I realize this is waaaayyyy late, but better late than never in case you still had the same question brewing about in your head. The Iowa Paramedic Specialist is the National Paramedic curriculum. Why they call it Paramedic Specialist, I don't know but that's what they deemed it. An Iowa Paramedic, not a Paramedic Specialist, is the national I-99. I think they have some new things coming down the pike to change it, but as of right now it's going to be staying the same.