Paediatric Emergency Medicine training can be approached from both a Paediatric and an Emergency Medicine background. The RCPCH and RCEM have worked together to identify a common to produce complementary curriculum for trainees from different backgrounds
PEM from an Emergency Medicine background
If you choose to take the EM route, this currently means applying during Foundation Year 2 to enter the 2-year Acute Care Common Stem (ACCS) training (CT1 and CT2). In the next CT3 year all EM trainees spend the year based in an Emergency Department with a large proportion of time dedicated to PEM.
Once you enter Higher Specialist Training (ST4-6) trainees can spend an additional year acquiring the competencies required to have PEM registered as a Sub-Speciality on the UK Specialist Register as a consultant.
The training consists of:
- 6 months in a PEM training ED
- 6 months based on the paediatric wards, in clinics and in Paediatric Intensive Care.
Further information is available on the RCEM website
PEM from a Paediatric background
If you choose to take the Paediatric route Specialist trainees in Paediatrics can apply to spend an 2 years (between ST6 and ST8) undertaking PEM training through the RCPCH NTN Grid Scheme.
There is an annual round of national applications to “the Grid” which is a competitive matching system between applicants and posts available. This is run by the Royal College of Paediatrics and Child Health www.rcpch.ac.uk.
The 2 year training consists of:
- 12 months in a PEM training ED
- 6 months in the Paediatric Intensive Care Unit
- 6 months in surgery / orthopaedics.
PEM Consultant role
There is a huge variety in the make up of new and exisiting PEM Consultant posts. This includes those from an EM background working both in PEM and EM while those from a Paediatric background working in PEM and general paediatric or PICU.