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.
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:
- 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:
- Formative assessment of the following practical procedures:
- 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
- there are no new practical procedures in adults in CT3. Trainees must ensure they have successfully completed assessments for all 44 procedures.
During CT3, trainees should seek evidence of level 2 competence in ALL 25 common competences
The trainee should complete at least one round of MSF in CT3