Emergency medicine is a vibrant speciality with a wide range of healthcare problems and circumstances on a daily basis. Patients of different ages and with a wide range of bodily and psychological illnesses are treated by emergency medicine professionals.

Emergency medicine is particularly difficult since doctors typically receive minimal knowledge regarding patients on arrival and can be forced to perform operations without the patient's knowledge or permission. A profession in emergency medicine, greater than many other medical specialisations, will need strong practical expertise. The EM specialist will perform standard treatments in order to increase the patient's likelihood of survival and recuperation.

70% of emergency medicine practitioners and speciality associate personnel are male, with just 30% of female emergency medicine practitioners and speciality associate staff. With time, an older populace with a rising incidence of overweight and lifestyle-related disorders will have a greater impact on emergency medicine. As situations get increasingly complicated with a higher variety of ailments, this will most certainly impact how EM practitioners handle and cure their patients.

A few of the attributes that are sought in future emergency care practitioners include solid and rapid information processing, effective interpersonal capabilities, suppleness and adaptation, commitment to precision, and perseverance. Candidates and trainees must focus on them and incorporate them into their daily lives and careers. If you  believe you are capable of fulfilling the challenging job of an emergency medical professional on the soils of the United Kingdom, here is a complete guide on how to achieve your goal.

A valid medical degree plus two years of foundation training are required for admittance into emergency medicine training. There are several ways for a trainee to begin emergency medical training.

In the United Kingdom, obtaining a Certificate of Completion of Training (CCT) in emergency medicine is more difficult to obtain than in other medical disciplines. Emergency Medicine (EM) training has three stages of entry, based on your previous medical professional experience.

1.      Acute Care Common Stem - (ACCS) EM is a foundational training programme in the United Kingdom. The ACCS-EM is the sole basic training programme for learners intending to pursue advanced specialist study in Emergency Medicine. The course lasts three years (CT1–3). The first two years of medical school are dedicated to alternating between Emergency Medicine (EM), Acute Internal Medicine (AIM), Anaesthesia, and Intensive Care Medicine (ICM). The student will spend the third year receiving training to guarantee that they achieve the minimal standards for entrance into Emergency Medicine Specialty Training at the ST4 grade.

2.      DRE-EM (start from ST3 to ST6) - DRE-EM is a stepping stone to ST3 for trainees with a history in Core Surgical Training or non-training positions in Emergency Departments.

3.      Higher Specialty Training (ST4-ST6) - ST4 through ST6 are the years of higher speciality training in emergency medicine (EM). At this stage, trainees take on the role of EM Registrar and work their way up to become consultants.

FRCEM Examination

One of the pre-requisites for successfully completing your EM course in the United Kingdom is the Fellowship of the Royal College of Emergency Medicine (FRCEM). The many components of this fellowship test are separated into distinct levels of your study.

Obtaining GMC registration and a license to practice

Before enrolling in any recognised training programme in the United Kingdom, you must first get GMC certification and a licence to practise. Medical students interested in a future in emergency medicine must develop skills in EM or another critical speciality, participate in a supervised research project relevant to EM, and join professional organizations such as the GMC, BMA, and RCEM. (9)

Getting the CREST signed

If you presently possess complete GMC registration, the next stage is to earn equal foundation competencies in order to apply for ACCS-EM (CT1/ST1) level training. The objective is served by a form called the Certificate of Readiness to Enter Specialty Training (CREST).

Gain some experience.

If you want to create a long profession out of Emergency Medicine, taking a trust level position (non-training employment) is often an excellent decision. Being employed there can help you obtain your CREST form approved and gather enough exposure to develop a strong portfolio for your training application.

You can know more information about the recruitment timelines through the following websites.

?       ACCS-EM - coordinated by the London Postgraduate Medical and Dental Education.

?       ST3 DRE-EM, by Health Education of Yorkshire & Humber.

?       Higher Specialty Training (ST4), also by Health Education of Yorkshire & Humber

Specialist and Associate Specialist Qualification

Staff grade, associate specialist, and speciality physicians having at least four years of postgraduate study, two of which are in a qualifying speciality, are referred to as SAS doctors. All of these grades are now known as "Specialty Doctors." These are non-training positions that allow doctors to concentrate on delivering immediate patient treatment rather than the numerous medical and non-clinical obligations that a consultant or trainee must perform. Many professionals pick this profession as a long- or short-term alternative while pursuing specialist certification through CESR or CESR-CP.

More technical resources

Prior to seeking a job in emergency medicine, individuals should do some study and familiarise themselves with the field. There are several sources available to help you with this. The Oxford Handbook of Emergency Medicine is a well-recommended book that covers the field and provides managerial suggestions.

The Paediatric Observation Priority Score (POPS) app is a helpful resource for learning emergency and critical care decision-making. There are also various audiobooks dedicated to emergency medicine, one of which being The Resus Room, a podcast-based platform that covers a variety of emergency medical issues in each session.

In conclusion

Stepping into this particular job role means the start of a lifetime of taking immediate responsibility, making judgement calls, maintaining laser focus and saving lives that can be lost within seconds. In other words, it is one of the most critical jobs in the medical field and requires extra training prior to professionals stepping into the field.

Unforeseen emergencies and on-call supplementation are the two aspects of on-call time. Unexpected emergency tasks may require the advisor to return to the job site or deal with sophisticated questions and discussions over the call. The on-call supplement entails delivering advice over the line to individuals on-site. The majority of critical care experts' on-call employment is unexpected emergency work. On a day job, EM specialists arrive at 8 a.m. to monitor patients in the resuscitation section, examine them, and transfer them to the intensive care unit. Then comes handing over from overnight personnel, reviewing emails, and going over the day's schedule.

Consultant wages in the NHS are the same for all disciplines, but they differ by region (highest in Scotland), England, Northern Ireland, and Wales (lowest) and rise with tenure (up to 19 years). Salary ranges in 2020 vary from £77,779 to £109,849. NHS performance awards can boost salaries even more. By following the abovementioned steps, you are well on your way to becoming an emergency medicine doctor in the UK.

When you are ready to start working as an emergency medical doctor in the United Kingdom, we at Medfuture are delighted to assist you in finding your ideal career. We've spent a lot of time analyzing people's skills and qualifications, as well as assisting them in securing their desired jobs. For further information, please visit www.medfuture.com.au.