In 2014, the ‘Defined Route of Entry into Emergency Medicine,' or ‘DRE-EM,' was launched. It serves as a gateway to specialised training in Emergency Medicine and has its own national selection procedure. The goal of DRE-EM is to improve Emergency medicine recruitment while preserving quality. This new 5-year Emergency Medicine training programme that may be appropriate for people who have completed core training in other specialities such as basic specialist training or who have completed at least one year of Emergency Medicine experience with or without any acute care common stem (ACCS) capabilities. The first two years are spent converting to and consolidating all of the fundamental Emergency Medicine core competencies.
One option is to attend EM specialist training after successfully completing two years of UK core surgical training or two years of UK run through surgical training and earning Membership of the Royal College of Surgery (MRCS). This route leads to an Emergency Medicine Certificate of Completion of Training (CCT).
Applicants who have completed the equivalent of a UK Core Surgical Training programme (with evidence of achievement of CT/ST1 competences in surgery at the time of application and CT/ST2 competences in surgery by the time of appointment) but do not have an MRCS will train towards the Certificate of Eligibility for Specialist Registration – Combined Programme (CESR-CP). Trainees who receive the CESR (CP) will be referred to the GMC for Specialist Registration in the same way as CCT trainees are. As a result, trainees will be allowed to work as substantive consultants in the United Kingdom.
Secondly, the other route is to join the speciality programme using evidence of a minimum of 24 months at core trainee level (not including time spent within a Foundation programme) in any acute care common stem (ACCS) specialties i.e. Anaesthesia, Emergency Medicine, Intensive Care Medicine or Acute Medicine, which needs to include at least 12 months in Emergency Medicine. This route results in CESR CP in Emergency Medicine.
Please note if you are appointed to DRE-EM ST3 Emergency Medicine you will need to have passed MRCEM and other ACCS/core EM competencies before progressing to ST4 training.
If you are an international Doctor who would like to relocate to the UK and has an interest in Emergency Medicine, email your CV to [email protected] and we can support you in securing an NHS post and on your relocation journey to the UK.
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