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GEORGIA OFFICE OF EMS AND TRAUMA Β· ACCREDITED PARAMEDIC PROGRAMME Β· NREMT PARAMEDIC EXAM Β· MEDICAL DIRECTION Β· RECERTIFICATION

Georgia Paramedic License: Requirements and NREMT

Working as a paramedic in Georgia means holding the state EMS credential issued by the Georgia Department of Public Health, Office of Emergency Medical Services and Trauma. Georgia licenses paramedics through the state EMS office, with scope set within the state's EMS rules. The paramedic level is a genuine step up from EMT rather than an add-on: advanced airway management, cardiac monitoring and interpretation, a broad formulary and invasive procedures, all under medical direction. This guide covers the accredited programme, the National Registry examination, Georgia's own requirements and how recertification works.

Updated July 2026

Written by the GlobalCybers Labor Market Research team Β· Reviewed by GlobalCybers Compliance Desk, Safety & compliance review. Compiled from Georgia Office of EMS and Trauma rules and real Georgia placements.

Direct Answer

How do you get a Georgia paramedic license (Georgia Office of EMS and Trauma)?

Practising as a paramedic in Georgia requires the state EMS credential issued by the Georgia Department of Public Health, Office of Emergency Medical Services and Trauma. Georgia licenses paramedics through the state EMS office, with scope set within the state's EMS rules. The standard route is completing an accredited paramedic programme built on the National EMS Education Standards, holding current CPR or basic life support certification and normally the EMT credential first, passing the National Registry of EMTs paramedic cognitive examination, demonstrating psychomotor competency in the form Georgia accepts, clearing a criminal background check, and applying to the state. Georgia credentials paramedics through the Office of EMS and Trauma within the Department of Public Health, which also runs the state's trauma system designation β€” so the office that licenses you is the one that designates the trauma centres you transport to. Georgia's EMS geography is sharply divided: metropolitan Atlanta has dense advanced life support coverage, while much of rural Georgia depends on county services with long transport times, which puts a heavier clinical burden on the paramedic during transport than an urban assignment does. National registration with the National Registry of Emergency Medical Technicians is the qualifying basis most states build on, and the paramedic cognitive examination is computer-adaptive: difficulty adjusts to your performance and the test ends once competence can be determined, so there is no percentage score. National registration is not itself permission to work anywhere β€” the state credential is what authorises practice. Programme approval, fees, psychomotor verification and recertification cycles are set by the Georgia Office of EMS and Trauma and revised periodically, so verify current requirements with the Georgia Department of Public Health, Office of Emergency Medical Services and Trauma before you enrol.

  1. Hold the EMT credential and current CPR or basic life support certification.
  2. Complete an accredited paramedic programme with clinical and field internship time.
  3. Pass the NREMT paramedic computer-adaptive cognitive examination.
  4. Demonstrate psychomotor competency in the form the Georgia Office of EMS and Trauma accepts and clear the background check.
  5. Apply to the Georgia Office of EMS and Trauma, obtain the local authorisation Georgia requires, and track both recertification cycles.

Governing law: Georgia emergency medical services law (Official Code of Georgia Annotated, Title 31, Chapter 11)

See the full paramedic career guide β†’

Georgia: paramedic license β€” Licensing body Georgia Office of EMS and Trauma, First-year cost, Paramedic Programme tuition, the NREMT paramedic examination fee and the Georgia Office of EMS and Trauma application fee, per current published schedules β€” frequently sponsored by a Georgia fire department or ambulance service in exchange for a service commitment, Typical time to licence Commonly one to two years from starting an accredited paramedic programme, on top of EMT experience, plus local authorisation before you can work in Georgia. Simplified outline of Georgia, stylised and not to scale.
Simplified outline of Georgia β€” a stylised shape, not to scale. Georgia paramedics are credentialed by the Georgia Department of Public Health, Office of Emergency Medical Services and Trauma on the basis of an accredited paramedic programme, the NREMT paramedic cognitive examination and demonstrated psychomotor competency, practising under medical direction.

