The Paramedic Emergency Medicine Associate Degree program combines medical courses, general education requirements, and specialty certifications. Graduates have a 100% pass-rate for NREMT written and practical exams as well as 100% job placement.

Paramedic Emergency Medicine is the only degree-program in New Hampshire and has been continuously educating paramedic students since 1977. Offering small class sizes taught by degreed-instructors, current equipment, and a full-sized ambulance simulator. Clinical rotations include on-site hospital supervisors and assigned field clinic preceptors in high-volume fire-based, hospital-based, and private ambulance services.

Facts about the Program

  • 100% pass-rate for National Registry written and practical exams
  • 100% job placement after graduation
  • Updated Gaumard and Laerdal simulation mannequins (adult and pediatric)
  • Physio-Control LIFEPAK 15 and iSimulateALSi monitors
  • Glide Scope Go video laryngoscopes for use in laboratory setting
  • Full-size simulation ambulance in classroom
  • Continuously educating paramedic students since 1977
  • Fully accredited by both CAAHEP and Massachusetts OEMS
  • Field clinic sites include fire-based, hospital-based, and private ambulance companies in New Hampshire, Massachusetts, and Maine

Medical Directors are active with on-campus interactions with students including: observing lectures and labs, acting as a guest lecturers, providing supplemental training to students (such as PIFT and RSI), performing practical laboratory examinations, assisting in the critiquing of student oral presentations, evaluating students during oral boards and airway competencies.

iSimulateALSi monitor
Physio-Control LIFEPAK 15
Laerdal simulation mannequin
Ambulance Simulator

Accreditation Information

Cohort Graduation Year 3 Year 5 Year
2020 2019 2018 2017 2016 Total Total
Enrollment 10 12 9 10 14 34 58
Graduates 4 10 5 8 11 21 40
Attrition (cohort) 60% 17% 44.4% 20.0% 21.4% 35.9% 29.8%
Attrition (year) 30% 33.3% 44.4% 20.0% 21.4% 35.9% 29.8%
Retention 70% 66.7% 55.6% 80% 78.6% 61.4% 70.2%

National Registry – Cognitive

(% attempting)

100% 100% 100% 100% 100% 100% 100%

National Registry – Cognitive

(% pass rate)

100% 100% 100% 100% 100% 100% 100%

National Registry – Psychomotor

(% attempting)

100% 100% 100% 100% 100% 100% 100%

National Registry – Psychomotor

(% pass rate)

100% 100% 100% 100% 100% 100% 100%
Job Placement 100% 100% 100% 100% 100% 100% 100%

The NHTI Paramedic Emergency Medical Program is Accredited by the Commission on Accreditation of Allied Health Education Programs upon the recommendation of the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP).

Commission on Accreditation of Allied Health Education Programs
1361 Park Street
Clearwater, FL 33756
(727) 210-2350

To contact CoAEMSP:

8301 Lakeview Parkway
Suite 111-312
Rowlett, TX 75088
Phone: (214) 703-8445
Fax: (214) 703-8992

Paramedic Emergency Medicine Degree

  • Rigorous, sequential curriculum which exceeds the national standards
  • Lecture and laboratory are paired so as to allow for hands-on practice of the weekly topics
  • Comprehensive courses in both Anatomy & Physiology and Pathophysiology
  • In-depth cardiology education which includes BLS, ACLS, and PALS certifications
  • Progressive clinical track for both hospital and field experience
  • Upon successful completion of all freshmen courses and hospital clinic EMT students may test for the AEMT – program pass rate is 100%
  • The degree of Associate in Science with a major in Paramedic Emergency Medicine is awarded upon successful completion of the program.

Any student considering paramedic education today should consider the associate degree. For many, the degree provides for competitive entry into the job market, a stronger advantage for career advancement, and the potential for academic advancement with the ability to transfer course credits to a four-year college.

NHTI’s Paramedic Emergency Medicine Program combines a unique blend of paramedic courses, general education requirements, specialty certifications, and diverse hospital and pre-hospital experiences. NHTI students have opportunities to work with some of New England’s finest hospital and prehospital affiliates.

