Advanced Emergency Medical Technician - Critical Care (AEMT-CC) is an Emergency Medical Services (EMS) certification unique to New York. The curriculum for AEMT-CC's in New York is similar to that of the national standard EMT-I/99 (EMT-Intermediate - I/99) but with a broader scope of practice. EMT-CCs are fully classified as Advanced Life Support (ALS) providers within New York and are trained in advanced airway management, including intubation, IV fluid administration, cardiac monitoring, cardiac pacing, and both synchronized and unsynchronized cardioversion, and medication usage/administration in adult and pediatric patients. In New York, AEMT-CC's are also called "Level III" providers as New York recognizes four levels of Emergency Medical providers: EMT-Basic, Advanced EMT (AEMT), AEMT-Critical Care, and AEMT-Paramedic. New York State will no longer approve original AEMT-CC classes beginning after January, 2018. AEMT-CC traditional refreshers will cease after August 2019. AEMT-CC may continue to refresh their certification via CME. The NYS EMS Policy is accessible here: https://www.health.ny.gov/professionals/ems/policy/17-07.htm Training Like all ALS providers, the fundamental prerequisite is current EMT-Basic certification. Most instructors require at least one year of active experience at the EMT-Basic level. On average, students receive approximately 300-400 total hours of instruction. This instruction is broken up into 175-225 classroom and practical laboratory hours, 50-75 clinical hours and 75-100 field internship hours. At the end of the class, students must pass the state's practical skills and written exam to obtain certification. However, program requirements to obtain AEMT-CC certification vary by the institution teaching the class. While some require a set number of patient contacts rather than a set number of hours, others require tracking of individual performed skills (i.e., x number of IV sticks, x number of medication administrations), along with the tracking of patient populations (i.e., x number of pediatric patients treated, x number of adult patients, x number of geriatric patients), and call types (i.e., x number of OB/GYN patients, x number of Behavioral/Psychiatric, etc.), significantly increasing the number of clinical and field hours needed to meet the requirements to be admitted to take the state exams at the end of the class. However, an EMT-CC's education never truly ends as continued medical education is required to maintain certification. Most agencies have a CME (Continuing Medical Education) programs where required core subjects are taught on an ongoing, usually once-a-month, basis to keep providers current. Other ways of earning required CME credits for maintaining certification include state EMS conferences, such