Acute Care Common Stem (CT1, CT2)
Acute Care Common Stem (ACCS) training is most commonly started after Foundation Year 2. It allows for training in Emergency Medicine, Acute Medicine or Anaesthetics. It includes placements in Emergency Medicine, Acute Medicine, Anaesthetics and Intensive Care Medicine. There have recently been some changes to the training programme for Emergency Medicine, where they are piloting run through training.
For more details on the ACCS programme, UK deaneries and recruitment then visit the national website.
A Reference Guide for Postgraduate Specialty Training in the UK - Gold Guide 2010
Here is a list of the competencies required during the ACCS programme for Emergency Medicine. The links take you to the College of Emergency Medicine WBPA documents, although most trainees now use the e-portfolio.
During your 2 year ACCS programme you must also complete your MCEM part A and B.
Here are the Emergency Medicine WPBA assessment tools and forms
Click here for a full list of presentations and procedures
During Emergency Medicine 6 months - the trainee must undertake:
Summative assessment (Mini-CEX or CbD) in two of the following Major presentations:
Formative assessments (ACAT-EM) in 5 additional acute presentations
10 additional assessments of acute presentations using a combination or
Assessment of practical procedures including:
During the Acute medicine 6 months - the trainee must undertake:
CMP1 - Anaphylaxis
CMP2 - Cardiorespiratory arrest
CMP3 - Major Trauma
CMP4 - Septic patient
CMP5 - Shocked patient
CMP6 - Unconscious patient
Formative assessment of 5 practical procedures (DOPs)
During the intensive care medicine post - the trainee must undertake:
- Formative (Mini-CEX or CbD) assessment in 2 of the 6 major presentations (ideally Sepsis should be covered in ICM)
- CMP1 - Anaphylaxis
- CMP2 - Cardiorespiratory arrest
- CMP3 - Major Trauma
- CMP4 - Septic patient
- CMP5 - Shocked patient
- CMP6 - Unconscious patient
Formative assessment of 13 practical procedures (DOPs)
During the anaesthetic post - the trainee must undertake:
Basic and adanced life support
During the 2 years CT1-2, the trainee must seek evidence of level 2 competence in 50% of the common competences
The trainee is expected to undertake a multisource feedback process at least once a year.