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RCEM Newsletter - April 2023

RCEM Newsletter - April 2023

News and views from The Royal College of Emergency Medicine. Please use the "On this page" menu below for contents.

Welcome from the President

March saw the unprecedented walk out by postgraduate doctors training in England for 72 continuous hours. Like many of my Consultant colleagues, I was apprehensive about what this might mean for our patients. Alongside my Consultant colleagues, I rolled up my sleeves and got stuck in. Many of us were grateful for our diverse workforce of SAS and ACP clinicians. Largely we coped, though the bill for time off in lieu or money will be eye watering. I must confess that referring patients to other Consultants made life considerably easier. Predictably, the rebound after the strike was much more difficult.

I hope many of us are looking at what learning we could take from this ‘natural experiment’. Unlike many specialties, we didn’t need any particular refreshers in how to work in the emergency department, and this reassures me that our training is fit for purpose. The announcement of an escalated four-day strike this month will make many of us, at any grade, anxious for how we keep our patients safe. We must hope that this can be averted, while planning for the worst. North of the border, the Scottish BMA Junior Doctors are balloting on 72 hour strike.

Out of the headlines, RCEM continued it’s advocacy work. We hosted the Crisis in Emergency Care Summit in the House of Lords this week. Ian Higginson and I were invited to meet Rishi Sunak’s Health Advisor at Downing Street. We continue to press for meaningful and transparent metrics. We are making some progress.  This month, NHSE will publish 12 hour (from arrival) length of stay data routinely alongside all performance statistics. Many of you will be relieved by the announcement of pension changes, removing the lifetime allowance threshold in the recent budget. This is a move that the BMA has campaigned for many years, but we have had this as a policy objective for several years. I hope this will help retain the more experienced workforce.

The upcoming CPD conference should be really good, with topics as diverse as crowding, traumatic brain injury and cannabis hyperemesis syndrome. I hope I can see as many of you there as possible. Book here – Spring CPD Conference.

Look at our campaign to improve care here. Resuscitating Emergency Care

Dr Adrian Boyle
President, Royal College of Emergency Medicine

College News


The EMTA committee has been busy at the start of this year.

Our EMTA survey has now closed, and data is being analysed to give us insights into ways we can improve the trainee experience for the next year.

The BMA industrial action on behalf of junior doctors in England is obviously ongoing. We, like everyone else, hope a resolution can be found through negotiations before the next round of strikes in April but in the meantime, we have a statement: This also contains a link to a document from the RCPCH with practical advice on what IA may mean for your training.

Based on results from our 2021 survey, we’re involved in a large MDT piece of work looking at improving civility in our departments. This feeds into RespectED: and we’re working with Chris Turner from the Civility Saves Lives campaign. When work is hard, please remember to look after yourselves, your peers and trainees. See more on RespectED further down this section.

We’ve been looking at the risks of fatigue in clinicians. The association of anaesthetists have started #FightFatigue, please take a look at their extensive resources here: and see how these could be implemented in your own departments to benefits not only trainees but all other staff. This compliments our own Rest & Rota charter and going forwards we’re going to be collaborating with the AoA taking this work wider- cross specialty.

We’re always keen to expand our regional network and know we have a few black spots; please get in touch at to plug us into the trainee rep in your region.

Finally if you’re looking for a fellowship opportunity or are a trainer wishing to list a clinical fellow post please take a look at our EMTA Fellowship app:

RCEM Monthly Forum

The RCEM Clinical Leaders National Zoom has been rebranded and relaunched as the RCEM Monthly Forum.

This is now open to RCEM Membership. If you would like to join us then please register your interest here via the link below:

The aim is to have a monthly one-hour meeting where RCEM can communicate important new information to all members and fellows.

The call is led by me the RCEM President, Dr Adrian Boyle and I give an update on the national picture facing Emergency Departments followed by topical clinical updates and advice on the latest medical challenges seen in Emergency Departments.

The call is free to attend and open to those who are part of the College membership.

So don’t delay and be sure to register to join these monthly meetings here:

If you missed a previously named Clinical Leads Zoom meeting, you can catch up here. The latest meetings can be found below.

