How to apply for Emergency Medicine training in UK for International Medical Graduates.

1. Career in
Emergency Medicine
Nehal Hasnain Sarja
ST2 EM (ACCS)
HEEOE
Lister Hospital
@drnhsarja

2. Why
What
HOW ?

3. Is Emergency Medicine
for me?

4. ● Exciting
● FUN
● Teamwork
● Dynamic
● Varied
● Interesting
● Rewarding
● LifeSaving
● Unpredictable
BEST job Ever
Source: rcem.ac.uk

5. A Day in Emergency
Department
As a trainee

6. A LATE shift
duty
Reporting to ED lead (Consultant)
● Seeing patient
● Arranging CT head / trauma
● Reviewing bloods and XRAYs
● Coffee
● Procedures, USS, chest drain
● Chest pain, Pneumothorax,
shoulder reduction, AAA, fascia
iliaca block, Trauma call, Crazy
patient! ED never sleeps!

7. Training in
Emergency Medicine

8. Emergency Medicine Training
EM is a 6 years training.
Starts at CT/ST1 and finishes at ST6.
RCEM offers run through training!
FRCEM have to be finished before becoming consultant / finishing of training.
LTFT option is open for EM training.

9. As IMG
how & at which level training can
be started?
● From CT/ST1 (full 6 years
training) - offers CCT
● DREEAM from extended ST3 (5
years training) - offers CESR CP
● From ST4 (3 years training) -
offers CESR CP

10. From CT/ST1 (full 6 years training)
● training starts as a Run Through or coupled training where
● first 2 years trainee will rotate into Emergency Medicine, Acute Medicine,
Anaesthetics and critical care 6 monthly per rotation.
● Rotational first 2 years are known as ACCS.
● Following ACCS rotation, trainee will return as ST3 in Emergency Medicine.
● If run through, then will go to ST4 if all the requirements are fulfilled during
ST3.

11. DREEAM from extended ST3 (5 years training)
● enters as ST3 Emergency Medicine
● Rotation in EM, AM, Anaesthetic and ITU but not as long as ACCS; 1 year
rotation and another year in EM.
● finishing of successful ST3 level rotation, trainee does ST4 to ST6

12. From ST4 (3 years training)
● Can directly starts as ST4
● 3 years training
● On completion of training and FRCEM exam, gets CESR CP and become
eligible as Consultant.

13. How to Apply for
Emergency training

14. Run through
training
Apply through Oriel
Apply at readverts (Round 1
readverts)
Application open on
February March time
Training commence from
August

15. DREEAM
training
Apply on first application
No round 2 or round 1 readverets
Needs more exposure in EM /
surgery as requirement
Starts as ST3 from begining
Training starts from August

16. HST (ST4 to
ST6) training
Apply through Oriel
Apply on first application
No round 2 or round 1 readverets
Needs extensive exposure in EM as
requirement
Starts as ST4 from begining
Training starts from August

17. Application for training (ACCS)

18. Application for training (ACCS)

19. Application for training (ACCS)

20. Oriel!
Documents!
1. ACCS EM - applicant handbook
2. Person Specification
3. ACCS EM self assessment scoring
4. Documents required for interview

21. Application for training (DREEM & HST)

22. Application for training (ACCS)

23. When you apply you
need to know
everything
which is VALID!

24. Oriel!
Documents!
1. ACCS EM - applicant handbook
2. Person Specification
3. ACCS EM self assessment scoring
4. Documents required for interview

25. When You Start,
Focus on building Portfolio!
When You Applied
and get Shortlisted,
Work on interview!

26. How to Prepare
For Portfolio?
ACCS EM self assessment
scoring
Document is the guide!

27. How to Prepare For Portfolio?
● Having a rcem e portfolio is a great help here, you can easily show your achievements and clinical activities
through printed version of portfolio
● MRCEM or FRCEM examination (passed or even new application bears value)
● Presentation with documented feedback are important
● Presentation needs an acknowledgement document form the organising platform (it could be even
departmental to international)
● Any publication (or poster presentation) is important
● Working with other association (even from student time) and act as organiser are very important (they will
find this skill for there next consultants)
● Extra curricular activity (anything and everything you can put, I even put my google map exploring with
google map local guide status and my non english health blog with my technological review blog as well!)
● ALS, ATLS, APLS up-to-date certificates needs to be there as of great importance and any course or
conferences attended needs to be there.
● Specialty specific seminars

28. Interview
1+2. Presentation Preparation and
Presentation station (10 + 10 = 20
minutes)
3. Clinical and Ethical Scenario
Station
4.Emergency Medicine Specific
Station
5.Portfolio Station

29. To Sum Up

30. Thank You
emergency-medicine.co.uk
@drnhsarja