Program emphasis is placed on the development of paramedic knowledge and theory, practical skills application, and the development of professional behaviors required of the entry level paramedic. The development of leadership skills, individual professional growth, and academic excellence are integral parts of the program.

On which days do classes meet?

  • Freshman Fall: Paramedic classes are all day Tuesday (8a-5p) + Wednesday (9-11a). If you need A&P I it is typically taken Wednesday 12-5p
  • Freshman Spring: Paramedic classes are all day Tuesday (8a-4p) + Thursday (8a-6p). If you need A&P II it is typically taken Wednesday 12-5p
  • Hospital Clinic runs mid-May through the end of June and is Monday through Friday. Shift length varies depending on rotation w/ most being 7a-3p but others being as long as 7a-7p
  • Senior Year: Paramedic classes are Wednesdays 9a-6p + approximately one day of field clinic (ambulance ride time) per week
  • There are other non-major classes that are required. Many of these can be taken in an online format. Please see the website for the semesters in which these courses should be taken.

Can I can take any classes before starting the Paramedic Emergency Medicine Program?

Yes. Any of the non-major classes may be taken prior to being accepted into the program. It is highly recommended (though not required) that incoming students take Anatomy & Physiology prior to beginning the program.

How long is the program and when does it start?

The program is 5 semesters (approximately 18 months) in duration and starts with the fall semester. Classes and clinics occur over:

  • Two fall semesters (late-August through mid-December)
  • Two spring semesters (January through mid-May)
  • One summer I semester (mid-May through June)

Are online classes available?

At this time none of the paramedic courses are available to be taken online. However, there are options for non-major courses (required by the associate degree) to be taken online.

Can I be in the program as a part-time student?              

No. A part-time option is not available.


Course NumberCourse TitleCLLABCR
Fall Semester
 BIOL 195CAnatomy and Physiology I324
 ENGL 101CEnglish Composition404
#PEM 117CPhysical Assessment202
#PEM 142CCardiology I202
#PEM 150CAdvanced Trauma202
#PEM 161CIntegration Lab I041
Spring Semester
 BIOL 196CAnatomy and Physiology II324
 MATH 120CQuantitative Reasoning or higher level math course404
#PEM 111CParamedic Procedures132
#PEM 126CPharmacology303
#PEM 135CMedical Emergencies202
#PEM 162CIntegration Lab II041
#PEM 244CAdvanced Cardiology202
Summer Semester
#PEM 190CIntroduction to Clinical Environment101
#PEM 194CHospital Clinical*0185
 PEM 290CField Clinic Primer**062


Fall Semester
 BIOL 222CPathophysiology303
#PEM 163CIntegration Lab III041
#PEM 201CSpecial Populations202
#PEM 292C12 Lead EKG Interpretation/Difficult Airway Seminar202
#PEM 296CField Clinical I093
 PSYC 105CIntroduction to Psychology303
Spring Semester
 ENGL 120CCommunications303
#PEM 164CIntegration Lab IV041
#PEM 210CField Operations202
#PEM 278CAdvanced Paramedic Practice202
#PEM 297CField Clinical II072
#PEM 298CField Clinical III021
 XX xxxCHumanities/Fine Arts/
Foreign Language Elective
# Indicates major field courses.
* All students enrolled in a clinical course will be charged a $500 per semester clinical surcharge. The following course carries this charge: PEM 194C.
** Optional, unless faculty determines student is in need of additional time in field clinic.  Not included in total credits.

CL – Number of lecture/classroom hours per week for the course
LAB – Number of simulation laboratory, laboratory or clinical hours per week for the course
CR – Number of credit hours for the course

Specific Admission Requirements

  1. Be at least 18 years old and hold a valid driver’s license
  2. High school level (or higher) courses in lab-based Biology and Chemistry completed with grades of “C” or higher OR college-level Anatomy & Physiology I and II with grades of “C” or higher.
  3. High school level (or higher) Algebra I – completed with a grade of at least “C”
  4. Current National Registry or State EMT/AEMT certification
  5. Current CPR certification
  6. Letter of recommendation from EMS supervisor
  7. Documentation of experience as an ambulance-based EMT/AEMT to include at least 100 patient contacts and 25 team-leads: Field experience verification form (PDF)
  8. Interview with the Department Chair of Paramedic Emergency Medicine

Please Note: Students who wish to enter the Paramedic Emergency Medicine program and are currently enrolled in another NHTI program must complete and submit the Change of Program form.

