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The relationship between high school class rank and performance on the paramedic national certification written exam

Introduction: Academic history is a well-established predictor of educational success. Prerequisites to advanced emergency medical services (EMS) educational programs are a highly debated topic, especially in the face of possible workforce shortages. While it may be intuitive that academic history s...

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Bibliographic Details
Published in:Prehospital emergency care 2004-12, Vol.8 (4), p.435-435
Main Authors: Margolis, Gregg, Wagoner, Robert L.
Format: Article
Language:English
Online Access:Get full text
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Summary:Introduction: Academic history is a well-established predictor of educational success. Prerequisites to advanced emergency medical services (EMS) educational programs are a highly debated topic, especially in the face of possible workforce shortages. While it may be intuitive that academic history should have a bearing on success in EMS education, no empirical evidence demonstrates this relationship. Hypothesis: There is a relationship between high school class rank and first-attempt success rate on the written portion of the national paramedic certification examination. Methods: Candidates taking the National Registry of EMTs paramedic exam in 2002 were asked to report their high school class rank at the bottom of the exam answer sheet. High school class rank was correlated to first-time pass rate. Results: The paramedic written exam was administered 12,623 times during the study period, of which 8,176 were first attempts (64.8%). Of these, 5,774 (70.6%) candidates reported their high school class rank. More than half (55.9%) of the candidates taking the exam reported graduating in the top 30% of their high school classes, with only 5.5% in the lower 30%. Conclusion: There is a strong relationship between a candidate's self-reported high school class rank and the first-time pass rate on the written portion of the national certification exam. More research is needed to determine whether this relationship is causal or correlational. First-time Pass First-time Fail Self-reported High School Class Rank n % n % n % Bottom 10% 94 1.6 55 58.5 39 41.5 Lower 20% 223 3.9 113 50.7 110 49.3 Middle 40% 2,234 38.7 1,305 58.4 929 41.6 Upper 20% 1,926 33.4 1,291 67.0 635 33.0 Top 10% 1,297 22.5 1,029 79.3 268 20.7 Chi-square = 185.63 (p ≤ 0.001).
ISSN:1090-3127
1545-0066
DOI:10.1016/j.prehos.2004.06.003