ALS National Continued Competency Requirements Refresher (NCCR 2025)

Instructional Hours: 30.00

Course Objective: To provide students with the knowledge, skills, and abilities to fulfill a portion of the requirements for National Registry recertification.

Course Description: Major topics covered in this course include airway management, cardiovascular emergencies, medical emergencies, trauma emergencies, special patient populations, and operations. Methods of instruction include facilitated lecture, interactive learning cases, and interactive learning sessions.

Successful Completion: Students must attend all classroom sessions and demonstrate proficiency in the evaluation stations. Successful completion of the course provides completion of the required NCCR hours (30) for ALS clinician recertification. This course does NOT completely fulfill requirements for recertification. Students must still complete 15 hours of LCCR as directed by MIEMSS and 15 hours of ICCR per National Registry guidelines. In order for clinicians to maintain their ALS certification from both National Registry and the State of Maryland, renewal training is required every two years.

Continuing Education: In July 2017, the state of Maryland adopted the National Continued Competency Program (NCCP). The NCCP model divides training requirements into three areas: the National Continued Competency Requirements (NCCR), the Local Continued Competency Requirements (LCCR), and the Individual Continued Competency Requirements (ICCR). Each applicant recertifying his or her National Registry Paramedic certification will need the following:

  • NCCR - 30 hours (fully provided by this course)
  • LCCR - 15 hours (content as directed by MIEMSS - clinician does on their own)
  • ICCR - 15 hours (per NR guidelines - clinician does on their own)


The continuing education hours are approved by the Maryland Institute for Emergency Medical Services Systems (MIEMSS) and are recognized by the National Registry of Emergency Medical Technicians (NREMT). This course meets the 2025 NREMT NCCP standards.

Prerequisites

Students must be a current, licensed Maryland advanced life support clinician.

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Instructional Hours: 30.00
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