Curriculum Map

All #EM3 content is mapped to the relevant RCEM curriculum competences. Click through each link to review associated blog posts. (N.B. most articles will cover multiple competencies)

Common Competencies

To progressively develop the ability to obtain a relevant focused history from increasingly complex patients and challenging circumstances. To record accurately and synthesise history with clinical examination and formulation of management plan according to likely clinical evolution.


Clinical Presentations

Patients seek medical assessment and treatment in the Emergency Department with a problem and not necessarily a diagnosis. The curriculum has therefore been arranged around defined presenting problems. These have been divided between major presentations and acute presentations. The major presentations include presentations of immediately life-threatening problems and other severe and urgent conditions, as well as other less serious problems. The ‘acute presentations’ may also include serious causes for the presentation. Workplace Based Assessments of the major presentations should be undertaken by a Consultant.

Major Presentations: Core Training (Years 1-2)

CMP1: Anaphylaxis
CMP2: Cardio-Respiratory Arrest
CMP3: Major Trauma
CMP4: Septic Patient
CMP5: Shocked Patient
CMP6: Unconscious Patient

Acute Presentations: Core Training (Years 1-2)

CAP1: Abdominal Pain including loin pain
CAP2: Abdominal Swelling, Mass & Constipation
CAP3: Acute Back Pain
CAP4: Aggressive/disturbed behaviour
CAP5: Blackout/Collapse
CAP6: Breathlessness
CAP7: Chest Pain
CAP8: Confusion, Acute/Delirium
CAP9: Cough
CAP10: Cyanosis
CAP11: Diarrhoea
CAP12: Dizziness and Vertigo
CAP13: Falls
CAP14: Fever
CAP15: Fits/Seizure
CAP16: Haematemesis & Melaena
CAP17: Headache
CAP18: Head Injury
CAP19: Jaundice


Additional Adult Acute Presentations (ST3/CT3)

The competences associated with the following presentations should be achieved during the ST3/CT3 year. The specific details of the required knowledge, skills and behaviours are set out in this section.

 

C3AP3: ABGs – Interpretation of abnormal blood gas results in the Emergency Department
C3AP4: Abnormal blood glucose
C3AP5: Dysuria
C3AP6: Emergency airway care (CT3 and covers HST)
C3AP7: Needlestick injury
C3AP8: Testicular pain
C3AP9: Urinary retention

 

Paediatric Emergency Medicine Curriculum (ST3, CT3 & ST4-6)

Below is a list of presenting complaints that the EM trainee will need to know how to assess and manage. These are divided into paediatric major presentations (PMP1-6), for which assessment will be mandatory and must be completed by the end of ST3/CT3. Competences of PMP may be achieved by successful completion of an Advanced Paediatric Life Support (APLS), European Paediatric Life Support (EPLS) course or a course with equivalent curricula coverage and assessments, approved by the RCEM. Mandatory assessment for the following paediatric acute presentations (PAPs) fever, abdominal pain, breathlessness, and pain, which is also required by the end of ST3/CT3.


HST Major and Acute Presentations (ST4-6)

Trainees will be able to look after sicker patients with increasing confidence, using investigations more selectively and with more accurate interpretation. Trainees will develop more detailed differential diagnoses focusing on the life-threatening as well as the most probable diagnosis. Trainees will supervise others, being supportive but also able to detect when greater input is needed by them to ensure the safe care of the patient.