Specialty specific guidance for CESR in Emergency Medicine

The new Emergency medicine curriculum was published in July 2021. Due to the significant changes that are being made to the curriculum we will be offering applicants the opportunity to make your CESR application against either the new curriculum or the previous version of the curriculum.  This option of dual running of curricula will be available until 1 August 2022.

Specialty Specific Guidance

The Royal College of Emergency Medicine and GMC have produced guidance documents for each version of the curriculum.

How to apply

You can apply through your GMC online account. There is one application form which includes sections for both versions of the curricula. You should declare which curriculum version you wish to be assessed against in sequence one and only provide evidence in the sections of the application relevant to your curriculum.

2021 Curriculum

The GMC designed its new standards for postgraduate medical curricula Excellence by Design and its framework for Generic Professional Capabilities, published in May 2017, to help postgraduate medical training programmes re-focus trainee assessment away from an exhaustive list of individual competencies, towards fewer broad capabilities required to practice safely as a day-one consultant.

As a result, the 2021 Emergency medicine curriculum is outcomes-based, meaning that trainees will be assessed against the fundamental capabilities required of consultants in the working week. These include the general skills which all doctors need to have (the GMC’s Generic Professional Capabilities) as well as those needed to carry out all the specific day to day tasks undertaken by an emergency medicine consultant (Specialty Learning Outcomes - SLOs).

The Emergency medicine curriculum is divided into 12 Specialty Learning Outcomes (SLOs) incorporating ACCS SLOs mapping to the GMC’s Generic Professional Capabilities domains.

The clinical knowledge and understanding outlined in the Syllabus are applied in a setting of varying demands, interspersed with rare and challenging situations, needing overview and leadership from the EM specialist. The requirements of an EM specialist in this setting are articulated in the Specialty Learning Outcomes. These outline what an EM specialist at the end of training will be expected to be able to do independently.

The Knowledge, Skills, Behaviours and Attitudes section gives examples and further guidance for trainees and assessors about what is required. The Specialty Learning Outcomes are designed to support the development of trainees in all dimensions needed to deliver expert EM care effectively.

An in-depth knowledge of the structures of the NHS and evidence of experience gained within these is essential to demonstrate a capability to work at consultant level in the UK. It is therefore strongly advised that applicants with experience gained elsewhere should consolidate this within the NHS prior to submitting their application.