Training, Development & Career Progression in Emergency Medicine 

  • April 04, 2023
 

One of the main reasons that overseas doctors want to work in the Emergency Medicine departments across the UK, is the excellent opportunity for access to training such as the Specialist Training Programme, career progression, including CESR, and sub-specialty development. 

This short article provides useful information on the training and development available, how to access the training, the best route to becoming a consultant in the UK with entry to the specialist register, no matter what stage of your training.

Emergency Medicine Training, leading to CCT

We start with an overview of the Emergency Medicine Training in the NHS. Trainees may enter the emergency medicine training programme via:

  • The EM (Emergency Medicine) core training programme at ST1. This is a three-year core training programme (starting from ST1 and ending at ST3). 
    For the first two years, trainees will spend 6 months in EM, Intensive Care Medicine, Anaesthetics and Acute Medicine. This is followed by a further year in trauma and paediatric EM. 
  • The start of specialty training (ST4-6) subject to having achieved the necessary competences required for completion of ST3. 

Once ST6 is completed, then a doctor will be added to the specialist register for medicine and hold the title of CCT. This means that they can apply for and practice at a consultant level in the NHS. 

CESR

For senior Emergency Medicine doctors (experienced specialty doctors, consultants and heads of departments) there is also the option of CESR. You can apply directly for CESR from overseas, or secure a post in the NHS with CESR support and complete your application in the UK. This is a good option for those wanting to take up their first role in the NHS as a specialty doctor (leading to consultant) or as a locum consultant.

Applying from abroad can be lengthy, and it is certainly not the quickest route towards specialist registration. Most IMGs prefer to secure a post with CESR support, so speak to your IMG Consultant to learn more about the best route to the UK for senior doctors seeking consultant jobs in Emergency Medicine.

Most senior Emergency Medicine job vacancies advertised will offer support with CESR, access to training and career progression, and senior managers will encourage you to develop your own professional interests.

Emergency medicine departments in the NHS are particularly supportive of doctors seeking to develop both personally and professionally. To find out what jobs are on offer take a look here

If you think that a Specialty Doctor post with CESR support is suited to you, or if you are a consultant or head of department, then you can find out more information here

For further advice on how to secure the right job for you in the NHS, take a look at our the following article.


IMG Jobs 

Search and find live emergency medicine NHS doctor jobs in the UK

IMG Resources

Read more useful articles on finding an NHS trust doctor jobs, doctor salary & relocation for emergency medicine specialists

Get in Touch

Don’t hesitate to get in touch using the buttons above (and below) to see what Emergency Medicine job opportunities there are for you, including access to CESR support, Core and Specialty training. 

For the latest news and updates on all things emergency medicine, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation. 

            

 

Relevant Jobs

50,373 - 78,759

An outstanding SAS job opportunity for experienced Emergency Medicine doctors to attain CESR and work in an NHS Trust that is committed to providing the best quality care. This Trust was rated \"Good\" overall, and is one of the largest employers in the South East England region and their members and staff are dedicated professionals whose work is varied, challenging and makes a real difference to people’s health and well-being.

The post is suitable for emergency candidates candidates holding specialisation in the EEA, or for experienced Emergency Medicine Specialists looking to complete CESR.

WHAT IS THE NHS TRUST LIKE? 

The Trust is one of the largest organisations in the country and they employ over 6,000 dedicated staff with an annual turnover of £380 million who provides service to 525,000 people that live within the area. Their services are mainly provided from two district general hospitals, both have Emergency Departments and provide care 24 hours a day. They offer a comprehensive range of surgical, medical and maternity services supported by a full range of diagnostic and therapy services.

The role of the NHS Trust is to provide the best possible healthcare service to patients, who come first in everything the organisation does. Safe patient care is the Trust\'s highest priority. They will provide high quality clinical services that achieve and demonstrate optimum clinical outcomes and provide an excellent care experience for patients. The employees will be valued and respected. They will be involved in decisions about the services they provide and offered the training and development that they need to fulfill their roles.

They will operate efficiently and effectively, diagnosing and treating patients in timely fashion and expediting their return to health. They will use their resources efficiently and effectively for the benefit of their patients and their care to ensure our services are clinically, operationally, and financially sustainable.

WHAT IS THE DEPARTMENT & TEAM LIKE? 