Spring CPD Conference

Make sure you book your place at our Spring CPD Conference. We have three packed days of content and learning and a fantastic schedule waiting for you.
Registration closes on Monday 10 April.
Book your place before it’s too late!

England Census

In the coming months the College will be undertaking a census of emergency department staff in England – the first of its kind. The aim is to evidence staffing pressures, highlight regional variation, and layout projections for the future. Having successfully published a census report in Scotland and Wales, and secured an expansion of training places in Scotland, we are keen to replicate this project in England. This is an exciting campaign and will require the contribution of every emergency department across England in order to draw truly meaningful conclusions. We encourage you to speak with the Clinical Lead and colleagues of your department about the upcoming project, highlighting its importance, and how you can work together to complete your submission.

Your chance to get involved

Looking for something to help motivate you with your New Year’s fitness goals? We have places at the Royal Parks Half Marathon on 8th October 2023.
Interested in finding out more? Get in touch via

EUSEM – Safety in the Emergency Departments: Survey for professionals

This year the Emergency Medicine Day campaign is dedicated to safety. Safety for our patients, who need care, attention and relief from pain and disease. Safety for our colleagues, who need to be able to work in a secure environment, for the right number of hours with the right number of patients in order to be able to give them the right amount of our time and energy. Only in these conditions are we sure to provide the patient with a safe haven in an emergency.

We strongly believe it is of the utmost importance that we can provide concrete data to the relevant stakeholders to reflect our distress and how this can threaten our safety and that of our patients.

The results of the survey will be published on the EM Day and will be circulated to media and politicians.

Meanwhile, make a note in your diary…..

Let the SEDIT do the heavy lifting – new animation video released to promote GIRFT-developed emergency medicine data dashboard

The Getting It Right First Time (GIRFT) programme has produced a new three-minute animation video to introduce new users to the Summary Emergency Department Indicator Table (SEDIT) data platform.

The SEDIT supports emergency department (ED) teams to understand their demand, capacity, flow and outcomes, and to make improvements accordingly, with the help of colour-coded graphs, charts and filtering tools.

The latest SEDIT developments include new additions to the platform – system view and ambulance tab – and a new permanent link from within the EM component of the Model Health System dashboard.

GIRFT is encouraging all EDs to use the SEDIT to support patient flow and capacity management.

You can find out more by visiting the GIRFT website:

RCEM Volunteering Opportunities

We’re looking for Chairs and Vice Chairs to support committees across the UK, along with new committee members!

Are you interested in representing fellow members and advocating for patients in your region? Are you looking for opportunities to develop both personally and professionally? If so, then please check out our volunteering page for opportunities to get involved.

For further information contact us at Finally, please share this call out with your networks.

Become a CESR assessor

Are you interested in this very important role which involves ensuring that Emergency Departments are led by consultants who have all the necessary competences? The CESR team are in constant need, the more assessors in the team means the more we can spread the workload. If you are interested in joining the team, please see the requirements and how to apply via Certificate of Eligibility for Specialist Registration (CESR) | RCEM. Please email for any other queries.

New 24/7 confidential helpline for RCEM Members

We are now offering free, 24/7 confidential helpline support for all our members via a Health Assured Employee Assistance Programme. Your call will be handled by an experienced therapist or advisor who will offer support in a friendly, non-judgemental manner. You can contact them by phone at any time for help with: –

  • Stress and anxiety
  • Bereavement
  • Relationship advice
  • Tenancy and housing concerns
  • Counselling
  • Financial wellbeing
  • Legal information
  • Alcohol and drug issues
  • Family issues
  • Childcare support
  • Medical information
  • Consumer issues

Simply call the free 24-hour confidential helpline on 0800 028 0199 and use the code MHA 229 700 to access support.

Further information can be found HERE.

Emergency Medicine Journal

Our latest podcast discusses the best of our February 2023 issue, covering great papers on COVID-19 and well-being, domestic violence, and the diagnosis of testicular torsion. Read the highlights. You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month.

If you would like to keep up to date with the latest content from our journal, please sign-up to receive eAlerts.

However, you decide to review our content, we’re sure you’ll find something to capture your interest!

#CountMeIn – help us improve representation by filling in your College profile

Emergency Medicine is one of the most diverse professional clinical communities. Unfortunately, we are currently unable to fully evidence the diverse intersectionality of who we are, as the demographic data we have of our members is patchy.

