Training, Development & Career Progression in Emergency Medicine 

  • November 05, 2021
 

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

A hospital in Yorkshire is looking for a Consultant in Emergency Medicine with an interest in trauma care and emergency medicine leadership. The Emergency Department comprises a team of consultants and is supported by a large team of middle-grade doctors. This Emergency Medicine job is open to both international applications and UK-based doctors, though those with European Specialist or FRCEM are most encouraged to apply.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

Full GMC registration with a licence to practice and at least six months of obtaining a CCT in Emergency Medicine, CESR, or European Specialist Qualifications are required for this role, and anyone with an interest in trauma care and clinical leadership should apply. 

CORE DUTIES OF THIS ROLE

  • Provide high-quality emergency care to patients in the ED, including trauma cases.
  • Lead the clinical team and oversee the Emergency Physician in Charge (EPIC) role.
  • Engage in departmental audits and participate in clinical governance and quality improvement projects.
  • Provide clinical supervision and mentoring to junior doctors and trainees.

LIFE IN YORKSHIRE

The hospital is located in a picturesque region, with local towns offering both urban and rural living options. The area boasts excellent schools, transport links, and a wide range of leisure activities. Yorkshire has historical significance as a former center of the wool industry and offers rich industrial heritage alongside beautiful countryside.

HOW WILL IMG CONNECT SUPPORT YOU?

When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:

  • CV Preparation with a bespoke session with one of our specialists
  • Application support with expert knowledge of NHS specialisms & recruitment practice
  • At least two video calling interview preparation sessions
  • Contract and offer negotiations for salary, relocation packages, tenure and more

Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting your new role including:

  • Document gathering and checking COS and Visa Application support if applicable
  • Support sourcing short- and long-term accommodation
  • Travel Arrangements Family support for finding schools and any other aspects of pastoral care.
110,257 - 164,372

An excellent health service is looking to appoint an Emergency Medicine Consultant. This is a great opportunity to further your medical career in the UK. This NHS job offers CESR Portfolio Pathway support, and international applications from IMGs are welcome.

The Emergency Department sees over 45,000 patients annually, with 25% of attendances being children. As a Trauma Unit and part of the Wessex Trauma Network, the department features a robust clinical governance process and an active audit program. This progressive department actively uses ultrasound in diagnostics and is developing a regional blocks program.

Health Service

Working for this health service is professionally rewarding, offering high-quality, patient-centered care. Their clinicians lead in developing and managing services, supported by strong links with UK specialists. With a generous study leave budget, doctors are encouraged to pursue further education. Exciting developments include a new general hospital and a new mental health inpatient unit. They foster strong relationships between mental health, primary, and secondary care, promoting joint learning and teaching in their modern education center.

The health service, separate from the NHS, is an integrated, taxation-funded system, free at the point of delivery, managed by the Health and Community Services Department. This is a unique opportunity to help shape an integrated care system with closer political engagement than in the UK.

Department & Team

The Emergency Department operates with dedicated consultant presence from 8 am to 10 pm Monday to Friday, and 10 am to 4 pm on weekends, supplemented by on-call service beyond these hours. A team of 24/7 middle-grade physicians supports the department, alongside a rotating roster of 15 junior doctors comprising F2s, GPVTS doctors, and Clinical Fellows.

Comprehensive specialty support is available on-site throughout the day and night, including medicine, anaesthetics, paediatrics, and obs & gynae, with senior orthopaedic and surgical specialists accessible both during regular hours and on-call. The department boasts continuous access to imaging services, including cross-sectional imaging, ensuring prompt diagnostics. Facilities include a 3-bedded resus area with a dedicated paediatric resuscitation cubicle, an 8-bedded Majors area with half of the beds in isolation, designated paediatric and minors examination rooms, and specialized facilities for eye examinations.

Continued Professional Development

The service job offers further training & accreditation within psychiatry, including CESR Portfolio Pathway Support, access to specialty training, and the opportunity to develop sub-specialist interest. The post holder will have ample opportunities to develop knowledge, skills, and experience through attendance at relevant courses, conferences, and locally organized CME events. Health & Community Services supports Continuing Medical Education with time and financial support, offering study leave of 30 days in 3 years, and an annual study leave allowance.

Life in the area

Living in the area presents significant financial benefits. The flat income tax rate is notably advantageous compared to the U.K., and they provide a generous public sector pension scheme that isn\'t constrained by U.K. lifetime or annual contribution limits. The Consultant Contract closely mirrors the U.K. model but offers higher incremental levels. Incremental progression is automatic from points 1 to 17 on the pay scale based on satisfactory performance, while formal applications are necessary for points 18 to 20.

Am I eligible for this role?

