Exam Requirements

Eligibility Requirements

  • Candidates must hold a current unrestricted paramedic license in the state or country of practice to qualify for the FP-C®, CCP-C®, CP-C® or the TP-C® exam.
  • All exam candidates must register online and upload a copy of your paramedic license before you are eligible to schedule an exam.
  • TR-C® Eligibility
    • Must hold at a minimum current EMR certification.
    • If not currently licensed as an EMR, EMT or AEMT, candidates may petition for approval to the Board to sit for the examination.
      • Must also hold medical director authorization. (CANADA)
    • Must have obtained tactical knowledge consistent with current TCCC/TECC guidelines.
  • The IBSC will provide a simple calculator.
  • On the day of the exam, you must arrive 15 minutes before your scheduled time with the appropriate form of identification and a copy of your paramedic license. See Candidate Handbook.
  • For WEB-based testing, you should register 2 weeks prior to requested test date(s).


  • Foundational critical care/community paramedic/tactical course from an accredited institution.
  • Candidates should have 3 years experience working in a critical care, air transport, community or tactical environment.
  • 6-12 months self study
  • Download a copy of the Candidate Handbook before registering.
  • Review course prior to testing. Click here for a list of IBSC Approved Review Courses.

Expectations for FP-C® and CCP-C® Candidates

The expectation for the CCP-C® exam candidate and/or the FP-C® exam candidate is a mastery of current trends and therapies in critical care transport medicine in a flight or ground environment, as well as a significant knowledge of ACLS, PALS, NALS and BTLS/ITLS. FP-C® exam candidates should also have a significant knowledge of flight physiology and current CAMTS flight safety standards. The certification exams are not meant to test entry-level knowledge, but rather the experienced paramedic's advanced skill level.

Expectations for CP-C® Candidates

The expectation for the CP-C® exam candidate is competency in mobile integrated healthcare, and expanded EMS services in rural and urban settings, including various healthcare, mental health, and housing and service needs. This examination is not meant to test entry-level knowledge, but rather to validate competency of those paramedics providing services beyond the roles of traditional emergency care and transport.

Expectations for TP-C® Candidates

The expectation for the TP-C® exam candidate is competency in casualty assessment, stabilization, and evacuation in hostile and austere environments, as well as thorough familiarity with tactical principles, triage, and operational medicine. Candidates should have significant knowledge of the Committee on Tactical Combat Casualty Care and the Committee for Tactical Emergency Casualty Care guidelines, management of the full tactical injury spectrum (from less-than-lethal to CBRNE), force health protection, and medico-legal aspects of Tactical Emergency Medical Services.