Thing Spring we’re running #CountMeIn to truly capture and celebrate the diverse intersectionality of who we are.

Having a sense of our members’ representation will help us to better understand how best to represent you.

Help us to help you by filling in your College profile today.

Join us in starting a dialogue about the importance of representation in emergency medicine by sharing the campaign and your views on social media.

RespectED – our anti-bullying campaign to challenge toxic behaviour in EDs

The Royal College of Emergency Medicine is launching RespectED, an anti-bullying campaign that aims to raise awareness and tackle the rise in toxic behaviours such as bullying, harassment and incivility between staff in Emergency Departments (EDs). These negative behaviours have a huge impact in EDs; they can create a toxic working environment, affect morale and the delivery of safe patient care.

The RespectED campaign is being launched to acknowledge that bullying, harassment and incivility occur in Emergency Departments. It encourages staff to address their own behaviours, to speak up and challenge these behaviours if they witness or are targeted by them and to positively change Emergency Departments and their cultures.

RespectED video

As pressures once again mount on the NHS it is vital that negative and toxic behaviours are challenged, and staff are supported by their colleagues and peers.

Jayne Hidderley, Chair of the Royal College of Emergency Medicine Lay Group, said: “We know when incivility and bullying take place in our Emergency Departments, it not only has a detrimental effect on all staff but is a serious risk to patient safety. Our RespectED campaign, in collaboration with Civility Saves Lives, is a call to action to raise awareness amongst our staff and start the conversation. We want all staff in our Emergency Departments to be equipped to speak up, challenge these behaviours and change the culture together.”

You can find out more about the campaign, along with other useful resources, here.

EUSEM Academy

We would like to share with you the opportunity to access the European Society of Emergency Medicine’s (EUSEM) learning platform as part of the College’s membership with EUSEM.

The platform contains a range of resources including webinars, videos and document libraries, the majority of resources are available via open access, find out more via:

Follow our Officers on Twitter

Are you following our officers on Twitter? Keep up to date by using these handles:

  • Dr Adrian Boyle – @RCEMPresident
  • Dr Ian Higginson – @RCEM_VP
  • Dr Salwa Malik – @RCEMvp_Salwa
  • Dr Maya Naravi – @RCEMvp_Maya
  • Dr Jason Long – @RCEMvp_Jason

You can also follow our current VPs for the devolved nations:

  • Dr Paul Kerr – @VP_NI_RCEM
  • Dr Suresh Pillai – @VP_Wales_RCEM
  • Dr John Paul Loughrey – @VP_Scot_RCEM


Spring CPD Conference

Date: 17 – 20 April 2023
Join us in London or online for this year’s Spring CPD Conference. An exciting programme this year covers a range of CPD topics for you to develop your knowledge of and take tips straight back to your shopfloor practice. Across the three days, topics include the physiologically difficult airway, major trauma in older adults and mTBI in adults – considerations beyond CT. Registration for face-to-face tickets closes at 23:59 (BST) on Monday 10 April.
Book your place today.

Agents of change: spotlight on ED attendances

Date: 4 May 2023
Join this hybrid study day to explore emergency department attendances examining key questions such as; why do people attend the ED? Is there anything we can do to reduce the number of people attending? What has inequality go to do with it? Is the problem frequent attenders?
View the programme online and book now.

How to provide environmentally sustainable emergency care

Date: 6 June 2023
This virtual study day will outline how healthcare is contributing to the climate and ecological emergency, and how the various UK health systems are responding to this. As part of this, delegates will learn how the GreenED framework can be used to take practical steps to improve the environmental sustainability of our practice of emergency medicine.
View the programme online and register now.

