25/09/2025
MRCEM TO FRCEM In 2 Years:
Please read this programme and decide who can compete London Global Emergency Medicine LGEM trainees….
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Applicants must have full MRCEM OR CCP EM From LGEM.
Start Date: 1/11/2025.
only 18 /50 seats left .
Apply now:
https://londongem.uk/ccp-aem-frcem-programme
https://docs.google.com/forms/d/e/1FAIpQLSdh-3O1KG4-cQ73Dv2sCDYl_kRiMOo85UfADfZvJUW6Pw6Zmw/viewform?usp=send_form
What we will be teaching in CCP Advance EM FRCEM 2 Years Programme “
https://londongem.uk/ccp-aem-frcem-programme
Non-Clinical Higher Management Curriculum for EM Consultants
As an EM consultant, one must have a strong grasp of non-clinical and administrative responsibilities, including:
Non -clinical and administrative responsibilities, including:
Leading the department
Managing staffing
Conducting interviews and recruitment
Responding to complaints
Investigating serious incidents
Responding to Datix reports
Implementing new pathways
Improving services
Conducting quality improvement projects
Performing audits, research, and developing departmental policies
Supervising and inducting juniors and new trainees
Managing rotas
Handling staff sickness and absences
Overseeing clinical governance
Supporting trainees or doctors in difficulty
Acting as educational and clinical supervisors
Completing “Train the Trainer” certification
Managing exit blocks and bed crises in the department
Prioritising effectively on busy clinical days
Applying the concept of an ED consultant tray on high-demand days
Addressing serious ethical, personal, or professional misconduct
Managing colleagues with alcohol or drug misuse issues
Liaising with police in the department
Managing prisoners or serious offenders in the department
Handling complex mental health patients who lack capacity and pose risks to staff
Managing children with suspected non-accidental injuries
Safeguarding adults and elderly patients, addressing neglect and abuse
Understanding the role of the ED physician when patients present with weapons
Managing frequent attenders (“frequent flyers”)
Organising teaching activities, including simulations
Serving as an interview panellist for ACCS and ST training programmes
Becoming involved in education and training with Royal Colleges, including stepping up as an OSCE examiner
Resolving conflicts with colleagues, patients, relatives, and carers
Managing major incidents within the department
Preparing the department to deal with city-wide major incidents (e.g., riots, terrorism)
Navigating appraisal, revalidation, and fitness-to-practise processes
Developing key pathways for service improvement
Having coaching conversations with juniors to support their development
Applying effective teaching methodologies
Conducting debriefs after challenging cases and critically ill patients
Chairing or conducting departmental meetings
Practising reflective learning
Understanding hospital structures and operations
Leading the department effectively during a declared major incident
Critical Appraisal Of Paper , Evidence Base Medicine
This module will equip candidates with the ability to critically evaluate medical literature and apply evidence-based principles in practice. Key areas include:
How to appraise and summarise a paper
Understanding p-values
Identifying conflicts of interest and bias
Differentiating trial types: observational vs. interventional studies
Understanding study designs: RCTs, case-control, cohort, cross-sectional, systematic reviews, meta-analyses
Assessing validity, reliability, and applicability of research
Study methodology and ethical considerations
Evaluating outcomes and their clinical impact
Assessing consistency of results with existing evidence
Key statistics and interpretation:
Types of data (categorical, continuous)
Central tendency (mean, median, mode)
Variability (standard deviation, range, IQR)
Confidence intervals, p-values, statistical significance
Sensitivity, specificity, PPV, NPV, likelihood ratios
ARR, RRR, NNT
Bias and confounding:
Types (selection, information, recall, etc.)
Impact of confounding factors
Strategies to minimise bias (randomisation, blinding, matching)
Diagnostic and screening tests:
Sensitivity and specificity
ROC curves and AUC
Impact of screening on patient outcomes
Levels of evidence and hierarchies (e.g., GRADE system)
Clinical trial phases (I–IV), protocols, ethics, and regulations
Common statistical tests: t-tests, chi-square, ANOVA, regression, non-parametric (Mann–Whitney U, etc.)
Interpretation of graphs and tables: forest plots, funnel plots, Kaplan–Meier curves
Risk and odds ratios: relative risk, odds ratio, hazard ratio — when to apply each
Case reviews and case reports
Academic Teaching
FRCEM Final SBA Comprehensive Teaching
FRCEM Final OSCE Training – Online sessions plus face-to-face mock examinations.
