Emergency Medicine Home Page

Welcome to the Emergency Medicine home page for ACCS.

During the two years of the ACCS programme you will normally spend between six and nine months in emergency medicine depending on the deanery in which you are working and year of appointment. During this time all trainees should attend the specific acute medical tutorials and education sessions as required by your deanery. All trainees begining ACCS in 2010 should use the 2010 curriculum documents and relevant assessment requirements.

Emergency Medicine: Curriculum and assessment requirements for ACCS (2010)

ACCS training is described under the headings of 'common competencies', 'major and acute clinical presentations' and 'practical procedures' which cover the syllabus for acute medicine, emergency medicine and ICM. During the acute medicine module of ACCS trainees should cover a range of presentations and areas of the syllabus.

Common Competencies: These are competencies that should be acquired by all doctors during their training period starting within the undergraduate career and developed throughout postgraduate training. For ACCS trainees competence to at least level 2 descriptors will be expected prior to progression into further specialty training.

During the emergency medicine module some of the required assessments are summative (formal assessments that require reassessment if any aspect failed by trainee) while others are formative (non-judgemental educational assessments) - this will be indicated below. The CEM has produced a list of domain descriptors for the summative assessments to give guidence to trainees and assessors.

  • Minimum number of assessments per 6 months: 4 Mini-CEX, 5 DOPs, 3 Cbds, 1 ACAT plus 1 MSF.
  • Major presentations: 2x summative assessments (either summative mini-CEX or CbD) from the following list:

  • Acute presentations: 5x summative assessments (either summative mini-CEX or CbD) covering:

    • Plus: 5x formative assessments (mini-CEX, CbD or ACAT) covering 5 different acute presentations.
    • The College of Emergency Medicine also recommends that a further 10 acute presentations are covered using ACATs, elearning, reflective entries, teaching and audit.
  • Practical procedures: 5x DOPs covering

  • Specific EM summative forms:
Major presentations (2 of 5 summative CEX or CbDs required) Acute presentations (all 5 summative CEX or CbDs required) Practical procedures (all 5 summative DOPs required)
(i) Major trauma   (i) Chest pain   (i) Airway maintenance
(ii) Shock   (ii) Abdominal pain   (ii) Primary survey in trauma
(iii) Altered level of consciousness   (iii) Breathlessness   (iii) Wound management
(iv) Sepsis   (iv) Mental Health   (iv) fracture
(vi) Anaphylaxis   (v) Head injury   (v) joint manipulation;

  • Generic EM assessment forms:
Generic summative mini-CEX Summative CbD form Generic DOPs forms
Generic formative mini-CEX Formative CbD form Generic ACAT-EM form (for up to five clinical presentations)


For EM trainees an ePortfolio needs to be obtained through the CEM website. For non-EM ACCS trainees paper based sections on clinical governance activities, clinical logbook and structured training report etc needs to be completed during the EM attachmet.

The individual forms can be downloaded:

There is also a structured training report that need to be completed by the clinical supervisor at the end of the module for emergency medicine.