Advanced FAQS

The International Paramedic Registry collaborates with local, state, national and  international stakeholders to:

• Develop and review model standards for the knowledge, skills, and attributes necessary to the practice of paramedicine (prehospital care).
• Identify candidate eligibility.
• Develop and maintain certification exams to verify initial competency of prehospital providers.
• Develop and maintain standards for continued competency.
• Assist the development of the profession.
• Maintain a registry of certified prehospital providers.

The International Paramedic Registry does NOT play an active role in the following:

• Evaluate job performance.
• Establish scope of practice.
• Punish or investigate malpractice.
• License providers or authorize practice

• Cognitive exam: No. The IPR cognitive examination is a criterion referenced examination and has a predetermined cut score or a pass/fail point. Exam results will be shared individually with each candidate on the day of the exam.

No. The IPR offers valid exams, and therefore cannot conduct or endorse any exam preparation course.

PR does not control the availability of Exam Sites. Visit our website under the “Upcoming Exams” section to apply for a nearby exam. Once you register, you will receive your exam appointment on the dates proposed by the selected Exam Site

A fully authorized candidate must purchase exam access through an authorized provider and/or directly at the Exam Site. Purchasing details are determined by the Exam Site. Review the site-specific costs here.

IMPORTANT: IPR is not responsible for any administrative/operational cost increases determined by Testing Sites, which may or may not raise the final cost for IPR candidates.

A fully authorized candidate must purchase exam access directly from IPR. The cost is as follows:

• Latin America: $90.00 (USD)
• Middle East: $160.00 (USD)

A fully authorized candidate must purchase exam access directly from IPR. The cost is as follows:

• Latin America: $185.00 (USD)
• Middle East: $260.00 (USD)

The content outline or blueprint is available here.

The full list of review courses approved by IPR is available on this website. Review IPR-approved courses here.

The Advanced Level Prehospital Care Provider exam comprises 125-150 scored items, with candidates allotted 3 hours to complete the test. This level is for candidates with over 1000 hours of training. Also known as Advanced Life Support Provider or Paramedic (USA, Canada, Australia, United Kingdom), Technologist (Colombia), Técnico Superior Universitario or TSU (Mexico), this level requires advanced skills in assessing and treating complex medical conditions. Click here to read more.

Download the Candidate Handbook and review the Content Outline, also known as the “Blueprint.” The Candidate Handbook is available on this website here.

Providers registered with the International Paramedic Registry (IPR) must renew their certification every two years. To apply for recertification, the following steps are required:

a. Demonstrate competency through participation in continuing education or by retaking the exam.

b. Complete the online form and pay the fee.

Review the recertification process here.

You must retake the certification exam.

• With an active certification: Providers wishing to begin their recertification process can do so 180 calendar days before the expiration date and up to a maximum of 6 months after the expiration date.
• With an expired certification: After 6 months, the recertification candidate must start the certification process again.

• Latin America: $40.00 (USD)
• Middle East: $160.00 (USD)

Yes. Candidates are expected to maintain significant knowledge of current ACLS, PALS, NRP, and ITLS/PHTLS standards.

A candidate may attempt the same exam up to three (3) times. For more information, refer to the Candidate Handbook and the Retake Policy here.