Internship/Clinical Considerations

NHTI has developed excellent practicum opportunities for our students to foster hands-on learning while simultaneously receiving credit. Nonetheless, the college’s first priority must be to ensure that patients/clients/children/families are not placed in jeopardy by students during learning experiences. Therefore, students in internship, externship, practicum, service learning, and clinical experiences must demonstrate sufficient emotional stability to withstand the stresses, uncertainties and changing circumstances that characterize patient/client/child/family responsibilities. Furthermore, the student is expected to have the emotional stability required to exercise sound judgment, accept direction and guidance from a supervisor or faculty member, and establish rapport and maintain sensitive interpersonal relationships and confidentiality with employees, customers, and/or patients/clients/children and their families.

For a complete listing of immunizations and clinical clearance requirements, please see the health requirements for Allied Health students.

Technical/Physical Standards

Paramedic Emergency Medicine Program students must have sufficient strength and motor coordination required to perform the following physical activities: standing and walking for sustained periods of time; driving an ambulance and/or rescue unit under emergency conditions; frequent reaching and manual dexterity in handling equipment often in confined spaces; frequently transporting, moving, lifting, and transferring patients of various sizes to and from a stretcher and other patient transport devices.

Health Requirements

Annual TB testing; Hepatitis B vaccine; personal health insurance; completed health physical (all students are sent NHTI health forms upon acceptance, which must be completed prior to the start of classes); drug screening; and NHTI liability insurance.

In addition, the student must have:

Never been convicted of a felony (may interfere with National Registry eligibility); sufficient eyesight (correctable) to observe patients, manipulate equipment, and interpret data. Visual acuity (correctable) sufficient to work with analyzing data and figures, working with computer terminals, making visual inspections of equipment; sufficient hearing (correctable) to assess patient needs and to understand instructions; sufficient written and oral skills to communicate needs promptly and effectively, to express or exchange ideas and to interact with patients, physicians, peers and other ancillary medical personnel as well as other public service emergency personnel; ability to work with frequent interruptions and respond appropriately to unexpected situations. Ability to work with wide variations in workload and stress levels; mental health status to cope with personal stresses in a way that does not adversely affect performance, such as mood changes, lack of concentration, etc.

Students that do not meet entrance requirements may need an alternate plan to the scheduling of their courses. Those currently enrolled at NHTI often take non-major courses, easing the class-load when admitted to the Paramedic Emergency Medicine program. At this time the core-classes for this degree program are only offered during the day. Also, due to the sequential nature of the course work these core-classes are only available to those who have been accepted into the program.


Department Chair

keith wilding

Keith Wilding, MAT, NRP

Keith is the Department Chair and Lead Instructor for the Paramedic Emergency Medicine program. He holds a Bachelor’s degree in Biology (1993) and a Masters of Arts in Teaching/Science Education (1994), both from Boston University. After four years of teaching high school science Keith entered Emergency Medicine as an EMT for Cataldo Ambulance. After graduating from Northeastern University’s Institute for EMS (1999) Keith began working as a full-time Paramedic and Field Training Officer for Fallon Ambulance. Keith started working at NHTI as PEM Adjunct Faculty in the fall of 2010. In January 2013 he moved to the full-time position of Lead Instructor, later becoming Department Chair in January of 2016. Keith continues to work part-time as a Paramedic for Fallon Ambulance. Areas of Expertise: Trauma & Medical Emergencies, Special Populations, Laboratory Instruction, BLS/ACLS/PALS Instructor, and Hospital Clinic Coordinator.