UK based candidates:
•    Experience in Emergency Medicine

EEA candidates: 
•    Experience in Stroke Medicine
•    European Specialist Qualification

Non-EEA candidates:
•    MRCP UK 
•    Experience in Stroke Medicine
 

52,530 - 82,400

An excellent opportunity has arisen for Specialty Doctors in Emergency Medicine to join an NHS Foundation Trust that is dynamic and dedicated to providing great service to their patients. The site that is ideally located near stunning blue flag beaches. The Emergency Medicine team boasts extensive experience and expertise in supporting doctors through the CESR programme. The current CESR programme includes a customized professional development plan tailored to meet the individual needs of each doctor, with available placements in Critical Care, Anaesthetics, Acute Medicine, and Paediatrics. 

This is a unique opportunity for Specialty Doctors seeking to advance their careers within the NHS in the UK. Successful candidates will have the option to participate in this CESR support programme, further enhancing their professional growth. Don\'t miss this chance to explore NHS jobs that offer both career progression and an excellent quality of life. Overseas applications from experienced Specialty Doctors and Consultants are welcomed. 

What is the NHS Foundation Trust like?

The NHS Foundation Trust is a district general hospital trust managing three hospitals. The Trust serves the different towns, delivering a broad range of medical services. They are performing at a good level across their services and continuously provides huge opportunities and benefits to the way they deliver patient care. The Trust focuses on delivering excellent general hospital services, serving a population of approximately 750,000 with the help of more than 9,000 staff members. The hospitals have around 1,100 beds in total, offering services including General Medicine, General Surgery, Neurology, Rheumatology, Gastroenterology, Dermatology, Gynaecology, and Paediatrics.

The Trust achieved foundation status in 2005 and, in October 2020, merged two of its hospitals to create a new organization, establishing one of their hospitals as the emergency care site and another as the planned care site. The Trust remains dedicated to continuous improvement, striving to provide high-quality, patient-centered care across all its facilities.

What is the department & team like?

The Emergency Medicine Department is a highly advanced and well-equipped unit, dedicated to providing emergency care. The department is staffed with a robust team of consultants and junior doctors, ensuring round-the-clock expertise and comprehensive patient care. The team is proficient in managing a diverse range of emergency cases, including trauma, cardiac emergencies, respiratory issues, and other urgent medical conditions. With access to advanced diagnostic tools and treatment facilities, they provide immediate and effective care for all patients.

The facilities within the department include modern resuscitation bays, dedicated observation units, and specialized treatment areas for both adults and children. These state-of-the-art resources enable them to handle high patient volumes efficiently and effectively. On average, the Emergency Medicine Department manages a significant number of emergency cases each year, reflecting its critical role in the region\'s healthcare system. Their commitment to delivering high-quality, patient-centered care is unwavering, supported by their experienced team and cutting-edge facilities.

Career Development & Opportunities Available

With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, get involved in active research and many aspects of CPD. Participation in research and educational activities will be encouraged.

  • Attractive salary and relocation package
  • Training and development opportunities
  • CESR support for those eligible
  • Tier 2 Health and Care Visa (sponsorship for the whole family)
  • Guidance regarding the CV and full interview preparation
  • Assistance regarding the GMC registration, visa, accommodation and transportation by an experienced onboarding specialist
  • Complete IMG Relocation service from start to finish of process
Life in the area

Nestled along England\'s picturesque south coast, the area offers a unique blend of urban amenities and coastal charm. Doctors enjoy proximity to both bustling city life and tranquil seaside retreats. Residents indulge in sailing adventures around harbour or stroll along its sandy beaches. The area boasts reputable schools and universities, nurturing young minds for future success. Transportation links are robust, with easy access to neighboring cities like Bournemouth and Southampton, as well as major airports. Housing options range from waterfront apartments to quaint cottages, catering to varied tastes and lifestyles. Poole epitomizes the quintessential coastal living experience.

Am I eligible for this role?

UK based candidates:

  • Experience in Emergency Medicine
EEA candidates: 
  • Experience in Emergency Medicine
  • MRCP
Non-EEA candidates:
  • MRCP
  • Experience in Emergency Medicine
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
88,364 - 119,133

A fantastic opportunity for specialist in geriatric or elderly care medicine to settle into their first consultant post and work towards their CESR application, if that is the intention.

The hospital will consider senior consultants with no UK experience who are not on the UK specialist register for geriatric medicine.

The Geriatrics department is a small and manageable size with a 28 bedded inpatient ward and various other outlier beds.

Currently no formal geriatric outpatient services are offered with the exception of a Parkinson's / Movement clinic. The department will be looking to develop these in conjunction with skill set of a successful applicant.

The Geriatrics department comprises 3 consultants in elderly care medicine supported by 15 specialty registrars, 9 core medical trainees and FY2's and 9 FY1's working full shifts for GIM on call.

Each consultant will be offered a budget and 30 days of study and professional leave over each 3  year period to pursue their career development activities. Furthermore there is an active Postgraduate Medical Centre which acts as a focus for contract between doctors at all levels an in all disciplines.

Consultants will be encouraged to actively participate in teaching and training of juniors throughout their tenure.

Requirements of this position are:

  • MRCP 
  • IELTS or OET
  • Experience working at consultant grade in elderly care

Senior geriatric medicine specialists looking to work towards their CESR application or secure their first consultant role in the NHS are encouraged to apply

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