Ultrasound and Sub-specialty Training

Emergency Medicine Ultrasound

Ultrasound skills are now an essential component of the Emergency Medicine training curriculum and indeed the future of bedside adjuncts to diagnosis.

Here is the CEM appendix to the curriculum pertaining to ultrasound.  It contains essential information on Level 1 competencies and some handy practical pictures to help you with this skill.

I would highly recommend attending a CEM approved Level 1 course before you embark on bedside USS.  It is then important to maintain a portfolio and produce some reflective cases to enable you to attain Level 1 sign-off.  This can either be done by an CEM approved Level 1 assessor or by attending a Level 1 finishing school.

I would highly recommend the excellent NEMUS (North of England) ultrasound courses.


Paediatric Emergency Medicine

General training in Paediatric Emergency Medicine takes place during the ST3 year.  It can also become a sub-speciality component of both Emergency Medicine and Paediatrics.

Visit the CEM PEM section of the website here for more information.

If you wish to apply for PEM sub-specialty training (which will lengthen your training) then you need to follow this process.

This is the ARCP checklist used for the PEM sign-off.


Intensive Care Medicine

The Faculty of Intensive Care Medicine was formed in 2010 with the support of the Royal College of Anaesthetists, The College of Emergency Medicine, the Royal College of Physicians of Edinburgh, the Royal College of Physicians of London, the Royal College of Physicians and Surgeons of Glasgow and the Royal College of Surgeons of England.

Please note - It is no longer possible to apply for joint CCT in ICM and Emergency Medicine.  Emergency Medicine trainees can do both and get a CCT in each specialty (it usually takes 8.5 years in total).

For more information on ICM training then read this or contact your local EM training programme director.


Pre-Hospital Emergency Medicine

It is possible to train in the exciting world of pre-hospital care and undertake a 12 month sub-specialty training in PHEM.  You will need to hold a National Training Number (NTN) in Emergency Medicine, Anaesthesia, Intensive Care Medicine or Acute Internal Medicine OR hold a CCT in Anaesthesia or Emergency Medicine.

You can visit the PHEM website here for more information on the programme.

Applications are made through Health Education East of England here.