Emergency Medicine involves the assessment and treatment of patients with serious illnesses, and life-threatening conditions.
The Royal Society of Medicine offers a range of events for different acute specialties, including Emergency Medicine – see a full list on our Events page>>
Applicants must have completed the two-year Foundation Programme to be eligible to apply for a core training programme. Core training comprises either
Job Progression as an Emergency Medic
Once higher speciality training from ST3 to ST7 is complete, trainees are then eligible to apply for a CCT and entry onto the Specialist Register.
Trainees can apply for consultant positions six months before obtaining their CCT, and there are opportunities to work in management as a clinical lead, or a clinical or medical director. There are also formal opportunities to become involved in the education and training of junior doctors by working as
- a director of medical education overseeing postgraduate medical training,
- a training programme director responsible for the education of trainee doctors in the local region, or
- an associate dean responsible for managing the training programme.
Many doctors also go on to develop a sub-speciality interest in
- paediatric emergency medicine,
- pre-hospital emergency medicine, or
- dual-accredited ICM with a CCT in both specialities.
Academic Emergency Medicine Roles
Trainees interested in an academic career can apply for an academic clinical fellowship. Alternatively, trainees can continue the ST clinical training programme after ST4 level.
Competition for Emergency Medicine Posts
In 2017, the competition ratio at ST3 was 2.44, with 83 applications for 34 posts, and 1.28 at ST4, with 78 applications for 61 posts. The competition ratio at ST4 was 1.28, with 78 applications for 61 posts.
In December 2017, there were
- 1,742 consultants,
- 141 associate specialists,
- 672 speciality doctors,
- 27 staff grades,
- 1,978 speciality registrars,
- 672 core trainees,
- 1,199 F2 trainees, and
- 176 F1 trainees.
The demand on A&E services is very high, with over 21 million attendances per year, and as such, Emergency Medicine is a rapidly-expanding speciality.
The salary for NHS consultants ranges from £76,000 to £102, 500, and for speciality doctors from £37,500 to £70,000. The salary for doctors in training ranges from £26,350 to £45,750.
A Day in the Life
Emergency Medicine specialists often have little information about their patients on first contact. Instead, they must rely on their clinical ability to triage patients and prioritise roles within their team.
They are responsible for the initial assessment and treatment of patients and must therefore have a good general knowledge of most specialities. They will work primarily in hospital A&E departments, but also in
- walk-in centres,
- major injury units,
- major events and fixtures,
- regional centres, and
- inpatient hospital speciality departments.
Doctors are also expected to participate in the on-call rota and undertake a notable amount of night and evening work.