The NHS Trust supports 2 Emergency Departments (1 each at their 2 main hospitals). The Emergency Department at the first site is a designated Trauma Unit A, with a total of over 120,000 new patients attended in 2018/2019. In addition to that, it has a dedicated radiology room supporting PACS. The ED has 18 cubicles (4minors, 2 paediatric, 12 majors 1 ENT/Ophthalmology with a slit lamp, operating theatre with theatre lighting) and a resuscitation area supporting 4 bays. 

The Emergency Department at the second site has a co-located radiology room supporting. The ED has 19 cubicles (3 minors, 1 ENP room and 15 major’s spaces) and a resuscitation area supporting 4 adult trolleys and 2 paediatric bays. The resuscitation area for Conquest Hospital has recently been upgraded. Each bay has new monitoring equipment with end tidal CO2, its own ventilator and defibrillator. The resuscitation area at Eastbourne General Hospital has monitoring with end tidal CO2, its own ventilator and defibrillator at each bay.

The specialty doctors, together with the two registrars provide a full 24 hr middle grade rota. The Specialty Doctor will be responsible for the primary management of patients attending the department and for supervising and assisting the more junior grades of doctor. The specialty doctor will also be expected to lead the trauma team and assist the cardiac arrest team if required.

WHAT IS LIFE LIKE IN THE REGION?

The region has a natural beauty! The town where the first site is, is a working fishing port, but its relaxed seaside vibe and proximity to London make it a hotspot for those looking for a picturesque bolthole. This town is one of the best-connected seaside resorts in the Southeast. This is perfect for a seaside retreat without the price tag of popular neighbouring town. This town became a prosperous Victorian seaside town, and its timeless Old Town still welcomes visitors with scenic passageways and a multitude of antique shops, quirky independent retailers and atmospheric pubs.

The second town, where the second site is, is a large seaside resort. Its Victorian roots means have blessed it with large properties and generous, tree-lined streets. This town tends to be more affordable than their neighbouring town. You’ll find rows of traditional Victorian seaside homes in this coastal town. For modern homes with sea views, look no further than Sovereign Harbour. Sleek new apartments and penthouses jostle for space alongside restaurants and shops at this waterfront destination.

Both towns have a rich cultural heritage with numerous cultural and tourist attractions and a variety of opportunities to participate in sports, arts and leisure activities. It also has a rich and fascinating history, and it’s full of culture and character with a variety of things to do and experience, from witnessing the local talent in theatre and music, to enjoying the varied and beautiful landscape.

WHAT OPPORTUNITIES ARE AVAILABLE TO YOU?

The combination of clinical practice and first-class academic connections means that medical professionals have a wide range of opportunities to develop their careers and achieve their aspirations. You will have access to leadership, teaching, educational and research opportunities for Continued Professional Develop (CPD).

If you are a new consultant you will receive mentoring and support from medical leads as well as access to a large peer group of enthusiastic and high-caliber Consultants.

ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:

  • Experience of working in Emergency Medicine (essential) 
  • Board Certified Specialist in Emergency Medicine (desirable)

Non-EEA Candidates:

  • MRCEM (UK) (essential)
  • Experience of working in Emergency Medicine (essential)
  • Specialist training in Emergency Medicine (desirable)

UK based applicants

  • Experience of working in Emergency Medicine (essential)
This is a great opportunity for any experienced physician interested in Emergency Medicine working towards CESR or specialist registration in the UK, whilst working as a specialty doctor in the NHS. 
50,373 - 78,759

An excellent opportunity for an experienced Specialty Doctor in Emergency Medicine to join a Health Board in North Wales that promotes equality and diversity. If you love a challenge, have a passion to help others or simple fancy a fresh start, then this Health Board has all the ingredients. The post if suitable for overseas consultants, including candidates who are pursuing CESR. Specialists in Emergency Medicine holding a specialist certification would be suitable for this post, based on experience entering at either Specialty Doctor or Consultant grade. 

Overseas applications from experienced Specialty Doctors and Consultants are welcomed. 

WHAT IS HEALTH BOARD LIKE? 
The Health Board is largest health organisation in Wales, that are developing an integrated health service which provides excellent care delivered in partnership with the public and other statutory and third sector organisations.

The Health Board have a budget of £1.3 billion and a workforce of over 17,000 staff. Providing primary, community, mental health and acute hospital services for the population of around 700,000 across of North Wales. They continuously develop their workforce so that it has the right skills and operates in a research-rich learning culture.

Besides their three main hospital sites, they are also responsible for community hospitals, health centres, clinics, mental health units, community teams, GP practices and other NHS services provided by dentists, opticians and pharmacists. They plan to improve the health of the population, with particular focus upon the most vulnerable in our society.

