The exam changed.
The preparation didn't.
Foresight is the first institutional assessment platform that renders Technology Enhanced Items for EMS certification — so students practice the real exam format from day one.
1,350+
Assessment Items
6
TEI Types
185
ECG Strips
17
NREMT Domains
The problem
The exam changed.
Assessment tools didn't.
“Students spent 6 to 18 months practicing one format, then sat for an exam with formats they had literally never seen.”
Since July 2024, every NREMT certification exam includes scored Technology Enhanced Items — drag-and-drop sequencing, multi-phase clinical judgment scenarios, checkbox grids, build-a-list prioritization. These interactive formats go far beyond multiple choice.
Yet every institutional assessment platform — Fisdap, EMSTesting, JBL Navigate — still delivers questions exclusively as standard multiple choice. The first complete post-TEI accreditation review cycle finishes in 2026, and programs that can't maintain a 70% pass rate risk losing CAAHEP accreditation.
What students practice
A 54-year-old male presents with chest pain radiating to the left arm. Which is the most appropriate initial intervention?
Standard multiple choice — the only format in classroom tools
What the NREMT actually tests
Build List — Ordered Response
Place the cardiac arrest interventions in the correct sequence:
Multiple Response — Select All That Apply
Which findings indicate decompensated shock? (Select 3)
Options Box — Matrix Grid
| Medication | Indicated | Contraindicated |
|---|---|---|
| Aspirin 324mg | ||
| Nitroglycerin 0.4mg SL | ||
| Epinephrine 0.3mg IM |
Interactive TEI formats — scored on every NREMT exam since 2024
31-43%
of the NREMT is now Clinical Judgment or Primary Assessment
2,000+
EMS programs with no TEI tools
70%
first-attempt pass rate for accreditation
How it works
Create. Deliver. Analyze.
01
Create
Build assessments with real TEI formats. Start from a blank template, refine a generated draft, or build a full exam from a topic you describe.
02
Deliver
Students take exams with the same interactive question types they will face on the NREMT.
03
Analyze
Drill into performance by student, cohort, domain, or TEI type. Spot at-risk students early.
Platform
Everything you need to assess,
track, and intervene
Six capabilities that don't exist together anywhere else in EMS education.
TEI Question Engine
All 6 NREMT item types rendered exactly as they appear on exam day -- multiple response, drag-and-drop, build list, options box, and clinical judgment.
Test Builder
Build assessments from scratch, generate a full draft to refine, or mix both. You review and approve every question before it reaches a student.
Cohort Analytics
Domain-level heatmaps, TEI-type breakdowns, score trends, and error pattern detection across your entire program.
ECG Strip Library
164 real 12-lead ECGs sourced from PhysioNet covering 32 rhythm classifications. Attach directly to any question.
Accreditation Tracking
Live tracking against CoAEMSP thresholds -- retention rate, NREMT pass rate, and placement metrics with predictive alerts.
Readiness Scoring
Identify at-risk students before exam day. Track error patterns across cognitive domains to allocate your teaching time where it matters most.
Landscape
How Foresight compares
The only platform combining institutional analytics with real TEI rendering and instant item generation.
| Platform | TEI Rendering | Item Generation | Cohort Analytics | Real ECGs | Test Builder | Readiness Score |
|---|---|---|---|---|---|---|
| Foresight | ||||||
| Fisdap | ||||||
| EMSTesting | ||||||
| Limmer | ||||||
| Pocket Prep |
Enterprise ready
Built for institutional
compliance and scale
Foresight is designed from the ground up for EMS education programs that need accreditation-ready assessment infrastructure. Every feature maps to CoAEMSP standards, and every data point feeds directly into your annual report.
Ready to modernize
your assessments?
Currently in pilot with select EMS programs. Request access for early onboarding and institutional pricing.