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Brief Guide for EM Trainees

Brief Guide for EM Trainees

Below is an overview of the most important information new emergency medicine trainees need to know. Trainees will also find the Gold Guide useful for specialty-wide guidance.

Guide for EM Trainees

Trainees will find the Gold Guide useful for specialty-wide guidance.

***RCEM statement on national recruitment (11 January 2021)***

LTFT Pilot for EM trainees in England – extended for additional 12 months

The pilot has been extended for an additional 12 months.

Within the pilot trainees can apply to train LTFT as a personal choice that meets their individual professional or lifestyle needs – ‘Category 3’. However, HE Local Offices (LETBs) will prioritise those trainees who meet the Gold Guide 1 & 2 Categories.

The application window for the August 2019 to July 2020 pilot year closed on 18 April 2019. Trainees in England can apply to train at 50%, 60% or 80% and will be eligible if they are in HST or in RTT and are expected to progress to ST4. Existing trainees participating in the pilot can continue training LTFT for a further 12 months.

HEE, NHS Employers, NHS Improvement, GMC and the British Medical Association Junior Doctors Committee have formed a group to explore mechanisms to enhance the working lives of junior doctors. This RCEM-supported project is one of a number of projects and pilots currently underway.

Trainees will apply for the pilot through existing mechanisms in their HEE Local Office.

A guidance document (including FAQs) is available here.

The final report on the pilot is available here with a document of tables.

The ‘Interim Evaluation of EM trainees LTFT pilot 2017-18’ report is available from the HEE website here.

Enrolment and Registration

Please note that all enrolment forms, registration forms and membership applications must be completed online via the main application page. Trainees who are enrolling or registering with the College must upload a full up-to-date CV and trainees undertaking LATs must have their applications reviewed by their Head of School or TPD.

  • Trainees who have been issued with National Training Numbers (NTNs); run-through trainees and higher specialty trainees must enrol with the Training Standards Committee (TSC). Enrolment will enable the College to, in due course, confirm eligibility for the FRCEM examination and make a recommendation to the GMC for inclusion on the specialist register.
  • Trainees who have not been issued with a National Training Number; core trainees, those in Fixed Term Specialty Training Appointments (FTSTA) or Locum Appointment for Training (LAT) posts must register with the Training Standards Committee (TSC). As part of this process the TSC will advise on the recognition of previous training and the training required to complete the programme.

RCEM E-portfolio

The E-portfolio is available for trainees to record assessments and progress through training. It is now required by the College for all trainees. The e-portfolio is accessible at and a username and password is required. Access to ePortfolio for trainees is available as an Associate Member (Training) benefit. Application for membership can be made online via the main application page.

Educational supervisors, who do not already have an account on the e-portfolio, should complete the e-portfolio educational supervisor’s form below. If the supervisor wishes to be linked to a particular trainee’s account please let us know.

NB: From 1 January 2017 the College discontinued the Training Administration Fee and introduced changes to Membership rates and benefits which had an impact on how trainees pay for ePortfolio. A statement is available here.

EM Curriculum from August 2015

The GMC have approved a new curriculum for implementation in August 2015.

Acute Care Common Stem (ACCS) website

The new ACCS website provides information and resources for current trainees and those looking to apply for ACCS training and is endorsed by the Intercollegiate Committee for Acute Care Common Stem Training.

Revalidation for trainees

Doctors in training need to revalidate in a similar way to other licensed doctors. The standards expected for trainees in Emergency Medicine are defined in the curriculum. Your ‘Responsible Officer’ will make a recommendation to the GMC that you are up to date, fit to practice and should be revalidated. The Responsible Officer for those in training will be in the appropriate designated body which for England is the HEE region; for Scotland, NHS Education for Scotland; for Wales, the Wales Deanery; and for Northern Ireland, NIMDTA. Further information can be found on the GMC’s website. The Annual Review of Competency Progression (ARCP) is the means by which a doctor in postgraduate training undertakes their annual full scope of practice review. COPMeD have produced Guidance to ensure doctors in postgraduate training meet revalidation requirements across full scope of practice. See also these FAQs.

RCEM Acting Up requirements – updated for COVID-19 27 July 2020

RCEM has produced a document outlining requirements for trainees who wish to ‘Act-up’ as consultants during the latter part of their training: RCEM Acting Up requirements (updated for COVID-19 – 27 July 2020).


Contacts for training enquiries at the Royal College of Emergency Medicine are:

Lee Sullivan (Training Manager) –

Rachel Boothby (Training Officer for trainees with surnames beginning A to L) –

Halyma Begum (Training Officer for trainees with surnames beginning M to Z) –

For general training enquiries –

For ePortfolio enquiries –

Useful websites

The General Medical Council

Conference of Postgraduate Medical Deans in the UK

Acute Care Common Stem

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