Georgia paramedic license at a glance

Published Georgia Office of EMS and Trauma figures for the paramedic route, last checked 2026-07-27.
Licensing bodyGeorgia Department of Public Health, Office of Emergency Medical Services and Trauma
Licence tiers8 tiers, Emergency Medical Responder (EMR) through EMS instructor, supervisor and agency credentials
Route covered hereParamedic
First-year cost, paramedicProgramme tuition, the NREMT paramedic examination fee and the Georgia Office of EMS and Trauma application fee, per current published schedules β€” frequently sponsored by a Georgia fire department or ambulance service in exchange for a service commitment
Continuing educationContinuing education toward NREMT recertification and the Georgia cycle
Typical time to licenceCommonly one to two years from starting an accredited paramedic programme, on top of EMT experience, plus local authorisation before you can work in Georgia
Exam providerNational Registry of Emergency Medical Technicians (NREMT) paramedic examination, delivered at Pearson VUE; psychomotor competency verified in the form the Georgia Office of EMS and Trauma accepts
Passing scorePass/fail against a competency standard on a computer-adaptive test, not a percentage
Reference materialClosed book
ReciprocityNo standing reciprocity list published
Governing lawGeorgia emergency medical services law (Official Code of Georgia Annotated, Title 31, Chapter 11)

This guide is general information about Georgia licensing, not legal advice. Georgia Office of EMS and Traumarules, fees and deadlines change β€” confirm your own position with the board, or with a licensed attorney, before you rely on anything here.

Georgia paramedic license types: the full Georgia Office of EMS and Trauma ladder

EMS has a clear national ladder defined by the scope-of-practice model, and each level adds skills, medications and education rather than seniority. Paramedic is the top field level, and in Georgia there is a local authorisation layer on top of the state credential.

Entry

Emergency Medical Responder (EMR)

The first level in the national model: immediate lifesaving care with limited equipment, common among firefighters, law enforcement and industrial responders who are not primary ambulance crew.

Entry

Emergency Medical Technician (EMT)

The foundation credential and normally a prerequisite for paramedic education. Covers patient assessment, airway management, bleeding control, spinal motion restriction and a limited medication set as primary ambulance crew in Georgia.

Individual

Advanced EMT (AEMT)

An intermediate level adding intravenous access, a wider medication set and some advanced airway skills. A useful step in some career paths, but not a required stage on the way to paramedic.

Individual

Georgia paramedic β€” the credential

The credential this page covers, issued by the Georgia Department of Public Health, Office of Emergency Medical Services and Trauma. Advanced airway management including intubation, cardiac monitoring and rhythm interpretation, a broad formulary under protocol, and invasive procedures β€” all under medical direction. Georgia licenses paramedics through the state EMS office, with scope set within the state's EMS rules.

Interstate

NREMT national registration

National registration with the National Registry of Emergency Medical Technicians is the qualifying basis most states build on, and the paramedic cognitive examination is computer-adaptive: difficulty adjusts to your performance and the test ends once competence can be determined, so there is no percentage score. National registration is not itself permission to work anywhere β€” the state credential is what authorises practice.

Specialty

Local authorisation or system entry

Georgia credentials paramedics through the Office of EMS and Trauma within the Department of Public Health, which also runs the state's trauma system designation β€” so the office that licenses you is the one that designates the trauma centres you transport to. Georgia's EMS geography is sharply divided: metropolitan Atlanta has dense advanced life support coverage, while much of rural Georgia depends on county services with long transport times, which puts a heavier clinical burden on the paramedic during transport than an urban assignment does.

Specialty

Critical care and flight credentials

Certifications such as FP-C and CCP-C for flight and critical-care transport, plus agency endorsements for specialist practice. They sit on top of the paramedic credential rather than replacing it, and they are issued by certifying bodies rather than by the state.

Adjacent

EMS instructor, supervisor and agency credentials

Separate authorisations issued by the Georgia Office of EMS and Trauma for course instructors, training programmes and the ambulance services themselves. An individual credential does not carry agency authority, and an agency licence does not credential its staff.

Exact experience hours and fees vary by license type and can change, confirm current requirements on the Georgia Office of EMS and Trauma Paramedic program page.

Georgia EMT vs Georgia paramedic Paramedic in Georgia, what is the difference?

