http://www.health.ny.gov/nysdoh/ems/certification/pilotguide04.htm
In case you don't know (or did know), NYS used to make everyone retest every 3 years to make sure they knew what they were doing. every 3 years, you take the same state practical exams, take a written to see what you know and what you have forgotten, and then you take the state exam at a state testing facility, and then it is graded by state DOH personnel. This ensures EVERYONE knows what the state requires you to know to be an EMT. Updates are made, and tests are updated to ensure the latest items are being taught.
the pilot program (which i am still against, since NJ does something very similar) doesn't ensure people know what they are doing. it doesn't make sure the 10 year veteran still knows book learning as a newbie.
biggest problem with this new program: "Participants are not required to take the State written certification examination." So (just as it happens in NJ), the good ole boy club can find an instructor, who is in the club, and will pass everyone because they have know person A for 10 years, they know what they are doing. it's a system that is ripe with problems.
CMEs are a great thing. but just like how doctors need to take a test every 10 years to maintain their license, to ensure they still know what they are supposed to do to be doctors, EMTs should have to do that as well. Throw in CMEs as well, but you still need to make sure they know what they are doing, and have kept up with any changes.
One thing, if you are an EMT in NY, you can work as an EMT in NJ. with a NY patch on your arm. in NJ