Catch-up with on-demand events

All our virtual study days are available for booking on-demand for 6-months after their live date. This means if you’ve missed a study day you can register and watch the whole thing whenever suits you. Recent study days that have been added include:

  • Oncological challenges in the ED
  • Paediatric pearls and pitfalls
  • The really useful guide to leading and managing your ED

View all on-demand events and book now


Emergency Care Crisis Summit

On Tuesday 28th March the College hosted an Emergency Care Crisis Summit. MPs and Peers from across the political spectrum were in attendance; we heard a harrowing patient speech illustrating the problems with overcrowding in our EDs; there were encouraging remarks on the panel from Shadow Health Secretary, Wes Streeting MP and Lib Dem health spokesperson, Lord Allan of Hallam; and we saw a fantastic panel discussion which set out both the problems with emergency care along with key solutions. Thank you to those who emailed their local MPs to ask them to attend, your efforts helped to make this event a resounding success! We urged all political parties to adopt our Five Priorities to Resuscitate Emergency Care (as shown below) and we will continue to press for change and advocate to improve patient safety.
Please find here the full summary of the event.

Resuscitate Emergency Care

We’ve launched our new campaign to tackle the problems facing Emergency Medicine. Five Priorities for UK Governments to #ResuscitateEmergencyCare lays out what UK governments must focus on to tackle the crisis, improve patient care, retain staff, and prevent harm. The five priorities are:

  1. Eradicate overcrowding and corridor care for patients
  2. Provide the UK with the Emergency Medicine workforce it needs to deliver safe care
  3. Ensure our NHS can provide equitable care to emergency patients
  4. Focus on evidence-based interventions to tackle overcrowding
  5. Introduce meaningful and transparent metrics to facilitate performance and better outcomes for patients

You can read the full recommendations here, and the press release here.

Quality and Audit

Get involved!

College Assessors wanted!

The College routinely sends a College Representative, also known as an Assessor, to attend recruitment panels across the UK (in-person and virtually) for consultant appointments interviews, known as Advisory Appointment Committees (AACs).  Having an Assessor on a recruitment panel ensures transparency, fairness and equality is achieved for the candidates and appointing trust.

RCEM would love to extend the list of Assessors to improve availability and diversity while also relieving pressure on the Assessors who already support us. If you’re interested, more information can be found here, or email Allie: if you’re keen to sign up.

TL;DR: Want to sit on interview panels for consultants and make sure nothing bogus is happening? Email Allie!

New RCEM guidance

Mental Health in the ED – a toolkit (revised February 2023)
Management of Investigation Results in the ED (February 2023)

Safety Reports

New report by HSIB: Assessment of risk during the maternity pathway.  This thematic review examined all reports undertaken by the HSIB maternity investigation programme from April 2019 to January 2022, with the aim of identifying key learnings about risk assessment. A total of 208 reports that had made findings and recommendations to NHS trusts about risk assessment during the maternity pathway were included.
Safety Flashes and News Alerts

Quality Improvement

2022/23 QIP registration and data entry is now open to all Type 1 UK Emergency Departments!

The topics running in 2022/23 are:

  • Infection Prevention and Control – Data collection (3 October 2022 – 3 October 2023)
  • Mental Health (Self-Harm) – Data collection (3 October 2022 – 3 October 2024)
  • Care of Older People – From 4 April 2023 – 4 October 2023

Please see the topic information packs and submit the Registration Form to register your ED.

National Clinical Impact Awards

We know you’re brilliant! Now let’s let the world know. Consultants can now apply for a National Clinical Impact Award until 5 May 2023.

The National Clinical Impact Awards scheme (previously known as the national Clinical Excellence Awards) has been reformed in order to broaden access to the scheme, make the application process fairer and more inclusive, and ensure the scheme rewards and incentivises excellence across a broader range of activity and behaviours. The new scheme is fairer and has a more inclusive application process designed to fully reflect the diversity of the consultant population in the NHS.

We wish all eligible consultants the best of luck with their award applications, we know you are brilliant!

Awards for Quality in Emergency Medicine/


RCEM Membership Renewal 2023

It’s the last few weeks of 2023 membership renewal and we are here to help you renew for this year. If you have any questions about your fees, please do contact our Membership Team either via email (, livechat (Live chat) or phone +44 (0)207 404 1999 and we’ll be happy to help.
Ways To Pay
For members with a UK bank account, direct debit is the easiest way to pay and we offer monthly as well as annual payment options. Sign up today to pay your 2023 subs via direct debit.
Alternatively, all members are welcome to pay by credit card online or by calling our member services team on +44 (0)207 404 1999
Tax Relief
We are keen to ensure that our members access available tax relief for their membership subscriptions. We are now working with Medics Money to help educate and communicate with members the tax relief available to them and showing how to easily claim this.
Reduce the cost of your fees by up to 45% by using this free tax rebate guide written by doctors for doctors provided by Medics Money.