RequirementGeorgia EMTGeorgia paramedic
Credentialed byGeorgia Office of EMS and TraumaGeorgia Office of EMS and Trauma
EducationState-approved EMT course with clinical timeAccredited paramedic programme, substantially longer
Cognitive examNREMT computer-adaptive EMT examNREMT computer-adaptive paramedic exam
Airway managementBasic airways and ventilationAdvanced airway including intubation
IV access and formularyLimited assisted medicationsIV access and a broad formulary under protocol
CardiacAutomated defibrillationFull monitoring, interpretation and manual defibrillation
Medical directionProtocol-driven, limited standing ordersStanding orders and online medical control

How do you get a Georgia Paramedic Paramedic license?

  1. 1

    Meet the entry requirements

    Paramedic programmes normally require you to hold the EMT credential and current CPR or basic life support certification at healthcare-provider level, and most expect a period of working experience as an EMT before entry β€” not always a formal requirement, but the programmes that do not require it usually recommend it, and instructors can tell. You will also need a background clear enough for Georgia's rules, immunisation records and, because of ambulance operation, a clean driving record. Confirm the specific entry requirements with the Georgia Department of Public Health, Office of Emergency Medical Services and Trauma and with the programme, because they differ.

  2. 2

    Complete an accredited paramedic programme

    Paramedic education is substantially longer and more demanding than the EMT course: programmes run at certificate or associate degree level, include extensive clinical and field internship time, and national practice is to require programmatic accreditation β€” through CAAHEP on the recommendation of CoAEMSP β€” for graduates to be eligible for national registration at the paramedic level. Confirm a programme's current accreditation status directly rather than taking a provider's word for it, because eligibility depends on it. Expect didactic instruction in anatomy, physiology, pharmacology, cardiology, trauma and medical emergencies; a hospital clinical rotation across emergency, critical care, operating theatre, obstetrics and paediatrics; and a field internship on an advanced life support unit where you function as team leader under preceptor supervision. The field internship is the part that determines whether you are ready, and it is where students most often need additional time β€” plan for that rather than treating the published programme length as a guarantee.

  3. 3

    Pass the NREMT paramedic cognitive examination

    Sit the National Registry's paramedic-level computer-adaptive cognitive examination at a Pearson VUE centre. It covers airway, respiration and ventilation; cardiology and resuscitation; trauma; medical, obstetrics and gynaecology; and EMS operations, applied across adult and paediatric patients at the paramedic depth of knowledge. Difficulty adjusts to your performance and the examination ends once competence can be determined, so there is no percentage to hit. Confirm with the Georgia Office of EMS and Trauma that Georgia is currently using NREMT as its qualifying basis before you register, because a small number of states run their own examinations.

  4. 4

    Demonstrate psychomotor competency and clear the background check

    Complete the hands-on skills verification Georgia requires. States have moved away from a single national practical examination toward programme-based and state-administered verification, so the format depends on your programme and on Georgia β€” ask both at the start of your programme rather than at the end, because arranging verification after the fact is considerably harder. Then submit the state application with your programme completion, examination result, CPR card and criminal background check, along with the fee the Georgia Department of Public Health, Office of Emergency Medical Services and Trauma currently charges.

  5. 5

    Obtain local authorisation and keep both credentials current

    Georgia credentials paramedics through the Office of EMS and Trauma within the Department of Public Health, which also runs the state's trauma system designation β€” so the office that licenses you is the one that designates the trauma centres you transport to. Georgia's EMS geography is sharply divided: metropolitan Atlanta has dense advanced life support coverage, while much of rural Georgia depends on county services with long transport times, which puts a heavier clinical burden on the paramedic during transport than an urban assignment does. Once credentialed and authorised, recertification runs on two clocks. NREMT registration runs on its own cycle, maintained through the National Continued Competency Program's national, local and individual components. Georgia sets its own recertification cycle and continuing-education requirements through the Georgia Office of EMS and Trauma, and the two usually align but not always. Track both dates yourself β€” letting either lapse can mean re-examination, and reinstatement takes materially longer than renewal.

Does a Georgia paramedic license transfer to other states?

