as the qualification for the basic life support level. The National Diploma is required to be referred to as an EMT (Emergency Medical Technician). The Diploma is a "blended" learning program comprising approximately 1,300 hours of online and in-class learning plus on-road clinical experiences. There are three modules (core skills, medical and trauma) which each have an online component prior to classroom education and this theoretical component is run concurrently while a student is practicing in the operation environment thus building the requisite base of experience to become a qualified Ambulance Officer. Core Skills (four weeks online and 2 days in-class) covering scene assessment, primary/secondary survey and vital signs, resuscitation, defibrillation Trauma (six weeks online and 6 days in-class) covering trauma and anatomy, shock and anaphylaxis, chest injuries, soft tissue injuries, environmental, head and spine Medical (six weeks online and 6 days in-class) covering cardiac and respiratory, children's health, pregnancy, childbirth and newborns, older persons health, abdominal, diabetes, stroke, seizures, altered levels of consciousness, scene management, mental health While the format of the qualification has changed significantly in the move to predominantly online learning that the actual content of has not been reduced; if anything it has increased considering the National Certificate had twenty-eight credits at level 5 whereas the Diploma has one hundred and eleven. The number (and focus) of classroom days have been changed due to the majority of theoretical learning taking place online and classroom days heavily focussing on the psychomotor aspects of ambulance practice rather than teaching and assessing anatomy, physiology and pathology in great detail. During (and after) the online and class phases of National Diploma the student must complete a Portfolio of Evidence for presentation at the End of Course Interview and Assessment. The Portfolio requires the student to demonstrate integrated clinical practice as well as self-reflection/professional development through skill logs, mentor reports and exemplars. Degree A Bachelor's degree in Paramedicine (Level 7) is set to be required nationally for the intermediate life support level as of 2014. While it has essentially become the de facto standard for entry to the profession St John still offer an internal ILS course for currently practicing paid staff who wish to move to the ILS level from either the old Paramedic level (intermediate aid) or the BLS level (Certificate or Diploma). The Degree was scheduled for introduction by the beginning of 2012 however it is understood that