Wellbeing Support

For support with both wellbeing and practical needs, make sure you utilise the tools and platforms available to you, more information on which can be found here.
Remember your RCEM membership provides you with access to the RCEM wellbeing app. Working with 87%, and alongside a team of psychologists, you can access a fully customised mental wellbeing app specific to the needs of emergency physicians. RCEM have partnered with Health Assured, the UK and Ireland’s leading wellbeing provider to offer a 24 hour helpline to support you through any of life’s issues or problems. Your call will be handled by an experienced therapist or advisor who will offer support in a friendly, non-judgemental manner. You can contact them by phone at any time for help with:

  • Stress and anxiety
  • Bereavement
  • Relationship advice
  • Tenancy and housing concerns
  • Counselling
  • Financial wellbeing
  • Legal information
  • Alcohol and drug issues
  • Family issues
  • Childcare support
  • Medical information
  • Consumer issues

Simply call the free 24-hour confidential helpline on 0800 028 0199 and use the code MHA 229 700 to access support.

EMJ (Emergency Medicine Journal) Updates

If you receive the EMJ via post as part of your membership, did you know you also receive it digitally? This can be accessed through your membership login and you can make the most of your online access by visiting your account and setting your preferences to be alerted to the latest content.
There are also published monthly EMJ podcasts which bring you the latest research highlights, news and author interviews so that you can stay abreast with the latest developments in emergency medicine. Subscribe and listen anytime, anywhere. Available on Apple, Spotify, Google and Stitcher podcast platforms.

Get Your Free RCEM Lanyard!

If you’d like to represent RCEM at your workplace, you need a free RCEM lanyard! Please send an email to with your name and address and we will send one out to you.

Update your personal data and EDI information – help us to help you!

It’s crucial that we have accurate contact details for you and it’s also important that we hold up to date demographic member data to ensure inclusion and representation for all.
Please take a few moments to review your data in your account to ensure you receive important EM updates and enable us to support you and the speciality in the long term.

RCEM Lifestyle Rewards

All members have the benefit of being able to enjoy RCEM Lifestyle Rewards at any time via RCEM Lifestyle Rewards. Members receive new exclusive discounts and added value offers every month on a wide range of luxury products, services & experiences.

This month’s special selection of Lifestyle Rewards offers are:

We make products for all men, thoughtfully…
Meet your new bathroom saviour: The Winston razor.
Get £5 off your first Winston Trial Set, when you sign up to a Harry’s subscription.

Bailiffscourt Hotel & Spa
Sumptuous, timeless & inspiring…
Exclusive Spring / Easter Break… For £349 two adults enjoy dinner, bed and a sumptuous breakfast with spa & pool use.
Plus children stay free!

Body Revolution
High Quality, Affordable Home Gym Equipment.
If health & fitness is important in your life or you would like it to be, then we have everything you need and with a 10% saving!

Knighton Reeve
Specialists in Exceptional Travel…
New Honeymoon Offer: South African Safari & Indian Ocean Beach! Safari, Treehouse sleep out & helicopter transfer to idyllic Indian Ocean Island…

The Fragrance Shop
Members save 15% at the UK’s largest independent fragrance retailer with over 400 fragrance brands to choose from!

Caminos by Casas Cantabricas
Independent, self-drive touring in Spain and Portugal
Tailor-made tours for the discerning traveller. Save 5% on an independent, self-drive, touring holiday in Spain or Portugal…

Mr.Wheeler WineWe Choose Better Wine… And you save 10% !
A carefully-chosen selection of outstanding wines to suit a variety of pockets.
Members save 10% on their first order!

African Pride
Luxury tailormade holidays to Africa & the Indian Ocean
Classic South Africa – 16 nights from £2,855 pp. A great fly drive itinerary – Cape Town, the Winelands, the Garden Route and a game safari…

Luxury Bedding for Less…
From sumptuously soft bed linen to timeless bedspreads and accessories, it’s time to add luxury to your lie in…
Members save 15%

Boho Betty
Stylish Bohochic jewellery focusing on layering…
Are looking for a gift that has meaning and cares about wellbeing?
Save 15% on something truly special for you or your loved ones.

