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While paramedic science education program students are required to complete a licensing exam once they have completed a paramedic science education program, it is unknown whether a traditional or blended program of instruction is a factor in success. This basic qualitative study explored the perceptions of recently graduated students in a blended and a traditional paramedic science education program related to their success on the NREMT paramedic licensing exam. There is no current literature offering insights into the perceptions of students in a higher education paramedic science education program on blended or traditional instruction. The results of this study demonstrate the importance of developing an educational support system, fostering an academic community, and providing opportunities for learning outside the classroom.