Graduate programs · separate add-on
Available to pilotBuilt for EMS bachelor's
and master's programs.
A module for degree-granting EMS programs whose graduate students are training to become EMS educators and program leaders. At that level, authoring and critiquing assessment items is a real graduate-level competency — so students build real items, defend the clinical reasoning, and revise against a faculty critique until each one is good enough to keep.
This is a separate add-on, distinct from the EMT, AEMT, and Paramedic certification-readiness platform. It does notmean certification students need item-writing skills to graduate — it is built for the graduate faculty pipeline, where writing defensible items is part of the job.
For degree-granting EMS programs and the graduate faculty who run them.
The module
Graduate students write items. Faculty critique them. Good ones graduate.
The Authoring & Critique module is available to pilot with degree-granting programs. Graduate students — the ones training to teach — build items in the real editor, defend their clinical reasoning, and revise against a faculty critique until the item is good enough to keep. It makes authoring assessment a skill these future educators practice, not a topic they read about.
Author
Students build items in the same editor faculty use — multiple response, drag-and-drop, build list, ordered bow-tie, and more — capturing the target certification level and a clinical rationale for the keyed answer.
Critique
Faculty score each draft against the two-layer rubric with criterion-level feedback. Version history is preserved, so a student can see exactly what changed between revisions and why.
Graduate
Accepted items are copied into the item bank with full provenance — who wrote it, who critiqued it, every revision — and recorded author consent. Nothing enters the bank anonymously.
The rubric every item is held to
Two layers, scored independently. An item has to be clinically defensible and mechanically sound before it can graduate into the bank.
Layer A
Clinical & scope authority
- Scope stays within the target certification level
- Keyed answer is anchored to a national clinical guideline
- Maps to the NREMT content blueprint
- Presents a coherent, realistic clinical picture
- Distractors are authentic EMS errors, not throwaways
Layer B
Item-writing mechanics
- Stem reads completely without the options (cover-the-options rule)
- Tests application and judgment over rote recall
- Options are homogeneous and grammatically parallel
- No testwiseness cues — length, grammar, or absolute-term giveaways
- Exactly one defensible single best answer
- Valid TEI answer-key format for the item type
Layer B is organized around the Haladyna, Downing & Rodriguez item-writing taxonomy and CAPCE/CoAEMSP item-writing and item-analysis standards.
Foresight's rubric is organized around and maps to these published standards. It is not endorsed, certified, or validated by any of these bodies.
On the roadmap
What we're building next.
The module is human-graded today. These capabilities are in development, not yet available.
AI pre-critique (coming)
On the roadmap: an advisory pass that surfaces likely rubric issues before a human reviewer opens the draft. It would be advisory only, with mandatory instructor override — AI would never grade an item or decide what enters the bank. Faculty stay the deciders.
More item types (coming)
We're extending the authoring editor to Hot Spot items and full Clinical Judgment Scenario authoring, so students can write the most demanding TEI formats — not just answer them.
For faculty & graduate programs
Made for the people who train EMS educators.
The module is available to pilot with degree-granting programs. If any of these is you, we'd like to build the pilot around your cohort.
EMS faculty who teach assessment
Give your students a real authoring environment instead of a word processor and a guess. The two-layer rubric makes the standards explicit, and version history turns every critique into a teaching record.
Program directors
Provenance and item-analysis records on every question support CAPCE item-writing self-study and CoAEMSP program-evaluation documentation — organized around the measures your program already reports.
NAEMSE educator-pipeline instructors
The rubric is organized around the NAEMSE Level 1 Instructor item-writing competencies, so cohorts learning to teach are also learning to write defensible items the way the field expects.
Program fit. The module is a natural fit for graduate EMS-education and paramedicine programs — the kind of Master's-level EMS and paramedicine curricula that train future educators and teach assessment design.
Beyond EMS
We started with EMS. The approach goes further.
Take the EMS content out and what's left isn't specific to paramedicine at all: a standards-based way to write items, a two-layer critique, real feedback on every question, and an item bank that remembers who wrote what. That's a teaching method, not a medical one.
The same loop that teaches a graduate paramedicine student to write a defensible cardiology item works just as well for any field that trains educators on more than recall.
EMS is where we started. If you run a nursing or allied-health program, the same approach fits — let's talk.
Talk to us about your disciplinediscipline
The same method, any field
- Standards-based authoring workflow
- Two-layer critique rubric
- Real feedback on every item
- Provenance-tracked item bank
Swap the EMS content for nursing or allied-health content and the same workflow, rubric, and feedback carry straight over.
Grounded in the standards
Organized around the work the field already trusts.
Foresight aligns its tooling and rubric to these published standards and frameworks. Foresight is not endorsed, certified, accredited, or validated by any of these organizations.
Authorship you can defend.
Every item that reaches a student carries a record of how it got there — and a human made the call.
Full provenance
Every item in the bank carries its authorship trail — who wrote it, who critiqued it, and every revision in between.
Consent on record
An item only graduates into the bank with the author's recorded consent. No question enters anonymously or by default.
Human in the loop
Faculty make every grading decision. There is no automated gate that accepts, scores, or rejects an item on its own.
Add item authoring to your graduate program.
The Authoring & Critique module is available to pilot with degree-granting EMS programs. Tell us about your cohort and we'll build the walkthrough around the way you teach assessment.
Available to pilot programs now.
