Paramedicine is a physically demanding profession, and physical fitness underlies the Paramedic's ability to perform many job tasks. Successful completion of the Paramedic Physical Abilities Test (PPAT) is required for participation in the practicum course(s) in the Paramedicine program at Holland College. This assessment is also a current requirement for employment in most Atlantic province's EMS services. PPAT certification expires after six months and may need to be passed more than once throughout the program.