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Paramedic is the highest level of pre-hospital care.


Prospective Paramedic Candidate,

Welcome to the New England EMS Institute! NEEMSI has been a part of the EMS community for over 30 years, and we continue to pride ourselves in educating all levels of EMS and training many EMS providers throughout New England. I want to take this opportunity to welcome you to our school and provide some information to you regarding the paramedic program process.

It is NEEMSI’s goal to prepare entry-level Paramedics with the knowledge, practical skills, and behaviors necessary to provide quality patient care. Students who successfully complete our paramedic program with an overall average of 80%, are eligible to take the National Registry of EMTs examination and subsequently apply for state licensure. Our program is approved by the New Hampshire state EMS office, and we are accredited by the Commission on Accreditation of Allied Health Education Programs. Graduates of our program are eligible for college credit hours with Granite State College or college credit hours with New Hampshire Technical Institute.

NEEMSI Paramedic Course Description:

Our 12-month Paramedic program is designed for students that are actively working in EMS by meeting for class only one day a week. Students can choose a clinical site that is affiliated with NEEMSI (See affiliations page). Students can schedule their clinical hours to work around their work schedule.

Our program consists of 7 Modules:

Module 1- Cardiology, Airway and Pharmacology I

Module 2- Cardiology, Airway and Pharmacology II

Module 3- Special Patient Demographics (Cradle to grave)

Module 4- Medical and Trauma Emergencies I

Module 5- Medical and Trauma Emergencies II

Module 6- Capstone

Module 7- Online Operations Module

This Program will consist of 4 parts:

In class (392 Hours)- The class will meet once a week for 8 hours for the duration of the course with major holidays and weather considered. Each morning will consist of a quiz followed by lecture. Every afternoon will involve some type of lab, group activity, simulation or role playing. NEEMSI students have access to the online journal Prehospital Emergency Care.

Lab (128 Hours)- One day will be dedicated solely to labs every 3-4 weeks. Our labs will involve ALS skills, and simulation in our breakout rooms. Our breakout rooms mimic 4 specific prehospital settings; an apartment living room, an outdoor setting, a nursing home and a pediatric room. We use iSimulate monitors and stethoscopes, a Laerdal high fidelity mannequin, multiple kinds of video laryngoscopes and an ambulance simulator.

Online (800 Hours)- There will be an online portion for each module. Most of our operations topics will be compiled into an “Online Operations Module (160 Hours).” This module will open at the beginning of module 3 and close at the end of module 5, giving our students 26 weeks total to complete the module. The student must pass the module with an 80% or higher to continue in the program. The operations module is meant to cater to the student’s schedule and will only have one due date for all assignments at the end of module 5.

All topics covered in this operations module are compliant with National Emergency Medical Services Education Standards 2021.

Clinical (648 Hours)- Our program has 300 hours in the hospital and 358 hours in the field. The projected hours per week for clinical time is 16 hours per week and will begin after competency is demonstrated in Module 1. Out of the 348 field hours, 200 will be capstone with a verified preceptor and the student must document 20 Successful team leads. Upon completion of clinical hours, students will meet all skill requirements in compliance with Student Minimum competencies established by CoAEMSP/ CAAHEP.

Please see the Technical Standards required for Paramedic job functions.


The Paramedic Program of Elliot Hospital (New England EMS Institute) is accredited by the Commission on Accreditation of Allied Health Education Programs ( upon the recommendation of the Committee of Educational Programs for the Emergency Medical Services Professions (CoAEMSP).

Commission on Accreditation of Allied Health Education Programs. 727-210-2350

To contact CoAMESP: 214-703-8445

The Massachusetts Department of Public Health (Department) has issued renewal of EMS training institution accreditation at the Paramedic level in accordance with 105 CMR 170.946 to New England EMS Institute.  Approval at the Paramedic level enables the accredited training institution to conduct training at all lower EMT levels. The current accreditation period as a Paramedic level accredited training institution began December 1, 2022 and will expire on December 1, 2025.

Massachusetts Department of Public Health, EMS Accredited Training Institute (MA ATI)
Office of Emergency Medical Services
67 Forest Street 
Marlborough, MA 01752 

Accreditation Statistics:


2020- 97.5%

2021- 97.2%

2022- 100%

Cumulative Pass Rate

2020- 96.9%

2021- 82.4%

2022- 89.5%

Positive Job Placement

2020- 100%

2021- 100%

2022- 100%

Application Process:

After applying with our web form, we will send you a list of additional documents and schedule an interview. Admission into our program is not guaranteed the application fee is non-refundable but does apply toward your tuition.

Required Documents:

  1. Copy – Current certification card for National Registry of EMT’s (minimum EMT) or state license at the EMT level or higher

  2. Copy – Current certification card for American Heart Association BLS for Healthcare Provider

  3. Copy – High school diploma or GED

  4. Letter of recommendation from chief officer in charge or designee of your current organization.

  5. Letter of recommendation from EMS Medical Director

  6. Resume (Please add any college courses that you have taken)

  7. Letter of Intent as to why you want to be a paramedic

  8. Documentation of a minimum of 50 EMS calls. This can be a printed-out list from TEMSIS

  9. Copy – 5 Patient Care Reports (QA Protected) written by the applicant. This can be a printed-out from TEMSIS

Paramedic Program Prerequisites:

  • Current certification at the EMT/AEMT level with minimum of 1 year experience

  • American Heart Association BLS for Healthcare Provider Card

  • High School Diploma or GED

  • Documentation of 50 EMS calls (include 5 QA protected EMS runs)

  • Letter of recommendations from your service director AND EMS medical director

  • Paramedic entrance assessment (written exam & BLS skills station)

  • Pre-Admission Interview

  • Documentation of required immunizations

  • Drug test

  • Health Insurance

Vaccine Requirements:

  • Measles, Mumps and Rubella:

    • Two documented MMR vaccines or

    • Positive Titers for immunity for Measles, Mumps and Rubella

  • Varicella:

    • Two documented Varicella Vaccines or

    • Positive Titer for immunity or

    • Documented date of disease by a provider

  • Hepatitis B:

    • Positive Titer for immunity including but not required 3 series vaccinations or

    • Hepatitis B Declination Waiver (If you elect this, I will send you the Declination to be signed)

  • Tetanus:

    • Tdap or Td within ten years

  • Influenza:

    • Yearly documented influenza vaccine

  • TB testing:

    • 2 step Mantoux test or

    • T-Spot or Quantiferon Gold

    • above within one year

Fee Schedule:

Fee Name


Paramedic Entrance Test



$14,000 ($350 non-refundable application fee included)

$500 Discount for returning NEEMSI EMT/AEMT Students

Drug Test

$80 (not included in tuition)

Health Insurance

Student Pays for this (Price Varies)









1 Uniform Shirt


ALS Written Exam Fee


Graduation Requirements:

Students must successfully complete all requirements in order to graduate.  Additional information related to clinical rotations can be found in the Clinical Manual for Paramedic Program.

  1. An average grade of 80% or higher on each module

  2. An average pharmacology grade of 80% or higher at each checkpoint

  3. An overall course grade of 80% or higher

  4. Completion of Advanced Cardiac Life Support (ACLS) (prior to starting mod 5)

  5. Completion of Pediatric Advanced Life Support (PALS) (prior to starting mod 6)

  6. Completion of International Trauma Life Support (ITLS) (prior to starting mod 8)

  7. Verification of all basic skills competencies

  8. Verification of advanced skills competencies

  9. Completion of a minimum of 348 hours of Hospital clinical rotation with associated skills.

  10. Completion of a minimum of 300 hours Field Internship and Capstone Internship

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