From Cram to Calm: How Quarterly Competencies Improved Crew Performance

In an effort to improve the effectiveness of competency evaluations, our organization transitioned from annual to quarterly core competency assessments. We also shifted to calling the evaluations "Ongoing Readiness Assessments." This shift has yielded several key benefits, including the ability to identify crew deficiencies and knowledge gaps sooner. By increasing assessment frequency, we have enhanced early intervention strategies, ensuring that protocol adherence and process understanding are addressed proactively.

Additionally, crews reported that the quarterly format was less stressful compared to annual testing. Many expressed that they approached the scenarios with a more natural, patient-centered mindset, rather than treating the evaluations as high-stakes exams. This shift in perspective led to a more authentic demonstration of clinical skills and decision-making.

Overall, the transition to quarterly competencies has strengthened crew readiness, improved patient care, and fostered a more confident and capable EMS team. Our findings suggest that more frequent assessments lead to better long-term retention and application of critical skills in real-world scenarios.