WHAT IS THE DEPARTMENT & TEAM LIKE? 
The department has an annual attendance of approximately 58,000 patients, and sees the full range of presentations from major trauma, to complex medical presentations, critical illness, and paediatric emergencies. The ED has excellent support from and close working relationships with the inpatient medical, paediatric, critical care, radiology, and surgical specialty teams.

The department has a Reception and Triage area - operating on a 24-hour basis, with specially trained reception and nursing staff in attendance, a clinical area for adults & children and ED observation ward. The department runs weekly safety and governance meetings and has a rolling audit programme. Safety and good clinical governance are given extremely high priority in the ED and specialty doctors will be expected to contribute fully to safety initiatives, quality improvement and governance work and to participation in audit cycles within the ED.

The department has an active teaching programme and specialty doctors are encouraged to contribute to this. The ED is keen to support specialty doctors in developing additional areas of special interest within Emergency Medicine, for example such as in sedation, paediatrics, research, education, and interest in IT. 

WHAT IS LIFE LIKE IN NORTH WALES? 
North Wales has a vast national park, purpose built mountain biking trails, a breath taking coastal path, soaring zip wire, food festivals and world class sport and adventure around every corner. The North Wales is equipped with sport and leisure centres that provide opportunities for a wide variety of sporting, fitness and recreational activities. Not only does it have lots of activities for you, it also has a wide selection of private housing is available, both traditional and modern in towns, villages and rural settings.

For doctors with family, the educational standards are consistently high in both the primary and secondary sectors. There are several well established independent schools within North Wales and the surrounding area that cater for both day pupils and boarders. The Regional University with its excellent scholastic reputation has a thriving student community.

You can say goodbye to heavy inner city commuter traffic, and enjoy a breath-taking commute across North Wales.

WHAT OPPORTUNITIES ARE AVAILABLE TO YOU AT THIS HEALTH BOARD?
With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, exams, get involved in active research and many aspects of CPD. 

Participation in research and educational activities will be encouraged.

ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:

  • Experience of working in Emergency Medicine
  • Board Certified Specialist in Emergency Medicine

Non-EEA Candidates:

  • Experience of working in Emergency Medicine

UK based applicants

  • Experience of working in Emergency Medicine
  • Within 6 - 12 months of completing CCT
88,364 - 119,133

An excellent opportunity for an experienced Consultant in Emergency Medicine to join a Health Board in North Wales that promotes equality and diversity. If you love a challenge, have a passion to help others or simple fancy a fresh start, then this Health Board has all the ingredients. The post if suitable for overseas consultants, including candidates who are pursuing CESR. Specialists in Emergency Medicine holding a specialist certification would be suitable for this post, based on experience entering at either Specialty Doctor or Consultant grade. 

Overseas applications from experienced Specialty Doctors and Consultants are welcomed. 

WHAT IS HEALTH BOARD LIKE? 
The Health Board is largest health organisation in Wales, that are developing an integrated health service which provides excellent care delivered in partnership with the public and other statutory and third sector organisations.

The Health Board have a budget of £1.3 billion and a workforce of over 17,000 staff. Providing primary, community, mental health and acute hospital services for the population of around 700,000 across of North Wales. They continuously develop their workforce so that it has the right skills and operates in a research-rich learning culture.

Besides their three main hospital sites, they are also responsible for community hospitals, health centres, clinics, mental health units, community teams, GP practices and other NHS services provided by dentists, opticians and pharmacists. They plan to improve the health of the population, with particular focus upon the most vulnerable in our society.

WHAT IS THE DEPARTMENT & TEAM LIKE? 
The Department serves a resident population of approximately 250,000 which is greatly increased at weekends and in holiday periods due to the half million visitor days/year spent in their catchment area, resulting in a high seasonal and weekday/weekend variation in ED attendances. Emergency Department sees a wide and interesting case mix of emergencies in all specialities, with very few “inappropriate attenders” compared to many urban UK EDs.

The department has a five-bedded Emergency Department Observation Unit within ED and there is a dedicated Minor Injury area that runs until midnight where most of our Minor Injury workload is handled by our team of ENPs. The local GP Out-of-Hours service has been co-located adjacent to the ED since 2006. Very close working relationships are enjoyed with colleagues in OOH primary care, with movement of patients from one stream to the other in both directions.

