Continuing Professional Development for Paramedics in Nepal

The pre-hospital emergency care has developed from informal rescue to organized ambulance services in Nepal. The developments remain fragile without continuous learning. Continuing Professional Development (CPD) is essential to sustain competence, ensure consistent quality of care across diverse territories into the wider health system. Emergency clinical skills like airway management, hemorrhage control, pediatric resuscitation, and triage weaken without periodic rehearsal and assessment. Research demonstrates that single, time-limited training events produce important shortterm gains. It occurs unless reinforced by refresher training, simulation, and workplace-based assessment. A national CPD framework that mandates periodic competency refreshers and simulation-based practice would reduce performance drift and align field practice with emerging evidence.