Emergency Medicine ST4 - Specialty Specific Application Form Questions

Supporting Information

Evidence (1 of 2)

1. Advance Life Support

Applicants must be competent to manage adult and paediatric resuscitation both medical and trauma.

• By providing an in-date course certificate

 or

• By providing confirmation of competence from their most recent appropriate consultant supervisor. This must be on hospital headed paper and contain the hospital stamp/consultants registration number

You will not be able to proceed with your application if you fail to upload evidence of your life support skills (as detailed above).

Are you able to demonstrate that you are competent to manage adult and paediatric resuscitation both medical and trauma? (Yes | No)

2. Membership Exam Status

In order to be eligible for appointment to this specialty, you must have successfully been awarded MRCEM or completed FRECM Intermediate Certificate by 5pm on Tuesday 15th April 2025.  

At the time of application have you successfully been awarded MRCEM (MRCEM Primary, Intermediate and OSCE)?  (Yes | No)

Answer NO if you have not yet successfully complete all parts of the examination.

3. CORE ELEMENTS OF TRAINING

To be eligible for ST4 Emergency Medicine you must have completed 36 months’ training at ST/CT1, ST/CT2 and ST/CT3 level in all of the ACCS specialties this must include a minimum of:

• 12 months in Emergency Medicine
• 3 consecutive months in Acute Medicine
• 6 consecutive months in Anaesthesia
• 6 consecutive months in Intensive Care Medicine
• 3 consecutive months in Paediatric Emergency Medicine

*Please note the required experience for these specialties has increased from 2024 recruitment

Experience must be gained within a post that is specifically within the specialty i.e. not combined with another specialty.  

The posts must be completed within 7 years of application submission date, 5th December 2024. 

Applicants who are not in a UK ACCS Emergency Medicine training programme or have not completed a UK ACCS Emergency Medicine training programme or do not have all of the ACCS core elements (as outlined above) will not be eligible for ST4 Emergency Medicine.  

You may still be eligible for ST3 Defined Route of Entry into Emergency Medicine, please check your eligibility to this level using the ST3 DRE-EM person specification.

ST3 DRE-EM applications are scheduled to open on 14th November 2024.

Applications cannot be transferred, please unsure you are applying for the correct level.

Have you completed or will have completed (by intended start date) a UK ACCS Emergency Medicine training programme? (Yes | No)

4. Career Progression, CCT / CESR or Specialist Register

Do you already hold, or are you eligible to hold a CCT/CESR in Emergency Medicine or are you currently eligible for the specialist register in this specialty? (Yes | No)

Self-assessment

1. Instructions for completing the Self Assessment Form

Listed below are the 11 Self-Assessment questions that appear on the application form along with the possible responses to each question and details of suitable evidence to substantiate your responses.

All supporting evidence will be uploaded to a secure server after submission of your application.

If the interviewers are unable to verify that your evidence matches the answers you provided on your application form you will not be awarded any marks for those criteria.

If it is subsequently discovered that any statement is false or misleading, evidence will be collected and you may be referred to a Probity Panel.

Question 1

By the intended start date of the post (i.e. August 2025), how much experience will you have in ACCS specialties?

• By the intended start date I will have completed a full UK ACCS programme (including CT3) : 3
• By the intended start date I will have completed six-month posts in more than one ACCS speciality in a system similar to the UK. : 2
• Completed one six-month post in ACCS specialities in a system similar to the UK : 1
• None of the above : 0

Evidence:

• Please provide evidence of training posts i.e. ARCP documentation or completion of ACCS training certificate
• For non-training posts, please provide your contract of employment, or a letter from your supervisor / HR / Medical Staffing on hospital headed paper. Email evidence may be provided if it has been sent from a hospital email address.

Question 2

Please select the highest scoring option that describes your achievement of competencies via ARCP or work based assessments, supervisor reports, multi source/360 feedback

• WBAs, MSF and supervisor reports all excellent (must have all 3 types of evidence) : 3
• WBAs, MSF and supervisor reports generally good (must have all 3 types of evidence) : 2
• WBAs, MSF and supervisor reports satisfactory (must have all 3 types of evidence) : 1
• Does not have at least satisfactory WBAs, MSF and supervisor reports : 0

Evidence:

• Please provide evidence of your work based assessments, supervisor reports and multi source/360 feedback

Question 3

Have you completed and been awarded any degrees in addition to your primary medical qualification? (excluding teaching degrees, intercalated degrees and automatically awarded Masters) Please select the highest scoring option that applies to you.

