1. School of Emergency Medicine CCT EM +/- Sub-specialist – Independent specialist practitioner Post-CCT FY2 FY1 ACCS CT2 1 year Anaesthetics + ICU 6/12 each or 9/3 CT1 1 year EM + AM 6/12 each CT3 EM PE M Paediatrics Basic MSK- MCEM level ST4, ST5, ST6 36 months in EM Advanced MSK Competitive Entry: CT1 ACCS (EM) +CT3 MCEM Article 14 -CESR route 2+3+3=8 HST 3-yrs Sub-specialisation: PEM, ICM; Acute Med PHEM + 1 Yr Core Training 3 yrs FCEM CCT route Foundation Training Un-coupled Emergency Medicine CCT training 2010

2. School of Emergency Medicine CCT EM +/- Sub-specialist – Independent specialist practitioner Post-CCT FY2 FY1 ACCS ST2 1 year Anaesthetics + ICU 6/12 each or 9/3 ST1 1 year EM + AM 6/12 each ST3 EM PE M Paediatrics and further EM ST4, ST5, ST6 36 months in EM Competitive Entry: ST1 ACCS (EM) +ST3 MCEM: Part A +B: I, II CESR-CP=competences in NT- posts 2+3+3= 8 HST 3-yrs Sub-specialisation: PEM, PHEM + 1 Yr ICM: 2yrs An 6/12 ICM18/12 Core Training 3 yrs FCEM: SAQ+OSCEs ST6 CCT route Foundation Training Run-through EM training 2014 CCT + CESR-CP Routes CA: ST3+ CTR =QIP Mg=Portfolio OOPs: T, E, R, B

3. School of Emergency Medicine CCT EM or CESR-CP Independent specialist practitioner Post-CCT FY2 FY1 Anaesthetics, ICU, AM: 4-6 months each EM + PEM ST4, ST5, ST6 Competitive Entry: ST3/CT3 DRE-EM MCEM: Part A (exemptions) MCEM B +C CESR-CP Route: some work in Non- training posts HST 3-yrs Conversion years FCEM: SAQ+OSCEs at ST6 CCT route Foundation Training BST +MRCS generic competences DRE-EM 2014 CCT + CESR-CP ‘Alternative’ Pathway CA: ST3+, CTR=QIP Mg=Portfolio OOPs: T, E, R, B 24months SHO 12/12EM + other ACCS competence EM + PEM Anaesthetics, ICU, AM: 4-6 months each BST or other Training/Non-T posts

4. CESR-Article 14 pathway 4- 5 year training program like old SpRs: SG1-SG5 3-month secondment every year out of EM AM, ICM, Anaesthetics-IAC, PEM Regular weekly teaching, WpBAs, Annual Appraisal, eportfolio, involved in teaching, mg, recruitment ATLS, ALS, US, APLS etc Collect evidence for CESR application FCEM support: All parts Mg, CTR, CA, SAQ+OSCEs ST6 MCEM: Parts A, B, C CESR Application approval Independent specialist practitioner One year locum consultant CESR Application completion & evidence validation