Pre-hospital Emergency Medicine (PHEM) is approved by the GMC as a medical sub-specialty of the existing specialties of Emergency Medicine, Anaesthetics, Acute Internal Medicine and Intensive Care Medicine. GMC approved training programmes in PHEM started to become available in mid 2012.
Although the Faculty of Pre-hospital Care, in initiating the PHEM sub-specialty development process, supports the continued expansion of the range of specialties in which sub-specialty registration in PHEM can be gained, it is anticipated that the work currently underway for other CCT specialties, including General Practice, will take some time to come to fruition.
UK based doctors who are active in PHEM are currently only eligible for PHEM to be added to their entry on the Specialist Register if they hold a Certificate of Completion of Training (CCT) or a Certificate of Eligibility for Specialist Registration (CESR), or historical equivalent, in Emergency Medicine, Anaesthetics, Acute Internal Medicine or Intensive Care Medicine and have undertaken training in PHEM as part of a GMC approved training programme. Given that training programmes have only recently commenced and that there is currently no mechanism for the award of a Certificate of Eligibility for Sub-specialist Recognition, there is, consequentially, no mechanism for doctors who are currently active in PHEM at consultant level to have PHEM sub-specialty accreditation added to their entry on the Specialist Register.
Similarly, experienced non-medically qualified pre-hospital practitioners, particularly from paramedic and nursing backgrounds, are effectively excluded from having their experience and expertise formally recognised as being equivalent to sub-specialist clinical practice.
In recognition of these factors, the Faculty of Pre-hospital Care, in discussion with the Royal College of Surgeons of Edinburgh and the Intercollegiate Board for Training in Pre-hospital Emergency Medicine (IBTPHEM), has developed a process by which appropriately experienced and qualified practitioners from paramedic, nursing and medical backgrounds may undertake the new Fellowship in Immediate Care (FIMC) and, as appropriate, apply for Faculty Accreditation as a Consultant (Level 8) Practitioner in PHEM. Please Note: Faculty Accreditation does not automatically mean that Pre-hospital Emergency Medicine will be added as an approved sub-specialty on the GMC Register. This is a separate application process (see http://www.gmc-uk.org/doctors/SubSpec.asp) that would be supported by Faculty Accreditation.
For up-to-date curriculum and guides related to entry into PHEM training please visit the IBTPHEM website www.ibtphem.org.uk
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