Field Clinic Coordinator

nancy brubaker

Nancy Brub​aker, RN, CEN, MEd

Nancy is the Field Clinic Coordinator for the Paramedic Emergency Medicine program. Besides the Master’s Degree in Education she holds an AS in EMS from NHTI (1984) and an AS in Nursing (1994). She has been a Paramedic and Nurse for over thirty years. Nancy has worked for Speare Hospital ER (30 years), the Plymouth Fire Department (15 years), Concord Hospital ER (5 years), and currently works as a school nurse at Proctor Academy. Areas of Expertise: Medical Terminology, Hospital Clinic Supervisor, and Field Clinic Coordinator.

Program Medical Director

patrick lanzetta

Dr. Patrick Lanzetta, MD, FACEP

Patrick Lanzetta serves as the program’s Medical Director. A graduate of St. John’s University of New York, Dr. Lanzetta earned his medical doctor degree from the University of Montpelier in France in 1973. A lieutenant colonel in the Army Reserve, Dr. Lanzetta has assisted with field medic training since 1986. Dr. Lanzetta, who is board-certified as an emergency department physician, is presently affiliated with Frisbie Memorial Hospital in Rochester, N.H.

Dr. Ryan Pouliot, MD

Ryan Pouliot serves as the program’s Associate Medical Director.  An anesthesiologist by training, he began his career in medicine as an EMT at Rescue Inc in Brattleboro, VT and went on the graduate from the NHTI Paramedic Program in 2002.  Following NHTI he worked as a hospital based paramedic for Greater Lowell EMS before earning his medical doctorate from Harvard Medical School in 2011.  He completed his graduate medical training in anesthesiology at Harvard Medical School/Brigham and Women’s Hospital.  Dr. Pouliot is currently an Assistant Professor of Anesthesiology at the Geisel School of Medicine at Dartmouth College and an attending anesthesiologist at Dartmouth-Hitchcock Medical Center in Lebanon, NH.

Adjunct Faculty

James Beaudoin

James BeaudoinBS, NRP

Jim has been involved in EMS since 1998. Once gaining his certification as an EMT Basic he went to NHCTC for a degree in Fire Science. While working on that degree, Jim was a live-in intern at Gilmanton Fire Department, staying to work full time with GFD after graduating in 2001. Jim started working for Bow Fire Department in 2004 and, while there, attended NHTI’s Paramedic Emergency Medicine program – graduating in 2014. Jim earned his BS in EMS Management in 2018 and is currently the Fire Chief for Alton, NH. Areas of Expertise: ACLS/PALS Instructor and Hospital Clinic Supervisor.

Eliot Berman

Eliot J. Berman, BS, NRP

Eliot received an AS in Civil Engineering in 1992 and a BS in Soil Science in 1994, both from UNH Durham. In 2012 he graduated from NHTI with an AS in Paramedic Emergency Medicine. He has been with the Bow Fire Department since 2002 and is currently a full-time firefighter/paramedic holding the rank of Captain. Eliot is also a paramedic for the Central NH Special Operations Unit (SWAT team) and a Deputy Sherriff with the Merrimack County Sherriff’s Office as well as teaching “EMS in the Warm Zone” with the New Hampshire Fire Academy. Other job experiences include 6 years as an Emergency Room Technician at Concord Hospital and was a per diem Paramedic for Frisbie Memorial Hospital. Areas of Expertise: Laboratory Instructor (Advanced Trauma, Paramedic Procedures) and Hospital Clinic Supervisor.

Beth Eaton

Beth Eaton, PA-C, NRP




David Franklin

David Franklin, BS, NRP

Dave graduated from NHTI in 1994 with an Associate’s Degree in Emergency Medical Services and earned a Bachelor of Science Degree from the University of Phoenix in 2018. For the past 15 years has worked at Cataldo Ambulance in Massachusetts, moving up the ranks from Paramedic to Field Supervisor to Director of Communications. He has worked with the Clinical Education Department providing training for their employees as well as many of the fire departments in the area. Areas of Expertise: Cardiology, 12-Lead Interpretation, and BLS/ACLS/PALS Instructor.