Save 20% on seriously comfortable nightwear for the whole family.
They have it all!

Stan Fairbrother Garden Structures
Bespoke summerhouses & garden building handmade in the finest quality Cedar.
Members receive free fitting worth up to £520!


Outcome of external review into exams

The findings of an independent external review which we commissioned last year in response to an exams error, are due to be published in the coming days. The error resulted in 50 candidates being given an incorrect pass result.

The review – which was undertaken by Professor John C McLachlan – was extremely comprehensive and involved speaking with more than 60 individuals, including a number of college staff and officers, as well as representatives from the Emergency Medicine Training Association and the Emergency Medicine Speciality and Specialist Doctors. Anyone from our membership, including the 50 people directly affected, was invited to contact Professor McLachlan if they wished to contribute. The review examined the processes and procedures which had been in place at the time the error occurred, albeit many had since been improved.

The external review has made 17 recommendations which have been accepted by us in full. They complement our own internal review, which was undertaken immediately after the error and resulted in 11 recommendations. All 28 recommendations now form part of an extensive work plan which will be implemented, aimed at improving our procedures and processes within examinations. The full external report and all the recommendations can be read here. Those directly affected have been informed of the outcome.

This was a very difficult time for everyone involved. We recognise the impact this had on the people directly affected, and others, and we were very sorry that this happened. While the review has taken some time, we felt it was important to be thorough and we have worked hard to improve our processes following this incident. We remain committed to meaningful change and learning from this incident to ensure we are doing all we can to prevent this happening again and feel confident that the recommendations, along with our programme of improvement work, will help us to achieve this. We would like to extend our thanks to Professor McLachlan for his work and to all those who gave up their valuable time to contribute to the review.

Please contact if you have any queries.

New MRCEM Primary Lead Examiner

We are delighted to announce Yvonne Moulds as the new Lead Examiner for our MRCEM Primary exam. Yvonne will be stepping up from her current role as Deputy Lead and will be replacing Katy Letham, who is our new FRCEM OSCE Lead Examiner. We will shortly be advertising for a new Deputy Lead for the MRCEM Primary,  please contact if you would like to find out more about ways to get involved with our exams.

Recent Exams

A senior group of UK examiners and staff including our OSCE Manager, Hayley, travelled to Malaysia earlier this month to support the local delivery of the MRCEM OSCE examination. The exam was run perfectly and we are extremely grateful to the local host team at the College of Emergency Physicians Malaysia, as well as the local and UK examiners and staff, who helped deliver 180 candidate spaces.  (photo enclosed is Cieran McKiernan, Lead Examiner for MRCEM OSCE and Hayley, OSCE Manager, presenting an award to two key members of our Malaysian hosting team, Farid and Cheah).

The application window for the next MRCEM OSCE, taking place in London in June, is open now and closes on 31 March. If you would like to apply, please see our Exam Applications page.

We also recently delivered the FRCEM SBA exam, which was taken by nearly 600 candidates in 20 countries worldwide. Results for this exam will be released week Commencing 24 April. Dates for all our exams and application windows can be found on the examinations calendar and fees page on our website.


Changes to entrustment levels for ACCS LO3 and LO5

You asked – They listened!
As a result of feedback received from trainees and trainers; the Intercollegiate ACCS committee (ICACCST) made requests to the General Medical Council, to lower the required entrustment level for ACCS LO3 (Resuscitation) and some parts of the procedural skills within ACCS LO5.

The GMC approved these changes in January 2023, and they went live on February 01 2023. The amended entrustments are shown below and will be applicable for all ARCPs moving forward:

LO3 – Identify sick adult patients, be able to resuscitate and stabilise and know when it is appropriate to stop” – changed from 2b to 2a in all four ACCS placements.

LO5 – Deliver Key ACCS procedural skills” – the following are changed from 2b to 2a: pleural aspiration of air; Seldinger chest drain; invasive monitoring; DC cardioversion; external pacing; US-guided venous access and fascia iliaca block; lumbar puncture.

ACCS Procedual Skills – Certificates & eLearning linking.