The Emergency Department is currently staffed by: 7 Consultants (including this post), 2 Associate Specialists (on the senior tier), typically 8-12 Clinical Fellows (post-ACCS/ST4-equivalent doctors who do 80% EM and 20% either PHEM or Medical Education), 1 ST4-6 (Wales Deanery), 1 ST3 (Wales Deanery), 8 SHO-tier doctors (3 x FY2, 1 x ACCS, 4 x GPST and a “Health Board SHO”), Typically 3-5 FY3 posts & 1 Academic F2 doctor.


WHAT IS LIFE LIKE IN NORTH WALES? 
North Wales has a vast national park, purpose built mountain biking trails, a breath taking coastal path, soaring zip wire, food festivals and world class sport and adventure around every corner. The North Wales is equipped with sport and leisure centres that provide opportunities for a wide variety of sporting, fitness and recreational activities. Not only does it have lots of activities for you, it also has a wide selection of private housing is available, both traditional and modern in towns, villages and rural settings.

For doctors with family, the educational standards are consistently high in both the primary and secondary sectors. There are several well established independent schools within North Wales and the surrounding area that cater for both day pupils and boarders. The regional University with its excellent scholastic reputation has a thriving student community.

You can say goodbye to heavy inner city commuter traffic, and enjoy a breath-taking commute across North Wales.

WHAT OPPORTUNITIES ARE AVAILABLE TO YOU AT THIS HEALTH BOARD?
With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, exams, get involved in active research and many aspects of CPD. 

Participation in research and educational activities will be encouraged.

ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:

  • Experience of working in Emergency Medicine
  • Board Certified Specialist in Emergency Medicine

Non-EEA Candidates:

  • Experience of working in Emergency Medicine

UK based applicants

  • Experience of working in Emergency Medicine
  • Within 6 - 12 months of completing CCT
88,364 - 119,133

An outstanding opportunity for experienced Consultant in Emergency Medicine to join an NHS Trust that is committed to providing the best quality care to the people of East Sussex by attracting and recruiting passionate people who share this commitment. This Trust is one of the largest employers in the region and their members and staff are dedicated professionals whose work is varied, challenging and makes a real difference to people’s health and well-being.

The post is suitable for candidates holding specialisation in the EEA, or for experienced IMGs looking to complete CESR.

WHAT IS THE NHS TRUST LIKE? 

The Trust is one of the largest organisations in the country and they employ over 6,000 dedicated staff with an annual turnover of £380 million who provides service to 525,000 people that live within the area. Their services are mainly provided from two district general hospitals, both have Emergency Departments and provide care 24 hours a day. They offer a comprehensive range of surgical, medical and maternity services supported by a full range of diagnostic and therapy services.

The role of the NHS Trust is to provide the best possible healthcare service to patients, who come first in everything the organisation does. Safe patient care is the Trust's highest priority. They will provide high quality clinical services that achieve and demonstrate optimum clinical outcomes and provide an excellent care experience for patients. The employees will be valued and respected. They will be involved in decisions about the services they provide and offered the training and development that they need to fulfill their roles.

They will operate efficiently and effectively, diagnosing and treating patients in timely fashion and expediting their return to health. They will use their resources efficiently and effectively for the benefit of their patients and their care to ensure our services are clinically, operationally, and financially sustainable.


WHAT IS THE DEPARTMENT & TEAM LIKE? 

The Emergency Department is a team of consultant that focuses on being on top of taking care of their patients. The department is open for hours a day, seven days a week for those seeking treatment for an urgent problem that may be caused by an accident or an illness. In the last year, there were 130,000 visits in their department. 

Urgent Treatment Centres are being in developed nationally with the aim to provide same day ‘urgent treatment’ operating in a fully integrated way with the local community. The department has a vision is to provide an urgent care stream from the front door of the Emergency Department and develop innovative interoperable ways to ensure that the patients receive the right care at the right time and in the right place. 

WHAT IS LIFE LIKE IN THE REGION?

The region has a natural beauty. Sussex has some fantastic natural features such as the Seven Sisters National Park, and many areas of outstanding natural beauty that include the medieval heathland and forests of the High Weald. It also has beaches and harbours where people can go to during their dayoffs.

Besides its natural beauty, there's a rich array of accommodation options, ranging from the five star Grand Hotel on Eastbourne seafront to quaint B&Bs set amid beautiful Sussex countryside. East Sussex offers a rich array of culture, with art galleries such as the Jerwood Gallery in Hastings and the Towner Gallery in Eastbourne and an array of theatre and entertainment venues such as the De La Warr Pavillion in Bexhill, Congress and Deveonshire Park Theatres in Eastbourne and the White Rock Theatre in Hastings.

