EM Curriculum

Changes are being applied to all Resident Doctors’ ePortfolio accounts to support the implementation of the updated curricula for ACCS and RCEM 2021 (2025 Update). These updates will affect your Dashboard, Assessments ("Events"), and Goals. The changes apply to all trainees—whether you are transitioning to the 2025 updates or remaining on the 2021 version.  

These changes will be rolled out gradually throughout August, with further updates published on the ePortfolio to keep you informed:

Dashboards

• Two sets of dashboards will become available:  

• (2025 Update) – for trainees who have transitioned to the 2025 curriculum 

• (2021) – for those remaining on the 2021 curriculum 

• If you have transitioned, you should:  

• Use the (2025 Update) dashboards to view your Summary and Profile pages. 

• Note: You do not need to switch back to 2021 dashboards to access older evidence—everything up to August 2025 will still be visible in the new dashboards. 

• If you have not transitioned, continue to use the (2021) dashboards. 

 Assessments (Creating "Events") 

All trainees will begin to see three types of Events when creating new assessments, which will be labelled in the following format: 

• (2025 Update) – Use these if you have transitioned. These forms contain 2025-specific curriculum content. 

• (2021) – Use these if you are remaining on the 2021 curriculum. These forms reflect the 2021 curriculum structure. 

• (2021 & 2025) – These forms are universal and can be used by all trainees. They do not contain curriculum-specific content, so can be used by both groups. 

 Goals 

Goals visualise the curriculum requirements such as procedural skills and capabilities. 

• Two sets of Goals will become visible:  

• (2025 Update) – for transitioned trainees 

• (2021) – for non-transitioned trainees 

• If you have transitioned, you should:  

• Use the (2025 Update) Goal set to view or link evidence against the new curriculum items. 

• If you have not transitioned, continue using the (2021) Goals. 

• Just like with dashboards, all historical evidence (pre-August 2025) will still be viewable in the 2025 Goal set if you transition—you do not lose access to past entries. 

ACCS

LO5 & LO7 – Sedation 

• Assessment of sedation will be moved from ACCS LO7 (Anaesthetic Care) to ACCS LO5 (ACCS Procedural Skills) in order to increase opportunities and be of greater relevance to EM trainees. 

• In keeping with the other practical skills, sedation will be able to be assessed in any or all of the four ACCS placements with final entrustment level awarded at the end of the two years of ACCS
  

Intermediate and Higher

SLO5 – Adolescent Care Inclusion 

• Adolescents and their specific issues were missing from the curriculum, which is now being corrected without altering the clinical syllabus. 

SLO5 – Paediatric Resuscitation Consistency 

• The current Key Capabilities for SLO5 lack detail on resuscitation/severe illness content found in SLO3 (Adult Resuscitation). 

• The update will ensure consistency by adding the same relevant Key Capabilities and associated Descriptors. 

SLO6 – Clarification of Adult Sedation Requirements 

• Adult sedation, already required at Intermediate and Higher levels in SLO6, was omitted from the progression standards table. The change will formally include it, reinforcing existing practice without altering expectations. 

SLO6 – Supporting Assessment of Practical Skills 

• Doctors in training find it challenging to evidence competency in some SLO6 procedures due to limited assessment options and opportunities. 

• The update expands assessment flexibility by increasing options while maintaining training standards. 

• Updated guidance will be linked directly to the SLO6 section on the RCEM curriculum website to make it more accessible than at present. 

 SLO11 – Revised Quality Improvement Assessment Tool (QIAT) 

• The existing QIAT is outdated, tied to the now-obsolete FRCEM QIP assessment. 

• The revised QIAT form is broader in scope, aligns with recent AOMRC guidance and facilitates capturing a wider range of QI activities. 

SLO12 – Refining Leadership & Management Terminology 

• SLO12 title changed from “Manage, administer and lead” to “Lead and manage” to emphasise leadership over administration. 

SLO12 – Strengthening Leadership Focus in Training 

• The current Key Capabilities for SLO12 focus on management tasks, lacking elements relating to leadership, values, behaviour and culture. 

• The update adds two new Key Capabilities with associated Descriptors, addressing GMC survey and PIPP study findings on its importance in EM training. 

 SLO12 – Management activities 

• The options for evidencing particular management activities are being broadened to become less prescriptive about exactly which type of activity and at what stage in training. 

SLO12 – Leadership Assessment Tool (LAT) 

• NHS Leadership Academy recommends self-reflection and PDP-setting as a foundation for leadership skills. 

• Relevant EM Leaders framework elements are now explicitly listed on the updated QIAT form rather than just linked. 

Generic SLOs – Guidance 

• Updated guidance is being produced to support the learning and assessment of the four generic SLOs. 

• This guidance will be linked directly to the relevant SLO on the RCEM curriculum website to make it more accessible than at present. 

Generic SLOs – Entrustment Rating Requirements 

• The requirements to meet “satisfactory/good” and “excellent” are being clarified for all stages of EM training. 

If you have any questions or would like to discuss this with a member of the College’s Training Team please email – training@rcem.ac.uk