency Process. Should you be able to provide supporting documentation of extensive experience in critical care areas (emergency, ICU) you may receive up to 330 hours of credit towards the 450 hours of pre-hospital land ambulance experience requirement.

  • Official Educational Transcript(s) – must be on official security paper (e.g. raised seal)
  • Copy of Course Outlines/Curriculums for the year(s) in which you attended – must include course objectives

Should you be able to provide supporting documentation that you are registered with the College of Nurses of Ontario (CNO) you do not need to provide a Copy of Course Outlines/Curriculums.

Physicians
  • Administrative fee in the amount of $50.00 made payable to the Minister of Finance in the form of a certified cheque or money order. Personal cheques are not accepted
  • Letter from Ambulance Manager/Supervisor confirming– must be on official letterhead
    • Minimum of 450 hours of Land Ambulance Time
    • Quality of Work and/or Recommendation

Physicians who have completed the Medical Council of Canada (MCC) Evaluating Exam may submit supporting documentation confirming a minimum of 120 hours of pre-hospital land ambulance experience.

  • Official Educational Transcript(s) – must be on official security paper (e.g. raised seal)
  • Copy of Course Outlines/Curriculums for the year(s) in which you attended

Physicians who have completed the Medical Council of Canada (MCC) Evaluating Exam may submit proof of successful completion of the exam in lieu of a Copy of Course Outlines/Curriculums.

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. These evaluations include :

  • Ontario Medical- Legal Test (Administration Fee: $20.00)
    This written test is designed to assess the candidate's knowledge of the Ontario Legislative framework as it pertains to the ambulance system roles and responsibilities of a paramedic.
  • Symptom Relief Test (Administration Fee: $20.00)
    This written test assesses the candidate's knowledge of the Ontario protocols for the delivery of Symptom Relief medications (nitroglycerin, ASA, Ventolin, epinephrine and glucagon).
  • Semi-Automatic External Defibrillator Test (Administration Fee: $20.00)
    This written test is designed to assess the candidate's knowledge of the Ontario Standards and protocols for the delivery of semi-automatic external defibrillation.
  • Patient Care Practical Skills Testing (Administration Fee: $100.00 [$25.00 per component])
    The practical component is scenario based evaluations of common situations that paramedics may encounter in the course of their job. Candidates must successfully complete each of the following scenarios :
    • Trauma
    • Medical
    • Defibrillation
    • Symptom Relief
Certification

Upon successful completion of Phase 2, the candidate is considered "equivalent" for the purpose of Regulation 257/00, Part III 7. (4) (a), and is eligible to write the MOHLTC Advanced Emergency Medical Care Assistant Theory Examination. The AEMCA Examination is conducted three times per year – every February, June and October.

Candidates who have been deemed equivalent will be provided with a registration package for the AEMCA Theory Examination.

Upon successful completion of the AEMCA Theory Examination, the candidate will be issued an Advanced Emergency Medical Care Assistant certificate.

For more information, see the Paramedic Equivalency Question and Answers page or 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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