Placement guidance for Emergency Medicine
Welcome to the Emergency Medicine home page for ACCS.
During the two years of the generic ACCS programme all trainees spend six months in Emergency Medicine (EM) under the supervision of a named clinical supervisor.
Teaching
During their EM placement all trainees should attend any specific Emergency Medicine education sessions locally and/or regionally as well as any regional generic ACCS training days.
Portfolio
All ACCS trainees should use their own parent specialty e-portfolio for all aspects of training during the EM placement including assessment forms and supervisor reports. More information on the e-portfolios can be found in the ACCS Portfolios section of this website here.
Curriculum
All trainees beginning ACCS in 2021 follow the ACCS 2021 curriculum as do all trainees commencing their second year of ACCS training. Trainees appointed in 2020 who are training less than full time or who have had time out of training for sickness, maternity leave etc and who are therefore part-way through one of the four ACCS placements should finish their current placement on the old curriculum before moving across to the 2021 curriculum.
Emergency Medicine: Curriculum and assessment requirements for ACCS (2021)
ACCS training is based around eleven ACCS Learning Outcomes (LOs). The Emergency Medicine placement provides experience and learning opportunities towards the majority of the eight Clinical ACCS LOs and by the end of the EM placement trainees are expected to have reached a minimum level of entrustment for each of the Clinical ACCS LOs as shown below:
ACCS LO1. Care for physiologically stable adult patients presenting to acute care across the full range complexity: 2b
ACCS LO2. Make safe clinical decisions, appropriate to level of experience, knowing when and how to seek effective support: 2a
ACCS LO3. Identify sick adult patients, be able to resuscitate and stabilise and know when it is appropriate to stop: 2a
ACCS LO4. Care for acutely injured patients across the full range of complexity: 2b
ACCS LO5. Deliver key ACCS procedural skills: trainees should demonstrate progress towards reaching the required entrustment level for each of the ten procedures which must be fully completed by the end of ACCS training.
ACCS LO6. Deal with complex and challenging situations in the workplace: 2a
Reference should be made to the ARCP Decision Aid document found in the Resources section of this website here.
Assessment methods
Workplace-based Assessments (WPBAs)
As with all ACCS placements trainees use a range of Workplace-based Assessments (WPBAs) to evidence progress. There is no minimum number required for any ACCS placement, trainees should instead work with their supervisor(s) to ensure they are able to provide sufficient evidence overall to demonstrate their progress and achievements.
Panel-based Judgement: Faculty Educational Governance Statement (FEGS)
In addition, the clinical supervisor issues a formal Panel-based Judgement in the form of a Faculty Educational Governance Statement (FEGS). This is a recommendation about the adequacy of a trainee’s progress during the placement which reflects the collated views of the training faculty in the department following formal meetings to discuss each trainee individually. As well as commenting specifically on the entrustment level for each of the Clinical ACCS LOs relevant to the placement the statement provides comments and recommendations to help plan ongoing training.
Reports
At the end of the EM placement the clinical supervisor completes and end of placement report for each trainee.
Trainees are also expected to demonstrate progress against the three Generic ACCS LOs. This is assessed by their educational supervisor as part of the end of year Educational Supervisor Report (ESR).