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good alright all bubbles are out you can go ahead and connect the line you're ready to switch switch Music hi my name is Heather Davis I'm the program director at the UCLA paramedic education program and the David Geffen School of Medicine my name is Dave page I'm the director of the pre-hospital care Research Forum here at UCLA and a paramedic for Allina Health EMS Dave and I have both been involved in this movement toward a new scenario-based practical exam we've been asked to share with you what to expect and how to prepare for it in 2008 the national registry began looking into the methodology of its psychomotor exam looking to improve it and mirror it closer to practice it assembled experts from all corners of our profession educators members of the Committee on Accreditation state officials experts in crew resource management and Team Dynamics and try to really incorporate a lot of the culture of safety into the way a new exam could be more like simulation and less like isolated

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