Marlene Hillman

Marlene Hillman, BS, NRP

Marlene began in EMS as a Medical Explorer (coed branch of the Boy Scouts), riding with a local ambulance service. She became an EMT in 1978 to pay her way through college. She graduated from UMass Amherst in 1981, with a BS in Education. Following a year of substitute teaching and working BLS, Marlene went back to school and earned an AS in Paramedicine at NHTI. Since becoming a paramedic she has worked for two hospital-based services in Massachusetts (Emerson & Lowell General) as well as teaching at NHTI. She is also Affiliate Faculty for ITLS and a Massachusetts EMT Instructor/Coordinator. Areas of Expertise: Laboratory Instructor (Special Populations, Paramedic Procedures, Integration Lab IV), BLS/ACLS/PALS Instructor, Field Preceptor, and Hospital Clinic Supervisor.

Justin Hinds

Justin Hinds, BA, NRP

Justin has been involved in EMS since 2010, gaining his EMT Basic while completing his Bachelor’s Degree at New England College in Henniker, NH. Justin has worked in all types of services including: ALS transfer, fire departments, and private EMS companies. Since graduating from the NHTI Paramedic Program in 2015, Justin has worked as a full time paramedic for Lowell General Hospital ALS. Areas of Expertise: Laboratory Instructor (Medical Emergencies) and Hospital Clinic Supervisor.

Andrew Mason

Andrew Mason,BS, NRP

Andrew first became involved in EMS while attending Daniel Webster College in 2005.  He was an original member of the school’s EMS service and began volunteering at Milford Ambulance.  After earning a BS in Aviation Flight Operations/Management in 2007, Andrew took a job with Rockingham Ambulance.  He worked in the Manchester EMS system as an EMT, EMT-Intermediate, and a paramedic until taking a full time job with Milford Ambulance in 2011.  There he currently oversees the department’s education, prerequisite protocol, and MCI/Rescue Task Force programs.  Andrew graduated from the NHTI paramedic program in 2010 and has worked as a paramedic in Rochester, Manchester, and Peterborough in addition to the Town of Milford. Areas of Expertise: Field Operations, Laboratory Instructor (Special Populations, Integration Lab IV), BLS/ACLS/PALS Instructor, and Hospital Clinic Supervisor.

Jean RIchardson

Jean Richardson, MSN, ARNP

Jean received a Bachelor’s degree in both Nursing and Vocational Education from UNH in 1995. In 1999, she graduated from the University of Texas with her ARNP, specializing in emergency medicine. She has worked as an EMT-RN and currently works as an ER-ARNP at Speare Hospital in Plymouth, NH. Areas of Expertise: Physical Assessment and Pharmacology.

Administrative Assistant

Lisa Nicol

Lisa Nicol, BS

Lisa Nicol is the Administrative Assistant for the Paramedic Emergency Medicine program. Lisa holds a BS in Education from the University of Vermont.

Did you know?

All of our faculty and staff hold at least a bachelor’s degree and that all faculty are currently working as healthcare providers?

Between the 13 of us there are:

  • 2 Physicians
  • 1 Nurse Practitioner
  • 1 Physician Assistant
  • 1 Registered Nurse
  • 8 Paramedics

Who hold the following degrees:

  • 4 Master’s Degrees
    • Education (2)
    • Medicine (2)
  • 14 Bachelor’s Degrees
    • Aviation Flight Operations
    • Biology (3)
    • Criminal Justice
    • Education (4)
    • EMS Management
    • Emergency Medical Services
    • Health Care Administration
    • Nursing
    • Nutrition Sciences
    • Soil Science
  • 10 Associate Degrees
    • Civil Engineering
    • Fire Science
    • Nursing
    • Paramedic (7)

Clinical Affiliations

We have developed excellent practicum opportunities for our students to foster hands-on learning while simultaneously receiving credit.

In order to ensure that patients/clients/children/families are not placed in jeopardy, students in these clinical experiences must demonstrate sufficient emotional stability, exercise sound judgment, and accept direction/guidance from a supervisors or faculty members. As well, students must be able to establish rapport with (and maintain confidentiality of) clinic employees and patients/clients/children/families.

