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Purpose: To provide basic data on the direction in which the paramedic examination system should proceed by analyzing the trends of paramedic examination results from 2016, when the paramedic written examination was adjusted, to 2023. Methods: National paramedic examination data from 2016 to 2023 were used, and scores and applicant statuses were provided using the public data portal. In addition, statistical methods such as frequency analysis, descriptive statistics, t-test, and Pearson’s correlation were used for data analysis, and the Jamovi 2.3.28 statistical program was used. Results: The passing rate of paramedic examinations showed a relatively even trend; however, there were large fluctuations, such as a 10% decrease in 2021. Therefore, it is necessary to ensure that the passing rate does not significantly fluctuate and is maintained at a certain level. It is estimated that basic medical subjects have a large impact on the passing rate; therefore, it is necessary to adjust the difficulty of basic medical questions to a certain extent. Conclusion: To develop the national paramedic examination, guidelines should be prepared for flexible adjustment of the difficulty and discrimination of the examination by considering the annual national examination pass and failure rates as well as job-based question writing and examination formats that reflect changes in the emergency medical field and social demands.