Higher Specialty Training (ST4-6)

There are over 62 posts available in the East of England at ST4-6 level with a diverse range of experience on offer. Trainees are allocated a sub sector of the region to minimise travel and give a degree of geographical stability. Every trainee will spend a minimum of six months in a Major Trauma Centre - Currently Addenbrooke's Hospital, Cambridge.


The East of England is a large geographical area covering 5 counties, 17 acute hospital trusts and 5.5 million people. To avoid unnecessary traveling we have structured 4 distinct sectors within the region where trainees can be based for the majority of their training, usually in 3-4 hospitals. Movement between sectors may be possible according to availability and personal circumstances. All trainees will get experience in rural and urban placements and a university teaching hospital experience.

Eastern Sector (In no particular order):Norwich, Kings Lynn, Great Yarmouth,Ipswich and Compulsory Major Trauma Centre placement for six months.

Northern Sector (In no particular order): Peterborough, Cambridge, Bury St Edmunds, Stevenage, Bedford and Compulsory Major Trauma Centre placement for six months.

Southern Sector (In no particular order): Watford, Luton, Bedford, Stevenage and Compulsory Major Trauma Centre placement for six months.

Essex Sector (In no particular order): Harlow, Chelmsford, Southend, Basildon and Compulsory Major Trauma Centre placement for six months.


There are 18 regional mandatory training days, mapped to HST curriculum over three years, are held within the region per academic year. 12 out of 18 training days happens every third Friday of the month and held centrally. The other six training days happen on alternate (4th Friday) months (Sept, Nov, Jan, March, May and July), which are primarily focussed on simulation, procedural, management and non-technical skills. Example: For the month of September, HST shall attend the 3rd and 4th Friday in September as part of their regional training day.

Every HST are expected to attend a minimum of 11/18 regional training days per academic year to achieve a satisfactory outcome in ARCP.

Training also includes

  • Mock exams including OSCE
  • Annual presentation days
  • Annual faculty development days
  • Annual Critical appraisal training days
  • Annual SAQ training days
  • Quality improvement presentations build into training programme
  • Management is covered during HST training days which covers the curriculum

Out of Programme

Relevant out of programme experience is regarded favourably and we understand there are number of reasons why a doctor in training may want to take time out of their approved programme. Some of our trainees have undertaken out of programme experience in 

  • International emergency medicine
  • Retrieval medicine
  • Simulation
  • Prehospital emergency medicine
  • Intensive care
  • Paediatric emergency medicine
  • Acute Medicine
  • Expedition Medicine
Thursday, 6 June, 2019
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Thursday, 6 June, 2019