ST3

The ST3 training year starts after ACCS (CT1, CT2).  

The ST3 (since 2010) year comprises:

• 6 months of Paediatric Emergency Medicine
• 6 months of Emergency Medicine.

The College of Emergency Medicine is currently piloting run through training to make it easier and to encourage trainees to consider Emergency Medicine as a career (see EM Training Introduction for more information).  

It is still possible to apply for the specialty training (CEM EM Training Recruitment) this is currently being co-ordinated by Health Education Yorkshire and the Humber and you can apply via their website.  Here is some College advice on preparing your portfolio.

Here are the current routes of entry into Emergency Medicine.

Curriculum

Here is the link to the College of Emergency Medicine curriculum page, which includes additional information on the Paediatric component of the training.

Competencies required

Here is a list of the competencies required during your ST3 year in Emergency Medicine.  The links take you to the College of Emergency Medicine WBPA documents, although most trainees now use the e-portfolio.

During this year it is important for you to pass your MCEM part C in order to progress to ST4.

This a list of the presentations and procedures for Emergency Medicine trainees.

Paediatric emergency medicine

During the paediatric emergency medicine post -the trainee must undertake:

• Summative assessment (Mini-CEX or CbD)  of 3 of the 6 Major paediatric presentations or successfully complete APLS/EPLS
  • PMP1 - anaphylaxis
  • PMP2 - Apnoea, stridor and airway obstruction
  • PMP3 - Cardiorespiratory arrest
  • PMP4 - Major trauma
  • PMP5 - Shocked child
  • PMP6 - Unconscious child
• Summative assessment (Mini-CEX or CbD) in the following acute presentations in children:
  • PAP1 - abdominal pain
  • PAP5 - breathlessness
  • PAP10 - Fever
  • PAP17 - child in pain
• Formative assessment (ACAT-EM, Mini-CEX or CbD) in the following acute presentations
• • PAP6 -   concerning presentations in children
  • PAP18 - limb pain
  • PAP21 - sore throat
  • PAP2 -   poisoning
  • PAP20 - rash
• the remaining 10 acute presentations in children should be sampled by successful completion of:
  • e-learning
  • teaching and audit assessments
  • reflective entries
  • additional ACAT-EMs
• Formative assessment of the following practical procedures:
  • Paed AP Feer - Mini-CEX
  • Venous access in children
  • Airway assessment and maintenance
  • Safe sedation in children
  • Paediatric equipment and guidelines in the resuscitation room
  • Primary survey in a child
• additional practical procedures may be completed in EM using generic DOPs

CT3 EM post

During the adult emergency medicine post  - the trainee must undertake:

• Summative assessment (Mini-CEX or CbD) or the following trauma presentations:
  • Major trauma - chest injury
  • Major trauma - Abdominal injury
  • Major trauma - Spinal injury
  • Major trauma - Maxillofacial injury
  • Major trauma - burns
• Formative assessment (ACAT-EM, Mini-CEX or CbD) for the following:
  • C3AP2 - Traumatic limb pain
  • C3AP3 - Blood gas interpretation
  • C3AP4 - Patient with abnormal blood glucose
• the remaining 4 acute presentations shoudl be sampled by completing either
  • e-learning
  • teaching and audit assessments
  • reflective entries
  • additional ACAT-EMs
• there are no new practical procedures in adults in CT3. Trainees must ensure they have successfully completed assessments for all 44 procedures.

Common competences

During CT3, trainees should seek evidence of level 2 competence in ALL 25 common competences

MSF

The trainee should complete at least one round of MSF in CT3