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National Emergency Medicine Training Programme

Emergency Medicine (EM) in Ireland is supervised by the Irish Committee for Emergency Medicine Training (ICEMT) and

delivered through the National Emergency Medicine Training Programme.

EM Training Programme Components

  1. Core (Basic) Specialist Training in Emergency Medicine (CSTEM)
  2. Advanced (Higher) Specialist Training in Emergency Medicine (ASTEM)

Since 2014, this is a 7-year training scheme composed of 3 years of CSTEM and 4 years of ASTEM. Trainees may progress from CSTEM to ASTEM provided that they satisfactorily complete all elements of CSTEM, succeed at all elements of MRCEM and are deemed suitable for advanced training after a formal Assessment of Suitability for Advanced Training (ASAT) process.

On satisfactory completion of the National Emergency Medicine Training Programme, doctors will receive a Certificate of Successful Completion of Specialist Training (CSCST) and be eligible for inclusion in the Specialist Division of the Medical Register of the Irish Medical Council.

EM training in Ireland is outlined in detail in ICEMT’s Guide to Emergency Medicine Training in Ireland 2014.

Download:     ICEMT Guide to training 2014 (6th edition - October 2014)

Download:     ICEMT Request for leave of absence (CSTEM)

Core specialist training in Emergency Medicine (CSTEM)

Information: Entry to CSTEM is competitive and doctors are eligible after satisfactory completion of the intern year.
Recruitment to CSTEM occurs in Spring each year, the programme is advertised in September, October of the previous year. Doctors are eligible to apply for entry to CSTEM after satisfactory completion of the intern year

CSTEM is a three year programme during which trainees spend time training in the following posts:

Where possible, training occurs in a single hospital site. Trainees can progress from CSTEM to ASTEM provided they satisfactorily complete all elements of CSTEM, pass the Membership of the Royal College of Emergency Medicine (MRCEM) examination and are deemed suitable for advanced training after a formal Assessment of Suitability for Advanced Training (ASAT) process.

Programme Duration
  Emergency Medicine 18 months
  Acute Paediatrics or Paediatric Emergency Medicine 6 months
  Anaesthesia/Intensive Care Medicine 6 months
  Acute Medicine or Trauma Orthopaedics/Plastic Surgery 6 months

Assessment of Suitability for Advanced Training

This assessment takes the form of a multiple station evaluation covering domains including academic development, trainer feedback, communication, teaching and clinical problem solving.

Advanced Specialist Training in Emergency Medicine (ASTEM)

Eligibility criteria for entry to ASTEM are CSTEM (or equivalent) and MCEM.

ASTEM is a currently a 5-year programme during which the advanced trainee will rotate through accredited adult and paediatric Emergency Departments. From July 2017, the duration of ASTEM will be four years. This reflects changes to the training programme that will take place before 2017.

To successfully complete the programme, trainees are required to pass the Fellowship of the Royal College of Emergency Medicine (FRCEM) examination.

On satisfactory completion of the National Emergency Medicine Training Programme, doctors will receive a Certificate of Successful Completion of Specialist Training (CSCST) and be eligible for inclusion in the Specialist Division of the Medical Register.

Flexible Training

Flexible training is an option under the National Emergency Medicine Training Programme. Trainees wishing to pursue flexible training must apply to the Health Service Executive Medical Education & Training (HSE MET) Unit and are advised to discuss their application with the ASTEM Programme Director.

CSTEM/ ASTEM training in Ireland is outlined in detail in the ICEMT Guide to Emergency Medicine Training in Ireland.

Download:     ICEMT Guide to training 2014 (6th Edition - October 2014)

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