Our story
I watched students fail an exam
they were ready for.
The NREMT changed. Assessment tools didn't. So we built Foresight.
The Problem
In July 2024, the NREMT began scoring Technology Enhanced Items on the certification exam. These aren't traditional multiple-choice questions. They are drag-and-drop ordering, clinical judgment matrices, hotspots, build-list items, and multi-select formats that require a fundamentally different kind of preparation.
Students across 2,000+ EMS programs know the material. They can explain pathophysiology, recite pharmacology, and reason through clinical scenarios on the whiteboard. But when they sit for the exam, they freeze. Not because they lack knowledge, but because they have never interacted with the formats they're being tested on.
Every institutional assessment platform today — Fisdap, EMSTesting, JBL Navigate — delivers questions exclusively as standard multiple choice. Some market themselves as “TEI-ready” but render nothing close to the real exam experience. Programs are asking students to demonstrate competency in formats they have literally never practiced.
Foresight was built to close that gap. Every feature exists because it solves a real problem in the EMS classroom. Nothing was built on speculation.
How we build
Assessment infrastructure,
not just another test bank
Foresight is built by EMS educators who use every feature with real students, real data, and real accreditation pressure. We don't build features until they solve an actual problem in the classroom.
Format Fidelity
Every TEI type rendered exactly as the NREMT delivers it
Data-Driven Insights
Analytics at the domain, TEI, and clinical judgment level
Accreditation Aligned
Built to satisfy CoAEMSP documentation requirements
Instructor-First Design
Assessment tools designed by and for EMS educators
Market
The accreditation clock is ticking
Programs that can't maintain a 70% first-attempt NREMT pass rate risk losing CAAHEP accreditation. With TEI items now scored, programs need tools that match the exam format. Most don't have them.
2,000+
EMS programs in the United States
July 2024
TEI items began scoring on the NREMT
Up to 38%
of the Paramedic NREMT is Clinical Judgment
70%
first-attempt pass rate required for accreditation
Vision
EMS is the beachhead.
Healthcare certification is the market.
The problem Foresight solves is not unique to EMS. Nursing boards, respiratory therapy exams, and dozens of other healthcare certifications are moving toward technology-enhanced item formats. The same gap -- students trained on multiple choice, tested on interactive formats -- exists across the entire credentialing landscape.
We start with EMS because it is where we have the deepest domain expertise, the strongest relationships, and the most urgent accreditation pressure. Once the platform proves itself with 2,000+ EMS programs, the same rendering engine, item-generation pipeline, and analytics framework extend directly into adjacent healthcare verticals.
Foresight is not a test bank. It is assessment infrastructure for any certification that demands more than multiple choice.
Let's talk
Whether you are a program director exploring options or an investor evaluating the space, I am happy to walk you through Foresight.
hello@foresight.edu