1. A. For each course provided, a training program director shall ensure that:

   1. 1. The required equipment and facilities established for the course are available for use;

   2. 2. The following are prepared and provided to course applicants before the start date of a course session:

      1. a. A description of requirements for admission, course content, course hours, course fees, and course completion, including whether the course prepares a student:

         1. i. For a national certification organization examination for a specific EMCT classification level,
         2. ii. For a statewide standardized certification test under the state certification process,
         3. iii. For recertification at a specific EMCT classification level, or
         4. iv. To function as an EMR;
      2. b. A list of books, equipment, and supplies that a student is required to purchase for the course;
      3. c. Notification of eligibility for the course as specified in R9-25-305(D), (F), (G)(1) and (2), (I)(1) and (2), or (K)(1) and (2), as applicable;

      4. d. Notification of any specific requirements for a student to begin any component of the course, including, as applicable:

         1. i. Prerequisite knowledge, skill, and abilities;
         2. ii. Physical examinations;
         3. iii. Immunizations;
         4. iv. Documentation of freedom from infectious tuberculosis;
         5. v. Drug screening; and
         6. vi. The ability to perform certain physical activities; and
      5. e. The policies for the course on student attendance, grading, student conduct, and administration of final examinations, required in R9-25-302(D)(1)(c)(i) through (iv);

   3. 3. Information is provided to assist an EMCT student to:

      1. a. Register for and take an applicable national certification organization examination;
      2. b. Complete application forms for registration in a national certification organization; and
      3. c. Complete application forms for certification under 9 A.A.C. 25, Article 4;

   4. 4. A lead instructor is assigned to each course session who:

      1. a. Is one of the following:

         1. i. A physician with at least two years of experience providing emergency medical services;
         2. ii. A doctor of allopathic medicine or osteopathic medicine licensed in another state or jurisdiction with at least two years of experience providing emergency medical services;
         3. iii. An individual who meets the definition of registered nurse in A.R.S. § 32-1601 with at least two years of experience providing emergency medical services;
         4. iv. A physician assistant with at least two years of experience providing emergency medical services; or

         5. v. An EMCT with at least two years of experience at that classification of EMCT, only for courses to prepare an individual:

            1. (1) For certification or recertification at the same or lower EMCT classification level, or
            2. (2) To function as an EMR;
      2. b. Has completed training related to instructional methodology specified in R9-25-302(B)(2);
      3. c. Except as provided in subsection (A)(4)(d), is available for student-instructor interaction during all course hours established for the course session; and
      4. d. Designates an individual who meets the requirements in subsections (A)(4)(a) and (b) to be available and act as the lead instructor when the lead instructor is not available; and

   5. 5. Clinical training and field training are provided:

      1. a. Under the supervision of a preceptor who has at least two years of experience providing emergency medical services and is one of the following:

         1. i. An individual licensed in this or another state or jurisdiction as a doctor of allopathic medicine or osteopathic medicine;
         2. ii. An individual licensed in this or another state or jurisdiction as a registered nurse;
         3. iii. An individual licensed in this or another state or jurisdiction as a physician assistant; or

         4. iv. An EMCT, only for courses to prepare an individual:

            1. (1) For certification or recertification at the same or lower EMCT classification level, or
            2. (2) To function as an EMR;
      2. b. Consistent with the clinical training and field training requirements established for the course; and
      3. c. If clinical training or field training is provided by a person other than the training program certificate holder, under a written agreement with the person providing the clinical training or field training that includes a termination clause that provides sufficient time for a student to complete the training upon termination of the written agreement.
2. B. A training program director may combine the students from more than one course session for didactic instruction.

3. C. For a final examination or refresher challenge examination for each course offered, a training program director shall ensure that:

   1. 1. The final examination or refresher challenge examination for the course is completed onsite at the training program or at a facility used for course instruction;

   2. 2. Except as provided in subsection (D), the final examination or refresher challenge examination for a course includes a:

      1. a. Written test:

         1. i. With one absolutely correct answer, two incorrect answers, and one distractor, none of which is “all of the above” or “none of the above”;

         2. ii. With 150 multiple-choice questions for the:

            1. (1) Final examination for a refresher course, or
            2. (2) Refresher challenge examination for a course;
         3. iii. That covers the learning objectives of the course with representation from all topics covered by the course; and
         4. iv. That requires a passing score of 75% or higher in no more than three attempts for a final examination and no more than one attempt for a refresher challenge examination; and

      2. b. Comprehensive practical skills, hands-on test:

         1. i. For a course preparing an individual for EMCT certification:

            1. (1) Evaluating the student’s technical proficiency in skills consistent with the national education standards for the applicable EMCT classification level, and
            2. (2) Reflecting the skills necessary to pass a national certification organization examination at the applicable EMCT classification level; or
         2. ii. For a course preparing an individual to function as an EMR, evaluating the student’s technical proficiency in skills consistent with the topics in A.R.S. § 36-2201(17);
   3. 3. The identity of each student taking the final examination or refresher challenge examination is verified;
   4. 4. A student does not receive verbal or written assistance from any other individual or use notes, books, or documents of any kind as an aid in taking the examination;
   5. 5. A student who violates subsection (C)(4) is not permitted to complete the examination or to receive a certificate of completion for the course or refresher challenge examination; and
   6. 6. An instructor who allows a student to violate subsection (C)(4) or assists a student in violating subsection (C)(4) is no longer permitted to serve as an instructor.

4. D. A training program director shall ensure that a standardized certification test for a student under the state certification process includes:

   1. 1. A written test that meets the requirements in subsection (C)(2)(a); and

   2. 2. Either:

      1. a. A comprehensive practical skills test that meets the requirements in subsection (C)(2)(b), or
      2. b. An attestation of practical skills proficiency on a Department-provided form.

5. E. A training program director shall ensure that:

   1. 1. A student is allowed no longer than six months after the date of the last day of classroom instruction for a course session to complete all course requirements,
   2. 2. There is a maximum ratio of four students to one preceptor for the clinical training portion of a course, and
   3. 3. There is a maximum ratio of one student to one preceptor for the field training portion of a course.

6. F. A training program director shall:

   1. 1. For a student who completes a course, issue a certificate of completion containing:

      1. a. Identification of the training program,
      2. b. Identification of the course completed,
      3. c. The name of the student who completed the course,
      4. d. The date the student completed all course requirements,
      5. e. Attestation that the student has met all course requirements, and
      6. f. The signature or electronic signature of the training program director and the date of signature or electronic signature; and

   2. 2. For an individual who passes a refresher challenge examination, issue a certificate of completion containing:

      1. a. Identification of the training program,
      2. b. Identification of the refresher challenge examination administered,
      3. c. The name of the individual who passed the refresher challenge examination,
      4. d. The date or dates the individual took the refresher challenge examination,
      5. e. Attestation that the individual has passed the refresher challenge examination, and
      6. f. The signature or electronic signature of the training program director and the date of signature or electronic signature.

Historical Note

Adopted effective October 15, 1996 (Supp. 96-4). Section repealed; new Section made by final rulemaking at 9 A.A.R. 5372, effective January 3, 2004 (Supp. 03-4). Amended by final rulemaking at 12 A.A.R. 4404, effective January 6, 2007 (Supp. 06-4). Amended by exempt rulemaking at 19 A.A.R. 282, effective January 28, 2013 (Supp. 13-1). Amended by exempt rulemaking at 19 A.A.R. 4032, effective December 1, 2013 (Supp. 13-4). Amended by final rulemaking at 31 A.A.R. 332 (January 24, 2025), with an immediate effective date of December 31, 2024 (Supp. 24-4).