(This Post is published keeping Bangladeshi Doctors in mind, if it doesn’t suit your circumstances, please ignore and get further clarification. Thank you.)
‘Soooooo, is the specialty under medicine? – Sorry, No. … Then Surgery??? – Sorry, neither!’ Mostly, this is how the conversation starts with fellow BD doctors.
So, in brief, Emergency Medicine is an entirely different specialty, which is being practiced in the Emergency Departments, AKA A&E in UK. As it’s a separate specialty, it has it’s own college – Royal College of Emergency Medicine.
EM generally deal with a wide range of acute emergencies, from medical emergencies like, DKA, ACS to acute surgical emergencies like traumatic pneumothorax. So, practicing EM requires wide medical, surgical, acute gynecological, basic anaesthetic and critical care knowledge.
Interested about the beauty of mighty Adrenaline – feel free to browse https://www.rcem.ac.uk/
Let’s focus on the topics –
how does career works in Emergency Medicine in UK?
1.Full training – ST1-ST6 (for IMG, provides CCT):
This training starts as a Run Through Emergency Medicine Training where first 2 years trainee will rotate into Emergency Medicine, Acute Medicine, Anaesthetics and ITU/ICU. This training is known as ACCS. Following the successful completion of 2 years of ACCS rotation, training will return as ST3 (Deemed as SpR level) in Emergency Medicine. And will continue in emergency medicine till ST6. Following successful completion of ST6 and required examination, trainee will be eligible to be Consultant following CCT.
- Eligibility criteria – Only Foundation Sign off, but any relevant experience would be very helpful.
2. DREEM entry – (extended 2 years of ST3) to ST6 (for IMG, Doesn’t give CCT, gives CESR-CP):
Here trainee enters as ST3. But this ST3 runs for 2 years and do rotation in EM, EM, Anaesthetic and ITU but not as long as ACCS. Following finishing of successful ST3 level rotation, trainee does ST4 to ST6 training and with required examination, trainee will be eligible to be Consultant with CESR-CP.
- Eligibility criteria – Foundation Sign off and Core Surgical training signoff plus MRCS or partial ACCS sign off with MRCEM; but DEFINITELY requires wide spread relevant experience.
3. ST4 entry: ST4 to ST6 (for IMG, Doesn’t give CCT, gives CESR-CP):
If you have extended emergency medicine training and you had good documented experience of anaesthetic, ITU, AM rotation, you might enter as ST4 and finish the training. With required examination, trainee will be eligible to be Consultant with CESR-CP.
- Eligibility criteria – Foundation Sign off complete ACCS sign off with MRCEM; but DEFINITELY requires wide spread of relevant experience.
(CCT and CESR-CP in short!)
(CCT is given by GMC which means the trainee has got the full experience to work as consultant and the whole length of training monitored by Health Education England. CCT is directly accepted by majority of the other countries as consultant requirement like Australia, Singapore, Malaysia, Middle East, Africa.
CESR-CP is given by GMC which also stands that with this you can work as consultant in UK but it means, the trainee didn’t do the whole length of training under Health Education England.)
EXAMS of Emergency Medicine:
- MRCEM – This is the Membership exam of Royal College of Emergency Medicine. It’s in line with MRCP, MRCS, MRCOG.
- FRCEM – This is the Fellowship exam of Royal College of Emergency Medicine. (a Must have requirement before becoming consultant). It’s in line with FRCS, FRCP, FRCOG.
Subspecialty of EM:
WIth Emergency Medicine training you may do subspecialty in Paediatric Emergency Medicine and Pre-Hospital Emergency Medicine. You can apply for this posts at ST4 level of training.
I personally entered in Run Through Training in Emergency Medicine and now about to start ST2 rotation.
My interview experience of ACCS was shared here – https://myemdiary.wordpress.com/2018/02/28/hee-accs-emergency-medicine-interview-review/
If you have any question, feel free to ask.
Thank you. Wish you good luck.
Dr. Nehal H Sarja
ST2 trainee (Emergency Medicine)