KAREN: I didn't finish talking about your training. You said once you became a health aide, then you continued to get training?
STELLA: Yes. You have to. You had -- you were required to, so many CME's that you had to get every -- every two years.
KAREN: Those are continuing ed credits?
STELLA: Continuing, yes. Uh-hum.
KAREN: Do you know what "CME" stands for?
STELLA: Continuing medical education.
KAREN: Oh, okay.
STELLA: Uh-hum.
KAREN: And where would you go to get those?
STELLA: Anchorage is where I went to get mine.
KAREN: Uh-hum. And --
STELLA: And some -- you know, and here in Kodiak, one, if they offered something here.
KAREN: What's an example of some kind of a course you'd take to go for CME credits?
STELLA: Emergency kind of things like, you know, how to take care of people, those kinds of things. And we always had, like, for pediatrics for children or for giat -- gia -- how you say, for older people.
KAREN: Uh-hum.
STELLA: Those -- just whatever they think that we needed.
KAREN: Uh-hum. And that's to keep your certification active?
STELLA: Certification, yes. Uh-hum.
KAREN: And what happens if your certification -- if you don't get those credits and it runs out?
STELLA: Well, you lose your certification. You have to, you know, go and start over again, or try to get all those credits in.
KAREN: Uh-hum. And is there some sort of an exam for being certified?
STELLA: Yes. You do a -- uh-huh, you get a testing after.
KAREN: Uh-hum.
STELLA: You do a -- well, they -- what we did is we had a pre-test and a post-test. They wanted to know how far along we were to be able to, you know, take the -- take the class.
KAREN: Uh-hum.
STELLA: Like a math class, English class, and all those other stuff that -- that you would have to know before you went to sessions.
KAREN: Oh, so you would have to know all that beforehand?
STELLA: Uh-hum.
KAREN: Oh. Okay. Again, I was wondering if -- if there are health aides who don't pass the certification but who continue to be health aides without the certifi -- can you continue to be a health aide and be employed without that certification?
STELLA: No. No. You have to be certified.
KAREN: And even from the beginning it was like that, in the beginning of the program?
STELLA: Yes.
KAREN: Yeah.
STELLA: Uh-hum. Yes. We have to keep up our certification to be -- to be able to be employed. Uh-hum.
KAREN: Okay.
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