50 Advance Emergency Medicine Procedures For EM Specialists & Consultants.
Difficult Airway Procedures:
1. Difficult Intubation/Failed Intubation
2. Surgical Airway In Can’t Intubate Can’t Ventilate Situations
3. Video Assisted Endotracheal Intubation
4. Rapid Sequence Induction & Intubation In Acutely Unwell Medical patient
5. Rapid Sequence Induction & Intubation In Head injury patient .
6. Rapid Sequence Induction & Intubation In Suspected Cervical Spine Injury patients.
7. Intubation Challenge Encountered During Advance Pregnancy.
8. Paediatric Intubation
9. Intubation In Neonate
10. Endotracheal Intubation With Difficult colleague or incompetent team.
Advance EM Procedures For Breathing:
11. Noninvasive Ventilation BIPEP
12. Bilateral Thorocostomies
13. Securing A Chest Drain
14. Erector Spinae Block For Flial Chest & Multiple ribs fracture .
15. Serratus Anterior Nerve Block for chest drain insertion
16. Setting Up Ventilator In ED
17. Setting up Oxylog Portable Ventilator for critical transfer.
Advance EM Procedures For Circulation:
18. DC Cardioversion In Refractory or Unstable SVT & VT
19. Safe Defibrillation In Shockable Rhythm
20. Ultrasound Guided vascular access
21. Ultrasound guided Central line
22. Echo In Life Support
23. Pericardiocentesis
24. Resuscitative Thoracotomy
25. Inotropic support in patient with septic shock
26. Inotropic support in patient with heamorrhagic shock
27. Active Rewarming In Hypothermic Cardiac Arrest & Peri Arrest Bladder and peritoneal lavage
28. Leading A cardiac arrest and special and complex circumstances.
29. Insertion of Arterial line. ultrasound guided .
Opthalomogical Procedures:
30. Lateral Canthotomy For Retrobulbar Haematoma.
Advance EM CNS Procedures:
31. Emergency Assessment Of Stroke Patient NIH Stroke Scoring In ED
32. Neuro Protective measures in patient with traumatic brain injury
33. Stroke Thrombolysis in ED
34. Lumbar Puncture
35. Assessment of Spinal Injuries
36. Examination of back in patient with potential cord compression
37. Neuro Examination of Upper limb
38. Neuro Examination of Lower Limb
39. Cervical Spine injuries and clearance of C Spine
40. Intra Osseus Access at Tibia, Humerus & Femur
Regional Nerve Blocks:
41. Ankle blocks
42. Supra orbital Blocks
43. Auricular Block
44. Pe**le block
45. Median Nerve Block
46. Scalene Nerve block .
Advance Gyane Obs Procedure In ED:
47. Spontaneous vaginal delivery & Placental separation Role Of EM Physician
48. Manual Manoeuvres to deal with Breech, face and shoulder dystocia
49. Antenatal Examination in patient with minor injuries and advance pregnancy
50. Peri Partum C Section In parri arrest and cardiac arrest situations.
Clinical Competencies
The clinical component ensures candidates achieve proficiency in core consultant-level competencies, including:
Recognition and management of critically ill patients
Advanced decision-making in complex medical, surgical, trauma, and paediatric cases
Senior-level leadership in multi-disciplinary teams
Advanced risk management and patient safety practices
Ethical and legal responsibilities in high-pressure clinical environments
Leadership In Resuscitation & Critical Care Module
This module focuses on advanced knowledge and leadership in resuscitation and critical care scenarios.
Topics include:
Leading a cardiac arrest in complex circumstances
Peri-arrest recognition and management
Post-cardiac arrest care, including targeted temperature management
Advanced airway management and decision-making
Management of cardiac arrhythmias and complex ECG interpretation
Advanced management of septic shock and refractory sepsis
Polytrauma resuscitation, including damage-control resuscitation principles
Major haemorrhage protocol leadership
Advanced management of burns and inhalational injuries
Management of toxicological emergencies and antidote use
Advanced ventilatory strategies in ED (e.g., ARDS management, non-invasive vs invasive ventilation)
Management of paediatric resuscitation in complex cases
Management of obstetric emergencies, including maternal collapse
Advanced simulation training in cardiac arrest, trauma, paediatric, and obstetric scenarios
Incorporating human factors and CRM (Crisis Resource Management) into resuscitation leadership
Advance EM Ultrasound Skills
Candidates will undergo structured ultrasound training aligned with RCEM and international standards. This includes:
FAST & E-FAST for trauma assessment
Cardiac ultrasound (basic echocardiography in ED)
Aortic scanning for AAA
DVT ultrasound
Thoracic ultrasound for pleural effusions, pneumothorax, pulmonary oedema
Abdominal scanning for free fluid and organ pathology
Vascular access ultrasound for line placements
Ocular ultrasound
Paediatric ultrasound applications
At the end of training, participants will receive an Advanced EM Ultrasound Certification, validated and signed by FRCEM-qualified consultants.
Assessment & Portfolio:
Assessment is continuous throughout the programme and is designed to reflect consultant-level training standards.
Components include:
Direct Observation of Procedural Skills (DOPS) – logged and validated for all 50 advanced procedures
Mini-CEX (Clinical Evaluation Exercises) – multiple workplace-based assessments
Case-Based Discussions (CBDs) – reflecting senior-level decision-making
ACAT (Acute Care Assessment Tool) – consultant-level acute care evaluations
Multi-Source Feedback (MSF) – incorporating feedback from colleagues, juniors, and supervisors
Teaching Assessments – evaluating delivery of structured teaching to juniors
Reflective Practice Entries – documenting personal and professional growth
Portfolio Authentication – every competency signed and verified by FRCEM consultants
The primary purpose of this programme is to provide advanced, essential emergency medicine knowledge at consultant level for non-trainee/resident doctors who could not join the National Training Programme but have completed full MRCEM through self-directed learning. It is aimed at those who now wish...