WHAT OPPORTUNITIES ARE AVAILABLE TO YOU?

The combination of clinical practice and first-class academic connections means that medical professionals have a wide range of opportunities to develop their careers and achieve their aspirations. You will have access to leadership, teaching, educational and research opportunities for Continued Professional Develop (CPD).

If you are a new consultant you will receive mentoring and support from medical leads as well as access to a large peer group of enthusiastic and high-caliber Consultants.

ARE YOU ELIGIBLE FOR THIS ROLE?

EEA Candidates:

  • Experience of working in Emergency Medicine
  • European Specialist Qualification in Emergency Medicine

Non-EEA Candidates:

  • FRCEM
  • Experience of working in Emergency Medicine

UK based applicants

  • Experience of working in Emergency Medicine
  • Within 6 - 12 months of completing CCT
50,373 - 78,759

An excellent opportunity for an experienced Emergency Medicine specialist to join a University Health Board that promotes equality and diversity. If you love a challenge, have a passion to help others or simple fancy a fresh start, then this Health Board has all the ingredients. The post if suitable for overseas consultants, including candidates who are looking to attain CESR. Middle Grade or Specialty Doctors in Emergency Medicine with over 4 years of experience would be suitable for this post.  

Overseas applications from experienced Specialty Doctors and Consultants are welcomed, especially those pursuing CESR. 

WHAT IS HEALTH BOARD LIKE? 
The Health Board is largest health organisation in Wales, that are developing an integrated health service which provides excellent care delivered in partnership with the public and other statutory and third sector organisations. The Health Board have a budget of £1.3 billion and a workforce of over 17,000 staff. Providing primary, community, mental health and acute hospital services for the population of around 700,000 across of North Wales. They continuously develop their workforce so that it has the right skills and operates in a research-rich learning culture. Besides their three main hospital sites, they are also responsible for community hospitals, health centres, clinics, mental health units, community teams, GP practices and other NHS services provided by dentists, opticians and pharmacists. They plan to improve the health of the population, with particular focus upon the most vulnerable in our society.

WHAT IS THE DEPARTMENT & TEAM LIKE? 
The Emergency Medicine Department was purposely built in 2014 and offers state- of-the-art facilities. There are approximately 58,000 attendances a year, of which 14,000 are under 18. The ED is co-located with the GP Out of Hours service and enjoys an excellent relationship with the service. Currently there are 4 substantive EM Consultants and 2 NHS locum Consultant appointments. There are no long-term agency locum Consultant staff.

The department provides 24-hour cover by a senior shop floor decision maker and the Tier 2 level is provided by a mixture of Specialty doctors and EPIC Clinical Fellows. Currently there are 5 EPIC Clinical Fellows and 13 Specialty Doctors, some of whom work less than full time for the ED. The junior tier currently has 12 doctors comprising a mixture of GPST trainees, Foundation doctors, and Clinical Fellows. Additionally, there are 4 Advanced Nurse Practitioners, and these contribute to the junior Tier 1. The minors service is provided by 7 ENP’s, and 2 dedicated ED Extended Scope Physiotherapists.

The post holder will be expected to contribute to quality improvement work in the ED, and support is available to ensure projects are sustainable and successful. The post holder will need to be familiar with modern models of Emergency Care in order to support the department in its goals of improving performance and patient safety.

WHAT IS LIFE LIKE IN NORTH WALES? 
North Wales has a vast national park, purpose built mountain biking trails, a breath taking coastal path, soaring zip wire, food festivals and world class sport and adventure around every corner. The North Wales is equipped with sport and leisure centres that provide opportunities for a wide variety of sporting, fitness and recreational activities. Not only does it have lots of activities for you, it also has a wide selection of private housing is available, both traditional and modern in towns, villages and rural settings.

For doctors with family, the educational standards are consistently high in both the primary and secondary sectors. There are several well established independent schools within North Wales and the surrounding area that cater for both day pupils and boarders. The regional University with its excellent scholastic reputation has a thriving student community.

You can say goodbye to heavy inner city commuter traffic, and enjoy a breath-taking commute across North Wales.

WHAT OPPORTUNITIES ARE AVAILABLE TO YOU AT THIS HEALTH BOARD?
With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, exams, get involved in active research and many aspects of CPD. 

Participation in research and educational activities will be encouraged.

ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:

  • Experience of working in Emergency Medicine

Non-EEA Candidates:

  • Experience of working in Emergency Medicine
  • MRCEM

UK based applicants

  • Experience of working in Emergency Medicine

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