We are EMS Educators

Writing Better NREMT-Style Questions with Todd Vreeland [Part 1]

40 min · 11. syys 2025
jakson Writing Better NREMT-Style Questions with Todd Vreeland [Part 1] kansikuva

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Stop guessing, start blueprinting. Dan Limmer and Chuck Allias sit down with Todd Vreeland, former NREMT exam coordinator and Philly Fire medic, to show how real Registry-style items get made. Learn what to test, how to map to the Education Standards and Scope of Practice, and why publisher banks miss the mark. Walk away with a simple plan to build fair, focused exams that improve pass rates. Part 2 tackles stems, distractors, and polish.

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Build NREMT-style items that work. Dan Limmer and Chuck Allias sit down again with Todd Vreeland—former NREMT exam coordinator and Philly Fire medic—to turn blueprinting into crisp, Registry-style questions. They break down stems, keyed answers, and the art of writing plausible (not random) distractors; show how to keep choices equal in length and tense; and strip out “dark and stormy night” fluff so the stem follows the flow of a call. You’ll hear when negatives are fair game, how to fold repeated verbs into the stem, order numeric lists, and mine students' fill-ins for real-world distractors. They touch on timing (why MC items read in ~half a minute), updating items as guidelines evolve, and what’s different about clinical judgment/TEI items. Finish with a simple style sheet and a team review process that removes clues, raises difficulty correctly, and produces fair, focused items that separate knowing from guessing.

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