We are aware of the issue regarding linked certificates and eLearning not counting towards your goals within risr/advance. However, this has been brought to our attention and is being rectified.

Once this fix has been made, we will send out communications informing ACCS trainees.

e-Portfolio Updates

New Version EM ACAT
Please note: these changes do not affect ACPs’ nor PAs’ ACATs.
The following field has been updated as follows


These changes have been made following the indications from the Training Standard Committee’s Chair and Curriculum subcommittee’s lead; to ensure the form is in line with current use and the new curriculum requirements.

The new ACAT (as shown above) will be available to the following user categories:

Trainees ACCS
Intermediate trainees
Higher trainees
International Core
International higher
PEM Trainees
CESR 2021
Non-trainee core
Non-trainees Higher

ACP Educational Supervisors
This is a new role for supervisors who have attended and completed the RCEM ACP Educational Supervisor training day (2022 curriculum). Only approved ACP educational supervisors can complete a FEGS.

If you are unable to link events to the curriculum (select Key Capabilities within your forms), please contact with your training programme (Run-Through/Core/Higher) and deanery.
Once we have received this information, we will amend your portfolio accordingly.

Change of Deanery?
Please contact us with your new deanery and the date you changed locations.
We can get this sorted in no time!

This is Hello and not Goodbye!
We’re Live!

Fry → risr/ Kaizen → risr/advance
Fry have recently rebranded to reflect their service and product offering. Fry has now rebranded as ‘risr’.

What does this mean for us as Kaizen users?
Kaizen has been renamed risr/advance.
There are light touch visual changes, including logos, fonts (which have been accessibility tested and verified) and colours.

These changes went live on Tuesday 15 November 2022.
You will still be able to access ‘Kaizen’(RISR/advance) via the current URL until late October 2023, after this risr/ will make changes to the domain to reflect the rebrand.

This rebrand has no effect on the functionality of the EPortfolio or the formatting of events; users are not required to perform any actions to activate these changes.

Just sit back and enjoy the transition!


You will receive an email (from – invitation to Kaizen) with your username and a link for you to set a password.

Please ensure you check your spam folder, as it may end up there.

Once you have added a password, please login to and select Royal college of Emergency Medicine as the Organization. – Please see guidance below

How to login

We recommend reading the FAQs section on how to use the ePortfolio (how to add posts, how to add supervisors, how to create assessments and common queries such as My supervisor is not able to view me).

  1. Please add your current placement (start date 3rd august) via creating the event called Add a post (duration six months following the rotas or up to one year long)
  2. Please add your supervisors and your college Tutor via creating the Add a supervisor event.

Please ensure the end date at the top of the Add a supervisor event is set up. Supervisors and College tutors will be able to view your ePortfolio only within the date range you set up for them.

For questions about Training/curriculum you might want to speak with your supervisor, or you can write an email to

Until Next time!

Monday – Friday 09.00-17.00 General eportfolio queries, please contact:
Enrolment queries, please contact: +020 7404 1999


Latest publications

Listen to our podcast for March 2023.

Ramadan started last Thursday. Read our blog ‘Ramadan in the ED‘ to learn more about this holy period, how it may impact Muslim Emergency Department staff and patients.

We have more content and an exciting selection of publications:

BMJ Careers

Specialty Doctor Emergency Medicine
The Royal Surrey NHS Foundation Trust, Guildford
£50,373 to £78,759 per annum
Are you an Emergency Medicine Physician aiming at becoming a Consultant in the UK? Royal Surrey NHS Foundation Trust is looking to appoint substantive Certificate of Eligibility for Specialist Registration Doctors (CESR) to join the Emergency Medicine Middle grade team.
Read more…

Senior Clinical Fellow in Acute Medicine
University Hospitals Coventry abd Warwickshire NHS Trust, Coventry
£51,017 per annum
We are looking for enthusiastic and dedicated doctors to deliver the very best level of patient care in our Acute Medicine team.
Read more…

Junior Clinical Fellow in Emergency Medicine, Kirkcaldy, Fife
University Hospitals of Morecambe Bay NHS Foundation Trust
£36,472 to £48,251 a year per annum
We are looking to welcome up to 15 new colleagues to join an enthusiastic, motivated and supportive Emergency Department team.
Read more…

A full list of vacancies is available here.

