Specialist Trainee Year 3 in EM / Defined Route Entry into Emergency Medicine

 

CT3/ST3

ACCS EM trainees during the third year of training (CT3/ST3 in EM), complete a speciality specific year, when they are required to spend 3 to 6 months in the Paediatric Emergency Medicine (PEM)/ Paediatrics. Competencies are normally assessed in the Emergency/ Paediatrics Department/s, under the supervision of respective Consultants.

In this year of the training, a trainee may remain in the same hospital as in ACCS. However, occasionally the trainees may be able to move to another hospital after obtaining approval from the Training Programme Director and Head of School, if justified appropriately.

During the training period, a trainee is expected to be engaged in work place base assessment (WPBAs) on the patients’ conditions listed on the curriculum, which is available on the RCEM website along with details of the RCEM assessment systems. You should be able to cover most of the areas in this time span. All trainees and trainers should familiarise themselves with those documents/ information. You will be required to link your WPBAs on your e-portfolio so that your assessments and training records are readily available during the yearly ARCP.

To be able to move to the ST4 year, in addition to the above, a trainee is expected to successfully complete/ pass MRCEM (the old format) or the Intermediate examination (the New format expected to be launched in the autumn 2016).

It is mandatory that during this year you may complete the APLS (Advanced Paediatric Life Support) or EPLS (European Paediatric Life Support) course. If possible a trainee may also attend the RCEM approved training days in PEM. Every year in September our region runs a 3-day PEM course, where the attendance is compulsory.

For further information about the CT3/ST3 training year, please contact Mr Pawan K Gupta, TPD on the following email address: pgupta@nhs.net or Anna Frost, Administration Manager on anna.frost@addenbrookes.nhs.uk.

 

Defined route entry – Emergency Medicine (DRE-EM pathway)

In 2013-14, the GMC and the Royal College of Emergency Medicine (RCEM) approved an alternative pathway for entry to Emergency Medicine training programme called ‘Defined Route Entry – Emergency Medicine’ (DRE-EM pathway). This is a new run through 5-year training programme in EM, which may be suitable for those who have done core training in other specialties such as BST or done a minimum of one year of EM experience with/without some ACCS competencies.

A DRE-EM trainee will spend both the years in one hospital. The first two years consist of conversion to and consolidation of all the core EM competences. In the first year, a DRE-EM trainee may work in approved EM and PEM (Paediatric Emergency Medicine) posts achieving the ST3 competencies. During this year, one is expected to be engaged in work place base assessment (WPBAs) on the patients’ conditions listed on the curriculum of CT3/ST3, which is available on the RCEM website along with details of the RCEM assessment systems.

The second year will be spent outside the ED completing all of the missing competencies, which may include Acute Medicine, ITU and Anaesthetics, 4-6 months each, depending on what the trainee had completed prior to joining the training programme. During these first two years of training, in addition to achieving the PEM, EM, and ACCS competencies, a DRE-EM trainee is expected to successfully complete annual ARCPs and, MRCEM (the old format) or the Intermediate examination (the New format expected to be launched in the autumn 2016) to be able to move to ST4 year.

It is mandatory that during these two years you may complete the APLS (Advanced Paediatric Life Support) or EPLS (European Paediatric Life Support) course. If possible a trainee may also attend the RCEM approved training days in PEM. Every year in September, our region runs a 3-day PEM course, where the attendance is compulsory during the ST3 year.

Recruitment to the DRE-EM post is carried out by Yorkshire and Humber deanery at the same time as the ST4 recruitment.  

For further information on DRE-EM pathway, please contact Mr Pawan K Gupta, TPD, DRE-EM trainees by email, pgupta@nhs.net or Mrs Anna Frost, Administration Manager, via email, anna.frost@addenbrookes.nhs.uk.

 

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