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KCC and the John A. Program evaluation demonstrated high student satisfaction and included feedback regarding curriculum elements for further refinement. Keywords: Simulation, Inter-professional education, Pediatrics, Pre-hospital providers, Paramedics, Emergency medical services.

Prior to that, a state agency at The Queens Hospital conducted the certification program. Students are employed prior to joining the program and continue their employment with their respective agencies upon graduation. These orders are age- and condition-specific and include drug dosages, indications for procedures, and guidance on communication with medical command.

Paramedic trainees report being less directly involved during their training in the care of pediatric patients, even during pediatric-specific rotations, compared to other clinical training experiences. The second step was performing a curriculum needs assessment, including literature search, local data analysis, and local expert consensus.