Advancing the EMS profession

Instructor Requirement Exceptions

In addition to NAEMT's general requirements, listed below are the program-specific exceptions for NAEMT Instructor requirements: 

  • CAAHEP Accredited Programs: In recognition of the high educational standards required to earn CAAHEP accreditation, NAEMT has waived the traditional requirement of monitoring by NAEMT Affiliate Faculty for new instructors or courses.
    An approved NAEMT instructor can be designated as a course coordinator for the respective course. Instructor candidates (who have completed the provider course and NAEMT Instructor Preparation Course) at CAAHEP-accredited programs may be monitored by their designated course coordinator while teaching the respective NAEMT course.
  • Advanced Medical Life Support (AMLS):  Paramedic level licensure required. Training centers currently offering EMPACT can easily transition to AMLS. Read more here. Individual EMPACT instructors can transition to AMLS by:
    • Completing the NAEMT Instructor Application (proof of current EMPACT instructor status required);
    • Completing the AMLS 4th edition Instructor Update (contact NAEMT at education@naemt.org for access to AMLS 4th edition Instructor Update);
    • For new NAEMT Instructors, completing the NAEMT Instructor Preparation Course one time;
    • An AMLS 4th edition instructor card will be issued with completion of the above steps with no monitoring required.
  • All Hazard Disaster Response (AHDR): Current AMLS, PHTLS, TECC and TCCC Instructors can teach AHDR by taking the online Instructor Update or the provider course. Upon successful completion, eligible instructors receive an AHDR instructor card, and no monitoring is required.
    Note: AMLS, PHTLS, TECC and TCCC instructors who take the provider course must complete the NAEMT Instructor Application to receive your AHDR instructor card.

  • Community Paramedicine Course Series: Eligible instructors can teach these courses by:
    • Completing the NAEMT Instructor Application (Proof of current Paramedic level licensure is  required. Current status as an AMLS instructor, Instructor for a CAAHEP-accredited paramedic program, IBSC-certified Community Paramedic, or Military Medical Specialties (Air Force Independent Duty Medical Technician, Special operations Forces Medic and Navy Independent Duty Corpsman) is also required.);
    • For new NAEMT Instructors, completing the NAEMT Instructor Preparation Course one time;
    • An instructor card will be issued with completion of the above steps with no monitoring required.
  • Emergency Pediatric Care (EPC): Training centers currently offering PEPP or PALS can easily transition to EPC. Contact education@naemt.org for details. Individual PEPP or PALS instructors can transition to EPC by:
  • EMS Safety: Current NAEMT instructors; ITLS, ACLS, PALS, PEPP, EVOC, Fire Instructor 1; or EMS instructors at an accredited college or university can become an EMS Safety instructor by successfully completing the online 3rd edition Instructor Update (also available in Spanish). Upon successful completion, eligible instructors receive an EMS Safety instructor card and no monitoring is required. Note: NAEMT instructors who take the provider course must complete the NAEMT Instructor Application to receive your EMS Safety instructor card.

  • Emergency Vehicle Operator Safety (EVOS): Current instructors of the following national driving courses - CEVO II, CEVO 3, CEVO 4, VFIS EVDT, NHTSA EVOC or DoD Driver Training - can become EVOS instructors by completing the online EVOS 2nd edition Instructor Update or by taking the 8-hour EVOS course. No monitoring is required for eligible instructors who complete the EVOS Instructor Update. Instructors of local driving courses may also be eligible to transition to EVOS by:
  • First On The Scene (FOTS): Certified EMS instructors at the EMT, AEMT or Paramedic levels, currently certified fire instructors, or NAEMT-approved instructors may conduct FOTS courses. Eligible instructors who are interested in teaching FOTS who are not affiliated with an NAEMT Training Center must complete the FOTS Lead Instructor Application.  
    Note: All NAEMT training centers are approved to teach FOTS and courses can be registered in the NAEMT Course Administration Portal.
     
  • Geriatric Education for Emergency Medical Services (GEMS): Current AMLS and PHTLS Instructors can teach GEMS by taking the online Instructor Update or by taking the provider course. Upon successful completion, eligible instructors receive a GEMS instructor card, and no monitoring is required. 
    Note: AMLS or PHTLS instructors who take the provider course must complete the NAEMT Instructor Application to receive your GEMS instructor card.

  • Mental Health Resilience Officer (MHRO): Current NAEMT instructors who successfully complete the MHRO course (online or classroom) and submit a completed NAEMT Instructor Application are eligible to teach the MHRO course and will receive an MHRO instructor card. No monitoring is required. In addition, EMS practitioners who are not currently NAEMT instructors will need to complete all of the general instructor requirements, with the exception of monitoring.  No monitoring will be required. 
    Note: Physicians, physician assistants, nurses and social workers with commensurate prehospital experience may qualify for MHRO instructor status provided they complete all instructor requirements. Upon completion of the required steps, eligible instructors will receive an MHRO instructor card. No monitoring is required.

  • Prehospital Trauma Life Support (PHTLS): Current ITLS training centers can easily transition to PHTLS. Read more here. Individual ITLS instructors can transition to PHTLS by:
  • Psychological Trauma in EMS Patients (PTEP):  Current NAEMT Instructors can teach PTEP by taking the online instructor orientation or the provider course. Upon completion, eligible instructor receives a PTEP instructor card and no monitoring is required. NAEMT instructors who take the provider course must complete the NAEMT Instructor Application to receive your PTEP instructor card. 
    Note: Physicians, physician assistants, nurses and social workers with commensurate prehospital experience may qualify for PTEP instructor status provided they complete all instructor requirements. Upon completion of the required steps, eligible instructors will receive a PTEP instructor card.

  • Tactical Combat Casualty Care (TCCC):  In addition to NAEMT’s general instructor requirements, current TCCC instructors and instructor candidates are required to demonstrate knowledge and skills for each of the TCCC tiers they plan to teach (1-All Service Members, 2-Combat Life Saver, 3-Combat Medic and Corpsman) which can be accessed at https://deployedmedicine.com/market/226.
  • Tactical Combat Casualty Care Combat Lifesaver (TCCC-CLS): Military personnel are eligible to become a TCCC-CLS instructor. TCCC-CLS instructors can teach the CLS course or the All Service Members (ASM) course under the guidance of a full TCCC-CMC course coordinator. 
  • Tactical Emergency Casualty Care (TECC): Current NAEMT TCCC instructors can teach TECC by:
    • Completing the NAEMT Instructor Application
    • Completing the TECC 2nd edition provider course or Instructor Update;
    • A TECC 2nd edition instructor card will be issued with completion of the above steps with no monitoring required.
  • Tactical Emergency Casualty Care for Law Enforcement Officers (TECC-LEO) - NAEMT TECC 2nd edition Instructors are eligible to teach TECC-LEO. Any licensed EMT, paramedic or Law Enforcement Officer is eligible to become a TECC-LEO Instructor and teach the course under the guidance of a TECC course coordinator.