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Training Overview

Training Overview

Content on this page is intended to help support the understanding of the Training Programme and RCEM.

Training Overview

 

Core Training

The initial stages of training  Emergency Medicine comprise of the Acute Care Common Stem (ACCS) focusing on developing core acute care competencies in Emergency Medicine, Acute Medicine, Anaesthetics, and Intensive Care Medicine (ICM). 

Trainees at this stage of training are encouraged to familiarize themselves with the ACCS curriculum 

ACCS combines training across emergency medicine, acute medicine, anaesthesia, and intensive care. It provides a broad base of skills necessary for dealing with acute and critically ill patients. 

The majority of trainees enter into Run-through specialty training in Emergency Medicine, where they start from ST1 in ACCS and progress right through to ST6, becoming eligible for consultant positions upon completion. Around 15% of EM trainees enter Core at CT1. Resident doctors training  

Intermediate

From ST3 onwards, trainees move onto the RCEM Intermediate Stage curriculum, which is specific to Emergency Medicine. 

This curriculum builds on the ACCS competencies and focuses on developing higher-level skills and knowledge specific to Emergency Medicine practice, including: 

  • Advanced patient management. 
  • Resuscitation and critical care in the Emergency Department. 
  • Leadership and decision-making skills. 
  • Preparing for higher-level roles (such as managing the ED and leading teams). 

At the start of ST3, trainees transition from the broad-based ACCS training to the Emergency Medicine specialty-specific training pathway, following the RCEM 2021 curriculum 

 

Higher Specialty Training

Following the ACCS programme, trainees progress to higher specialty training in Emergency Medicine (ST4-ST6). 

This stage focuses on mastering advanced skills in emergency care, including leadership, teaching, and management in the emergency department. Trainees gain competencies in resuscitation, trauma management, and dealing with critically ill patients.  

Trainees follow the full RCEM 2021 curriculum and upon completion of ST6 achieve a Certificate of Completion of Training (CCT), gaining entry onto the GMC’s Specialist Register in Emergency Medicine.  

 

Examinations and Certification 

  • These exams assess knowledge, clinical skills, and professional competencies. 

 

 

 

 

Frequent queries and Information

EM Curriculum 2021 

The current curriculum can be accessed here. 

 

RCEM ePortfolio 

ePortfolio is available for trainees to record assessments and progress through training. It is required by the College for all trainees.
Please visit RCEM ePortfolio which will take you directly to the Royal College of Emergency Medicine login page.
Access to RCEM ePortfolio for trainees is available as an Associate Member (Training) benefit. 

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

Trainee Benefits and Support

Tax Relief for EM trainees

The Royal College of Emergency Medicine is on the HM Revenue and Customs’ list of Approved Professional Organisations and Learned Societies. This allows EM trainees who pay a membership subscription to the College to claim tax relief if they are on a salary that is taxed at 40%. Claims can be made for subscription payments going back up to seven years.

Study budgets and how to access them.

The study budget is changing. The new HEE-managed centralised process will make accessing study leave and study budgets a more transparent, equitable and streamlined process for all trainees in England. There is a clearer definition of how the study budget should be used to support individual professional development.

More information is available in the HEE Study Budget Trainee Guide.

Claiming back the costs of training

The Emergency Medicine Trainees Association has produced a document (available on their website here) which offers guidance on how EM trainees can claim back some of the costs of their training.

EM-POWER: a Wellness Compendium for EM (published April 2019)

The Wellness Compendium for EM has been developed as part of the RCEM’s ongoing commitment to creating successful, satisfying and sustainable careers in Emergency Medicine. Those working in EM, at whatever stage of their career, may sometimes face personal or professional difficulties and might need some support. This document explores a range of topics and provides information on organisations, services and websites which can offer advice and assistance.

TOTUM PRO

As part of your membership all eligible members* are able to access TOTUM PRO membership.

With over two hundred UK discounts and thousands worldwide from both famous brands and local independents, a TOTUM PRO membership opens up a whole world of fantastic savings on everything from dining out and keeping fit to fashion retail and travel abroad.

  • * Eligible members include all professional learners including students, Trainees and ACPs

For more information and to access membership, please click the link below.

TOTUM Pro membership

Rest and Sleep campaign

The Emergency Medicine Trainees’ Association (EMTA) are campaigning for greater recognition of the importance of rest and sleep for EM trainees. More information can be found here and a poster here.

Contacts 

 

Useful websites 

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