Continuing Medical Education (CME) Program Information Packet

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COUNTY OF SUFFOLK STEVEN BELLONE SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES JAMES L. TOMARKEN, MD, MPH, MBA, MSW Commissioner Continuing Medical Education (CME) Program Information Packet The CME Recertification Program has been identified as an important element in the retention of trained volunteer EMS providers. The Suffolk County Emergency Medical Services (EMS) Division is committed to working with the response agencies in our County to assure that the CME Program is available, beneficial and responsive to the needs of the agencies and the individuals who provide prehospital emergency medical care. Working together, we can make the CME Program an interesting, informative and effective way to assure that our response personnel have the knowledge and skills necessary to provide appropriate prehospital emergency medical care. A New York State Department of Health approved CME-based recertification program is available at the EMT- Basic, EMT-Critical Care and EMT-Paramedic levels for members of EMS response agencies in Suffolk County. The program allows qualified personnel, who are in continuous practice and who demonstrate competency, to renew their certification without having to take the State s traditional final practical skill and written examinations. The Suffolk County EMS Division serves as an affiliate to each agency that is registered with the New York State Bureau of EMS (NYS-BEMS) CME Program. The Division (as an affiliate of the agency) requires that all registered CME participants submit all completed CME paperwork to the Suffolk County EMS Division IN PERSON* no later than sixty (60) days prior to the expiration of their certification. This allows the Division several days to review the CME packet prior to submitting it to the NYS-BEMS by their forty-five (45) day rule. The mandatory fifteen (15) day lead time gives the Suffolk County EMS Division the opportunity to address any problems that may arise with the participant s CME paperwork prior to submitting it to the NYS- BEMS. CME participants MUST call the Division at 631-852-4776 to make an appointment to go over their paperwork. NO WALK-INS ALLOWED!!!! The Suffolk County EMS Division maintains a record of each provider who is in the CME Program. The list can be found on the Suffolk REMSCO website under CME Courses. The CME provider list contains the providers name, department, expiration date and the dates of the Core sessions, supplemental sessions, ICS 100, ICS 700 and Hazmat Awareness classes the provider has taken. It is the responsibility of the provider and their agency to keep proof of all Non Core, Core, Supplemental, ICS, and Hazmat CME classes. *Unless other arrangements have been made, in advance, with Peter Bergmann. S.C. Dept. of Health Services, EMS Division 360 Yaphank Ave., Suite 1B, Yaphank, NY 11980 (631) 852-5080 Fax (631) 852-5028

How to Register for the CME Program The New York State Bureau of EMS CME registration form can be found on the Suffolk REMSCO website by looking under downloads and forms. Please print the two (2) page form and make sure it is filled out in its entirety with your signature on both sections on the second page* and your CME Coordinators signature on the bottom. You can mail the form to: Suffolk County EMS Division 360 Yaphank Ave., Suite 1B Yaphank, NY 11980 Attn: CME Program Once the Suffolk County EMS Division receives the form, we will make a copy of your registration form and make you a folder. The original form will be mailed to the New York State Bureau of EMS. The Division will receive all Core CME forms back from Certified Instructor Coordinators (CICs) and file the forms in each CME participants folder. The date of the Core class will also be entered under each individuals name on the CME provider list located on the Suffolk REMSCO website. Agencies and CME participants not affiliated with the Suffolk County EMS Division. Agencies and CME participants not affiliated with the Suffolk County EMS Division may choose to take Core classes at a cost of ten dollars ($10) per CME hour. The Division requires payment to be received prior to attending classes. Any agency/cme participant interested needs to contact the Suffolk County EMS Division at 631-852-5080. Required Core Classes Reminder, each levels Core classes, listed below, must be taught by a NYS EMS Certified Instructor Coordinator (CIC). EMT-Basic CME Core (26 Core Hours Required) following is a list of the BLS Core content that all BLS CME participants are required to take. Class 1 Preparatory, EMS Operations, Special Needs Patients (3 hours) Class 2 Airway, Respiratory (3 hours) Class 3 Patient Assessment (3 hours) Class 4 Pharmacology, Med. Admin., Emergency Meds., Cardiology, Shock & Resuscitation (3 hours) Class 5 Immunology, Toxicology, Endocrine, Neurology, Psychiatric (3 hours) Class 6 Abdominal, Geni-Renal, GI, Hematology (3 hours) Class 7 Geriatrics, Obstetrics, Neonate, Pediatrics (4 hours) Class 8 Trauma (4 hours) Skills Assessment (Medical & Trauma), Airway, Ventilation, Hemorrhage Control, Splinting, Spinal Immobilization, Cardiac Arrest, AED. Two (2) skills classes may be needed in order to complete all of the skills. All EMT-B s must also submit a valid CPR card. ALS CME Core for EMT-Critical Care (36 Core Hours Required) following is a list of all the EMT-CC Core content that all EMT-CC CME participants are required to take.