A full list of vacancies is available here

Other news


26-28 April in Budapest, Hungary

Emergency Physicians work in high-risk / low-information settings caring for the most acutely ill patients. There is a need for accurate and timely information to make the best clinical decisions and guide management. Efficient diagnosis reduces delays in decision-making that may make a dramatic difference for patients suffering serious illness or injuries.

The past few years have fundamentally challenged the delivery of Emergency Medicine causing us to embrace and innovate how we deliver that care. The workshop will address new rapid technologies in diagnostics and new delivery systems that will improve patient care. It will highlight through interactive sessions the current gold standard management of critical patients and through a series of plenary and hands-on sessions, participants will learn about new ways of delivering Emergency Care to implement in their daily practice.

Join us in Budapest to explore new and exciting developments.

Dr. Jim Connolly, Chair EM Workshop


The 3-day program is a mixture of keynotes, interactive sessions and hands-on workshop. In the program we try to cover new developments in more familiar, but also rather new topics in Emergency Care.

Some topics that we will cover:

  • Ultrasound (Lung/Procedural/resuscitation)
  • Virtual Reality and Artificial Intelligence
  • Biomarkers
  • Social Media Education
  • Low Budget Simulation
  • Fluid Responsiveness
  • … and many more

See the full programme


EUSEM member € 345
Local EUSEM member* € 150
Non-member € 470
Local non-member* € 200

*This only applies to members or non-members who reside in Hungary.

Register here

About Budapest

Budapest is the capital and the biggest city in Hungary. With more than 1.7 million inhabitants, it is also the 9th biggest city in the EU.
Originally the city was divided into three towns. On the left bank of the Danube you had Pest and Obuda and the right bank you had Buda.
In the 19th century, the three parts were merged and became Budapest.

Fun fact

Budapest has more thermal springs than any other capital city in the world. Széchenyi Thermal Bath is the most famous and visited one.

The venue

The workshop will be organized at the Budapest Congress Centre. The venue is very closely situated to the centre of Budapest. The venue is very well accessible by public transport. The venue is also directly connected with a hotel.

If you are looking for accommodation, why not staying at the Novotel Budapest City.

Here are some reasons why:

  • Special reduced rate for workshop participants
  • Workshop is in the same building
  • No hassle with transportation to the venue
  • Stay at the same hotel as the workshop faculty

Click here for more info

Support the workshop!

Are you interested in exhibiting with your company? Be sure to check all the sponsorship opportunities.

We offer:

  • exhibition
  • product demonstrations
  • symposia

Click here for more information on partnership opportunities

European Society for Emergency Medicine
Quellinstraat 49
B – 2018 Antwerp, Belgium
T: +32 3 361 88 86 – W:

GMC fees

The GMC Council has agreed the annual retention fee for 2023 which will come in from 1 April. Changes to fees will be below inflation (3.1%, rather than a 10.1% increase, which was the rate of inflation in September when fees were reviewed ). This is the same level as last year’s rise. It means an increase of £5 for newly qualified doctors and £13 for doctors with full registration when they pay their annual fee in 2023. This is a break from the 2017 policy to keep fee changes in line with inflation, in recognition of the rising cost of living. If you’d like any more detail on the above, you can have a look at the fees pages of the GMC website.

Let the SEDIT do the heavy lifting – new animation video released to promote GIRFT-developed emergency medicine data dashboard

The Getting It Right First Time (GIRFT) programme has produced a new three-minute animation video to introduce new users to the Summary Emergency Department Indicator Table (SEDIT) data platform.

The SEDIT supports emergency department (ED) teams to understand their demand, capacity, flow and outcomes, and to make improvements accordingly, with the help of colour-coded graphs, charts and filtering tools.

The latest SEDIT developments include new additions to the platform – system view and ambulance tab – and a new permanent link from within the EM component of the Model Health System dashboard.

GIRFT is encouraging all EDs to use the SEDIT to support patient flow and capacity management. You can find out more by visiting the GIRFT website:

Press & Media

You can find the College’s latest press releases on the website and read the College’s response to the latest Spring Budget which announced pensions reform. You can also read the College’s response to the latest British Social Attitudes survey by Nuffield Trust and The King’s Fund and more.

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