Flight Paramedic Certification (FP-C) is an advanced certification that indicates an individual has attained the designation of Certified Flight Paramedic. The FP-C certification exam is administered by the International Board of Specialty Certification (IBSC) and the Board for Critical Care Transport Paramedic Certification (BCCTPC), a not-for-profit organization responsible for the administration and development of specialty certification exams for critical care professionals. The test is administered by PSI and Applied Measurement Professionals (AMP) to assure compliance with the highest testing standards.  This certification is designed to be successfully approved only for experienced master-level paramedics who have demonstrated advanced knowledge of critical care medicine by passing an exam consisting of 125 scored items and 10 unscored items within a 2.5-hour window.  As of February 22, 2018, there are 6458 certified flight paramedics worldwide, 494 of whom hold dual certification as a CCP-C (Critical Care Paramedic – Certified).  A candidate must hold a current paramedic license and have active certifications in Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Prehospital Trauma Life Support (PHTLS), and other advanced certifications.