National registration is what makes EMS mobile. Because most states build their credential on NREMT certification, a paramedic holding current national registration can usually obtain the Georgia credential by application rather than by re-examination, and the Georgia Department of Public Health, Office of Emergency Medical Services and Trauma publishes the route it uses for out-of-state and reciprocity applicants. It remains an application, not a transfer: expect Georgia's own background check, fee and, commonly, a protocol or jurisprudence orientation. Georgia credentials paramedics through the Office of EMS and Trauma within the Department of Public Health, which also runs the state's trauma system designation β€” so the office that licenses you is the one that designates the trauma centres you transport to. Georgia's EMS geography is sharply divided: metropolitan Atlanta has dense advanced life support coverage, while much of rural Georgia depends on county services with long transport times, which puts a heavier clinical burden on the paramedic during transport than an urban assignment does. Scope of practice also differs between states because it is set within the national model by state rule and medical direction, so a skill or medication you used routinely elsewhere may not be authorised here β€” check the specifics before you accept a post. Confirm the current reciprocity route with the Georgia Office of EMS and Trauma before you move, and do not let your national registration lapse in the meantime, because it is usually the basis the application rests on.

Reciprocity agreements change, always confirm the current list and requirements on the Georgia Office of EMS and Trauma Paramedic program page before applying.

How much does a Georgia paramedic license cost, and how long does it take?

Paramedic education costs substantially more than the EMT course and takes far longer, but sponsorship remains common: fire departments and ambulance services in Georgia frequently fund paramedic school for serving EMTs in exchange for a service commitment, which is the single most important thing to investigate before paying tuition yourself. The lines to budget for are programme tuition, the NREMT paramedic examination fee published by the National Registry, the Georgia Office of EMS and Trauma application fee, background check and immunisation costs, and continuing education toward both recertification cycles. Each is set separately and revised, so use the Georgia Department of Public Health, Office of Emergency Medical Services and Trauma's current fee schedule and NREMT's published fees rather than a total quoted on a third-party site.

Cost breakdown
Georgia EMT application + examAccredited paramedic programme tuition plus the NREMT paramedic examination fee published by the National Registry
Georgia paramedic application + examGeorgia Office of EMS and Trauma application fee for the state paramedic credential, plus local authorisation or system entry costs where they apply
CE courses (per year)Continuing education toward NREMT recertification and the Georgia cycle
First-year total (Paramedic)Programme tuition, the NREMT paramedic examination fee and the Georgia Office of EMS and Trauma application fee, per current published schedules β€” frequently sponsored by a Georgia fire department or ambulance service in exchange for a service commitment
Timeline after your hours
Application reviewDays to weeks at the Georgia Office of EMS and Trauma once the background check clears
Exam schedulingNREMT paramedic cognitive examination scheduled year-round at Pearson VUE
License processingOften within weeks of NREMT certification and a complete Georgia application
Typical totalCommonly one to two years from starting an accredited paramedic programme, on top of EMT experience, plus local authorisation before you can work in Georgia

Georgia paramedic examination requirements and credential lookup

What does Georgia require, and how do you verify a paramedic credential?

The NREMT paramedic cognitive examination is computer-adaptive: question difficulty adjusts to your performance and the test ends once the system can determine competence with confidence, which is why candidates finish at different lengths and why there is no percentage score. Content spans airway, respiration and ventilation; cardiology and resuscitation; trauma; medical, obstetrics and gynaecology; and EMS operations, applied across adult and paediatric patients at paramedic depth β€” notably deeper in pharmacology and cardiology than the EMT examination. Psychomotor competency is assessed separately, and states have largely moved from a single national practical examination toward programme-based and state-administered verification; confirm with the Georgia Department of Public Health, Office of Emergency Medical Services and Trauma which form Georgia currently accepts. Georgia credentials paramedics through the Office of EMS and Trauma within the Department of Public Health, which also runs the state's trauma system designation β€” so the office that licenses you is the one that designates the trauma centres you transport to. Georgia's EMS geography is sharply divided: metropolitan Atlanta has dense advanced life support coverage, while much of rural Georgia depends on county services with long transport times, which puts a heavier clinical burden on the paramedic during transport than an urban assignment does. Because examination policy, programme accreditation and psychomotor verification are all revised periodically, verify current requirements with the Georgia Office of EMS and Trauma before scheduling anything.