Preparatory 1 - EMS Systems, Roles & Responsibilities, Ethics, Medical-Legal Terminology & Issues, Overview of Human Systems, Illness and Injury Prevention, Therapeutic Communication Preparatory 2 - Emergency Pharmacology, General Principles of Pathophysiology, Venous Access and Administration, Life Span Development Airway 1 - Anatomy & Physiology of the Respiratory System, Foreign Body Airway Obstructions, Supplemental O2 Therapy, Airway Management, Suction, Mechanical Adjuncts Airway 2 - Capnography, CPAP, Medication Assisted Intubation, Needle Cricothyrotomy, Bougie Devices, Difficult Airway Medical 1 - Pulmonary and Cardiology Medical 2 - Environmental Conditions/Infectious and Communicable Diseases/Behavioral Emergencies Medical 3 - Neurologic Emergencies, Abdominal Emergencies, Endocrinology Medical 4 - Allergic Reactions/Poisoning Medical 5 - Gynecology and Obstetrics Trauma 1 - Trauma Systems, Mechanism of Injury, Hemorrhage and Shock, Musculoskeletal Trauma Trauma 2 - Burns, Head & Facial Trauma, Soft Tissue Injuries Trauma 3 - Spinal/Thoracic/Abdominal Trauma Special Considerations 1 - Neonatology and Pediatrics Operations Skills - Two (2) skills classes may be needed in order to complete all of the skills. All EMT- CC s must also submit a valid CPR card. ALS CME Core for EMT-Paramedics (48 Core Hours Required) following is a list of all the EMT-P Core content that all Advanced CME participants are required to take. Preparatory 1 EMS Systems, Roles & Responsibilities, Ethics, Medical-Legal Terminology & Issues, Overview of Human Systems, Illness and Injury Prevention, Therapeutic Communication Preparatory 2 Emergency Pharmacology, General Principles Pathophysiology, Venous Access & Administration, Life Span Development Operations Airway 1 Anatomy & Physiology of the Respiratory System, Foreign Body Airway Obstructions, Supplemental O2 Therapy, Airway Management, Suction, Mechanical Adjuncts Airway 2 Capnography, CPAP, Medication Assisted Intubation, Needle Cric., Bougie Devices, Difficult Airway Medical 1 Pulmonary and Cardiology Medical 2 Environmental Conditions/Infectious and Communicable Diseases/Behavioral Emergencies Medical 3 Neurologic Emergencies, Abdominal Emergencies, Endocrinology Medical 4 Allergic Reactions/Poisoning Medical 5 Gynecology and Obstetrics Medical 6 Gastroenterology/Renal & Urology/Toxicology/Hematology Trauma 1 Trauma Systems, Mechanism of Injury, Hemorrhage and Shock, Musculoskeletal Trauma Trauma 2 Burns, Head & Facial Trauma, Soft Tissue Injuries Trauma 3 Spinal/Thoracic/Abdominal Trauma Special Considerations 1 Neonatology and Pediatrics Special Considerations 2 Abuse, Assault, Special Challenges, Acute Interventions for Chronic Care Patients Skills - Two (2) skills classes may be needed in order to complete all of the skills. All EMT-P s must also submit a valid CPR and ACLS card

A list of Core classes can be found under CME Courses on the Suffolk REMSCO website. Each level is separated for your convenience. Please click on the level that pertains to you. Another page listing the Core classes will open when you click on the level. Please note that if you put your mouse over the heading of the class you can click onto another page with more information. Please review each class offered and call (631-852-5080) or email the person requesting registration. YOU MUST PRE-REGISTER FOR EACH CLASS!! On a case by case basis the Suffolk County EMS Division may assist providers on obtaining core CME credit by taking the class via a contracted online service. Any provider that is expiring within six (6) months and cannot find the classes he/she needs to complete his/her Core requirements can contact Peter Bergmann and request the access code. NYS Bureau of EMS will allow up to half of the required Core credits to be obtained via an online service; however, the online content must be signed off by a NYS CIC at the level, or above, the provider. In meeting with the current Memorandum of Understanding, the Suffolk County EMS Division will provide the CIC oversight signature for the online classes. Non Core Requirements for All Levels EMT-B participants are required to obtain 46 hours of Non Core CME. EMT-CC participants are required to obtain 36 hours of Non Core CME. EMT-P participants are required to obtain 24 hours of Non Core CME. While the Suffolk County EMS Division is not required to supply Non Core CME, we do offer some in the Non Core CME portion of the Suffolk REMSCO website. Under CME Courses on the Suffolk REMSCO website free online Non Core is available from American CME and Bound Tree. Participants are allowed to complete half their Non Core hours online. NOTE: Each category (Preparatory, Airway, CPR, Trauma, Medical, Special Considerations, Operations, etc.) is limited to twelve (12) hours total in that topic. Specialized Courses Specialized Courses can be found under CME Courses on the Suffolk REMSCO website. Specialized certifications can be used for both Core and Non Core. Please contact Peter Bergmann (631-852-4776) for more information. Some specialized courses require a fee. NYS Tracking Forms Each CME participant must print a NYS Tracking Form from the Suffolk REMSCO website, under downloads and forms. The form MUST be signed by the NYS CIC teaching the Core class, for every Core class. Skills Sign Off The Suffolk County EMS Division will provide the signatures for both the Medical Director as well as the training officer on the individual NYS Tracking Forms. The Division does require that each provider have the NYS practical skills sheets as documentation. The State practical skill sheets need to be signed off by a NYS CIC or by the Agency Medical Director. Training Officer Signature The Suffolk County EMS Division will provide the signature of the training officer for each individual provider's NYS Tracking Form.

What to bring to your CME Completion/Review Appointment To make an appointment to review your CME paperwork, please call Peter Bergmann at 631-852-4776. Please bring the following to your appointment: 1. Completed applicable NYS Certification Renewal Cover Sheet (if you have, if not then the Division has copies here); 2. Completed applicable NYS Tracking Form; 3. Copy front and back of all CPR, ACLS, PHTL s, AMLS, PALS, PEPP being used for Core and Non Core; 4. Signature & number of NYS CIC for all Core (if missing some then the Division will sign); 5. Originals of certificates, CME sheets (triplicate form) and online certificates (in order) being used for Core. (Retain copies for your records and corps.); 6. Copy of certificates, CME sheets (triplicate form) and online certificates (in order) being used for Non Core. (Retain copies for your records and corps.); 7. Required & completed NYS Skill Sheets; 8. Signed Corp Liaison Review Sheet; and 9. Forty Five (45) Day Late Form (if necessary)