Hospital Clinic Sites

During this freshmen-year clinic, the student will spend at least 224 hours working in multiple settings within the hospital. Each clinical site is provided with program-faculty supervision and advocacy.

  1. Concord Hospital Concord, NH
  2. Dartmouth-Hitchcock Medical Center Lebanon, NH
  3. Southern New Hampshire Medical Center Nashua, NH

 ALS Field Clinic Sites

During the senior-year field clinics, students will spend at least 360 hours working alongside an ambulance crew. Each student is assigned an experienced paramedic preceptor for the duration of the experience.

  1. American Medical Response (AMR) Manchester/Nashua, NH
  2. Cataldo Ambulance Service Somerville, MA
  3. Concord Fire Department Concord, NH
  4. Derry Fire Department Derry, NH
  5. Greater Lowell EMS Lowell, MA
  6. Fallon Ambulance Quincy, MA
  7. Frisbie Memorial Hospital EMS Rochester, NH
  8. Lawrence General Hospital ALS Lawrence, MA
  9. Portland Fire Department Portland, ME
  10. Salem Fire Department Salem, NH

Student Profile

Dr. Ryan Pouliot (2002) got his start in the field of medicine at NHTI. After graduating the Paramedic Emergency Medicine program, he went on to work as a paramedic for Greater Lowell Emergency Medical Services. While working as a paramedic, Ryan completed his bachelor’s degree at University of Massachusetts before enrolling at Harvard Medical School. After completing internship at the Steward Carney Hospital and residency at the Brigham and Women’s Hospital, Dr. Pouliot moved on to become an anesthesiologist at Dartmouth-Hitchcock Medical Center and Assistant Professor of Anesthesiology at Center Geisel School of Medicine at Dartmouth College. In 2016, Ryan rejoined the Paramedic Emergency Medicine program as Associate Medical Director – where he continues to provide program oversight, give airway lectures, teach airway skills in laboratory, and assist with airway-skills testing.


Amazing, and very thorough program. The outstanding facility and staff use many methods of teaching and preparing the entry level paramedic with what she/he will see outside of school through the classroom and in the clinical setting. They also think outside the box and prepare you to also handle stressful scheduling and situations, time management, resume building, and career advancement opportunities. The NHTI paramedic program is a very tough and elite program and takes a lot of determination and hard work, but is worth every second at the end of it all. This program will prepare you 100%.

Riley, 2014 alumnus

There is no other choice for Paramedic education. Professionals are trained by professionals. NHTI sets the benchmark by which other programs measure themselves.

Ben, 2006 alumnus

BEST PARAMEDIC PROGRAM! Hands down!!! The instructors (I had Marty, Nancy, and Bob) taught us the ins-and-outs, pushed us to do our best, guided us…and made some of the BEST!

Ray, 1993 alumnus

If I could do it all over again, as crazy as it sounds, I would. I loved this program with all my heart and the faculty is AMAZING!!

Maryssa, 2016 alumna

I’m the provider I am today because of NHTI. The preparation graduates receive elevated entry level paramedics above most programs. I would encourage anyone looking to Pursue EMS to consider the Tech.

Christopher, 2003 alumnus

The NHTI Paramedic program really gets you 110% ready for the job! It is an intense program but worth every minute! Faculty is outstanding and supportive. They are with you during hospital clinic and guide you through your field clinic. The 2014 class graduated 10 officially Nationally Registered Paramedics! A class that sticks together has huge success!!! Have questions? Don’t be afraid to ask!! ~ NR Paramedic, NHTI Alumni, Registered Respiratory Therapist.

Val, 2014 alumna

Amazing program. Lots to offer, tremendous job at preparing entry level paramedics, and incredible faculty. Highly recommended to all pondering becoming a paramedic.

Justin, 2014 alumnus

Strongest paramedic education that prepares students exceptionally for the field of pre-hospital emergency medicine.

Seth, 2011 alumnus

Amazing and complete program. The faculty are great and very supportive. Having a faculty member at each hospital clinical site EVERY day there are students there was very helpful.

Kshanti, 2014 alumna

Frequently Asked Questions

67 Credits Required


of students qualify for financial aid