How to verify a Georgia paramedic license

Verify a Georgia paramedic credential through the Georgia Department of Public Health, Office of Emergency Medical Services and Trauma, which holds the record of credentialed EMS personnel including level, status and expiry. Check the state credential specifically: national registration with the NREMT can be verified separately through the National Registry, but it is the Georgia credential that authorises practice here, and the two can be in different states of currency. Georgia credentials paramedics through the Office of EMS and Trauma within the Department of Public Health, which also runs the state's trauma system designation β€” so the office that licenses you is the one that designates the trauma centres you transport to. Georgia's EMS geography is sharply divided: metropolitan Atlanta has dense advanced life support coverage, while much of rural Georgia depends on county services with long transport times, which puts a heavier clinical burden on the paramedic during transport than an urban assignment does. Employers should also confirm the level, because EMR, EMT, advanced EMT and paramedic carry materially different scopes, and where practice depends on an agency or medical-director authorisation, confirm that too β€” a paramedic whose local authorisation has lapsed cannot practise in that system regardless of the state credential. GlobalCybers verifies the state credential, national registration and local authorisation before every EMS placement.

How do you become a paramedic in Georgia?

Hold the EMT credential and current CPR or basic life support certification, complete an accredited paramedic programme with hospital clinical rotations and a field internship, pass the NREMT paramedic computer-adaptive cognitive examination, demonstrate psychomotor competency in the form Georgia accepts, clear a criminal background check, and apply to the Georgia

Department of Public Health, Office of Emergency Medical Services and Trauma. Georgia credentials paramedics through the Office of EMS and Trauma within the Department of Public Health, which also runs the state's trauma system designation β€” so the office that licenses you is the one that designates the trauma centres you transport to. Georgia's EMS geography is sharply divided: metropolitan Atlanta has dense advanced life support coverage, while much of rural Georgia depends on county services with long transport times, which puts a heavier clinical burden on the paramedic during transport than an urban assignment does. Many Georgia fire departments and ambulance services sponsor paramedic school for serving EMTs, so ask about sponsorship before paying tuition yourself.

Who credentials paramedics in Georgia?

The Georgia Department of Public Health, Office of Emergency Medical Services and Trauma. Georgia licenses paramedics through the state EMS office, with scope set within the state's EMS rules. That is the body to contact about applications, programme approval, recertification and the status of your file β€” not the National

Registry, which certifies nationally but does not authorise practice in any state. Georgia credentials paramedics through the Office of EMS and Trauma within the Department of Public Health, which also runs the state's trauma system designation β€” so the office that licenses you is the one that designates the trauma centres you transport to. Georgia's EMS geography is sharply divided: metropolitan Atlanta has dense advanced life support coverage, while much of rural Georgia depends on county services with long transport times, which puts a heavier clinical burden on the paramedic during transport than an urban assignment does.

Georgia Paramedic licenses, Frequently Asked Questions

Does Georgia require NREMT paramedic certification?

National registration with the National Registry of Emergency Medical Technicians is the qualifying basis most states build on, and the paramedic cognitive examination is computer-adaptive: difficulty adjusts to your performance and the test ends once competence can be determined, so there is no percentage score. National registration is not itself permission to work anywhere β€” the state credential is what authorises practice. It is the route the Georgia Department of Public Health, Office of Emergency Medical Services and Trauma publishes for candidates and for out-of-state applicants in the ordinary case. A small number of states run their own cognitive examinations instead, and states occasionally change this, so confirm the current requirement with the Georgia Office of EMS and Trauma before registering for an examination. What is not in doubt is that national registration alone does not authorise you to work in Georgia.

What is the difference between an EMT and a paramedic in Georgia?

A substantial one. An EMT completes a state-approved course covering assessment, basic airway management, bleeding control and a limited medication set. A paramedic completes an accredited programme that is far longer, with hospital clinical rotations and a field internship, and practises advanced airway management including intubation, cardiac monitoring and rhythm interpretation, a broad formulary under protocol and invasive procedures β€” under medical direction with standing orders and online medical control. Both are credentialed by the Georgia Office of EMS and Trauma, but the scopes are not comparable.

What does the NREMT paramedic examination cover?

Airway, respiration and ventilation; cardiology and resuscitation; trauma; medical, obstetrics and gynaecology; and EMS operations, with every item applied across adult and paediatric patients β€” at a depth of pharmacology and cardiology well beyond the EMT examination. It is computer-adaptive and delivered at Pearson VUE centres, so difficulty adjusts to your performance and the examination ends once competence can be determined. There is no percentage to hit, and finishing quickly is not in itself a bad sign.

Does a paramedic programme need to be accredited in Georgia?

