While I have been in EMS for 21+ years I have never taken the National Registry of EMT's Paramedic exam, until this past Thursday. I have to say that I have always been leery to try, what if I can't even pass the exam I have been teaching new medic students to pass just to enter the profession? Since our medic students must take and pass this exam, I was convinced by one of our other instructors to take it so we could give reassurance to our students that this is a decent and fair exam. I made the conscience decision not to study for the exam, wanted to see if I could pass with just the knowledge I have gained over the past 21 years, plus I realized that I was already a medic and they could not take that a way if I failed this one. So I go and take the adaptive learning exam knowing that I would have a minimum number of questions and it would shut down when the exam realized that I either knew the material or did not. 78 questions in it shuts down and less than an hour it was all over, not too hard... not too easy..... just about right. Later that day I logged on to the NREMT web site and found that I passed; today I got the big envelope with the letter, patch and certificate suitable for framing. All in all it was a good experience. Well done no anxiety what so ever.