• Masters level or higher degree involving research thesis. Non-UK higher degrees should be stand alone, not related to primary medical qualification and be supported by statement from awarding body confirming equivalence to UK regulations for MSc or above : 3
• Additional degree with first class honours : 2
• Any other undergraduate or postgraduate degree not fulfilling criteria above : 1
• No additional degrees : 0

Evidence:

• Please provide a copy of your degree certificate
• For non-UK Masters / Higher degrees please also provide a written statement from the awarding body confirming equivalence to UK regulations for MSc or above

Question 4

Have you been awarded any academic prizes / awards? Please select the highest scoring option that applies to you.

• National postgraduate award for academic achievement : 3
• Local postgraduate award for academic achievement : 2
• Undergraduate award for academic achievement, e.g. merit, distinction : 1
• None of the above : 0

Evidence:

• Please provide evidence of any academic prizes/awards i.e. certificate or letter confirming achievement.

Question 5

Please select the highest scoring option that describes your involvement in presentation / publications (excluding Letters to editor, abstracts and case reports).

• First author of article in peer reviewed journal : 3
• Oral presentation at national/international meeting : 2
• Co-author of article in peer-reviewed journal : 2
• Poster or oral presentation at regional meeting or poster presentation at national/international meeting : 1
• None of the above : 0

Evidence:

• Please provide a copy of the presentation with meeting programme / publication which clearly shows your role

Question 6

Please select the highest scoring option that describes your involvement in audit / Quality Improvement projects.

• Designed and led completed audit / Quality Improvement project with closure of loop – i.e. two cycles (with confirmation of role by supervisor) : 3
• Designed and led audit / QI project (with confirmation of role by supervisor : 2
• Involvement as team member in audit / QI : 1
• Involved in RCEM audit : 1
• None of the above : 0

Evidence:

Please provide a summary of the audit / project (including evidence of second cycle where applicable)

Please provide evidence of your role in the audit/project i.e. confirmation by supervisor

Question 7

Please select the highest scoring option that describes your involvement in teaching

• Provides formal planned teaching at least monthly for at least six months (MUST submit teaching plan, feedback and supervisors report) : 3
• Principal organiser of relevant course : 2
• Participated as faculty member on relevant course : 1
• None of the above : 0

Evidence:

• Please provide evidence of your role as organiser/faculty of a course. i.e. letter confirming involvement.
• For formal teaching please provide timetable evidence of frequency and teaching plan.

Question 8

Do you have a formal teaching qualification? Please select the highest scoring option that applies to you.

• Masters degree in medical education : 3
• Postgraduate diploma / certificate in medical education : 2
• University accredited educational supervision course : 1
• ‘Train the Trainers’ education supervision course : 1
• No formal teaching qualifications : 0

Evidence:

• Please provide your qualification or course attendance certificate

Question 9 

Please select the highest scoring option that describes your ultrasound competence.

• Evidence of competence above level one (triggered assessments completed in other indications) : 3
• Evidence of level one sign off : 2
• Attended level one course : 1
• None of the above : 0

Evidence:

• Please provide your course certificate.
• For evidence of competence, please provide completed Triggered Assessment Form(s) from your portfolio (alternatively a hard copy is available to download from the RCEM website)

 
Question 10

Have you undertaken and completed any additional courses relevant to Emergency Medicine (excluding ultrasound as scored above) 

Course duration must be at least 1 day (6 hours if modular)

• Three or more additional courses : 3
• Two additional courses : 2
• One additional course : 1
• No additional courses : 0

Evidence:

• Please provide evidence of completion of any additional courses i.e. certificates

Question 11

Please select the highest scoring option that describes management / leadership roles you have undertaken.

• Leadership role at national level, e.g. BMA national committee member : 3
• Leadership role at postgraduate level, e.g. BMA rep, trainee rep, chair of junior doctors forum. Rota coordinator does not count. : 2
• Leadership role at undergraduate level, e.g. committee chairman, head of student union : 1
• No additional management or leadership roles : 0

Evidence:

• Please provide evidence of your management / leadership role i.e. letter confirming appointment to role / letter from supervisor confirming position