Paramedic education is substantially longer and more demanding than the EMT course: programmes run at certificate or associate degree level, include extensive clinical and field internship time, and national practice is to require programmatic accreditation β€” through CAAHEP on the recommendation of CoAEMSP β€” for graduates to be eligible for national registration at the paramedic level. Confirm a programme's current accreditation status directly rather than taking a provider's word for it, because eligibility depends on it. This is not a preference β€” eligibility for national registration at paramedic level depends on it, and national registration is the qualifying basis Georgia builds on in the ordinary case. Verify a programme's current accreditation status directly with CAAHEP or CoAEMSP and confirm with the Georgia Department of Public Health, Office of Emergency Medical Services and Trauma that the programme is acceptable here, rather than relying on a school's marketing.

Can I transfer an out-of-state paramedic credential to Georgia?

Usually by application rather than re-examination, on the strength of current national registration. The Georgia Department of Public Health, Office of Emergency Medical Services and Trauma publishes the route for out-of-state applicants, and you should expect Georgia's own background check, fee and often a protocol orientation. Georgia credentials paramedics through the Office of EMS and Trauma within the Department of Public Health, which also runs the state's trauma system designation β€” so the office that licenses you is the one that designates the trauma centres you transport to. Georgia's EMS geography is sharply divided: metropolitan Atlanta has dense advanced life support coverage, while much of rural Georgia depends on county services with long transport times, which puts a heavier clinical burden on the paramedic during transport than an urban assignment does. Scope of practice differs between states within the national model, so confirm what Georgia authorises at paramedic level before assuming a skill or medication comes with you.

How often do paramedics recertify in Georgia?

On two cycles you must track separately. NREMT registration runs on its own cycle, maintained through the National Continued Competency Program's national, local and individual components. Georgia sets its own recertification cycle and continuing-education requirements through the Georgia Office of EMS and Trauma, and while the two usually align, they do not always. Letting either lapse can mean re-examination, so diary both dates rather than assuming they move together β€” and remember any local authorisation has its own requirements on top.

How much does paramedic school cost in Georgia?

Materially more than the EMT course, because the programme is longer and includes extensive clinical and internship time. Tuition varies by provider, the NREMT paramedic examination fee is published by the National Registry, and the Georgia Office of EMS and Trauma sets its own application fee β€” all revised periodically, so check current figures at source. The decisive factor is sponsorship: Georgia fire departments and ambulance services routinely fund paramedic education for serving EMTs in exchange for a service commitment, which is why many paramedics never pay tuition themselves.

How do I verify a Georgia paramedic's credential?

Through the Georgia Department of Public Health, Office of Emergency Medical Services and Trauma, which holds the record for the credential that authorises practice here. National registration can be verified separately with the NREMT, but the two are distinct and can be in different states of currency, so check the state credential specifically. Georgia credentials paramedics through the Office of EMS and Trauma within the Department of Public Health, which also runs the state's trauma system designation β€” so the office that licenses you is the one that designates the trauma centres you transport to. Georgia's EMS geography is sharply divided: metropolitan Atlanta has dense advanced life support coverage, while much of rural Georgia depends on county services with long transport times, which puts a heavier clinical burden on the paramedic during transport than an urban assignment does. Employers should confirm the level as well, because EMR, EMT, advanced EMT and paramedic carry materially different scopes. GlobalCybers verifies the state credential, national registration and local authorisation before every EMS placement.

Sources & references

Georgia Department of Public Health, Office of Emergency Medical Services and Trauma Β· National Registry of Emergency Medical Technicians (NREMT) Β· Committee on Accreditation of Educational Programs for the EMS Professions (CoAEMSP) Β· NHTSA Office of EMS, National EMS Education Standards Β· U.S. Bureau of Labor Statistics, OEWS May 2025 (29-2043) Β· BLS Occupational Outlook Handbook (EMTs and Paramedics). Fees and rules can change, confirm current details at dph.georgia.gov/EMS before applying.

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Georgia Office of EMS and Trauma Key Facts
Credentialed byGeorgia Office of EMS and Trauma
Term usedLicense
Qualifying basisNREMT paramedic (verify with the state)
ProgrammeAccredited paramedic programme
Cognitive examComputer adaptive, pass/fail
Local layerMedical direction and authorisation
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