Emergency Medicine Advanced Diploma

Depending on which set of eligibility criteria you meet at the time of application, you will have to complete either the EMAD, EMD and EMC training and assessment requirements, the EMAD and EMD training and assessment requirements or the EMAD training and assessment requirements only.

Entry Pathway 1
If at the time of application you meet the following assessment requirements you are required to complete the EMAD, EMD and EMC training and assessment requirements.

• Hold general registration with the Medical Board of Australia (MBA); or
• Hold general scope registration with the Medical Council of New Zealand (MCNZ); and
• Be in your third or subsequent postgraduate year; and
• Not be enrolled in the FACEM Specialist Training Program, EMC or EMD Training Programs, or the ACEM Specialist IMG Program.

Entry Pathway 2
If at the time of application you meet the following assessment requirements you are only required to complete the EMD and EMAD training and assessment requirements.

• Hold general registration with the Medical Board of Australia (MBA); or
• Hold general scope registration with the Medical Council of New Zealand (MCNZ); and
• Not be enrolled in the FACEM Specialist Training Program, EMC or EMD Training Programs, or the ACEM Specialist IMG Program

And meet at least one of the following:

• Be in your third or subsequent post graduate year and have successfully completed the ACEM Emergency Medicine Certificate (EMC); or
• Are a Fellow of the Royal Australian College of General Practitioners (RACGP)*
• Are a Fellow of the Royal New Zealand College of General Practitioners (RNZCGP)*
• Are a Fellow of the Australian College of Rural and Remote Medicine (ACRRM)*
• Are a Fellow of the Division of Rural Hospital Medicine of New Zealand (DRHMNZ)*
• Are a Fellow of the Royal New Zealand College of Urgent Care (RNZCUC)*
• Within the last five years, have worked at least two (2) FTE years in an Emergency Department of which at least three (3) months was undertaken in Australia or New Zealand *

*Applicants with these qualifications or experience must submit a Direct Entry Application form for Entry Pathway 2 into the EMAD, including all required documentation as detailed on the form, and be approved by ACEM prior to submitting their online enrolment form for the EMAD

Entry Pathway 3
If at the time of application you meet the following assessment requirements you are only required to complete the EMAD training and assessment requirements.

• Hold general registration with the Medical Board of Australia (MBA); or
• Hold general scope registration with the Medical Council of New Zealand (MCNZ); and
• Not be enrolled in the FACEM Specialist Training Program, EMC or EMD Training Programs, or the ACEM Specialist IMG Program

And meet the following:

• Have successfully completed the ACEM Emergency Medicine Diploma (EMD); or
• Within the last five years, have worked at least two (2) FTE years in an Emergency Department of which at least three (3) months was undertaken in Australia or New Zealand*; and
• Are a Fellow of the Royal Australian College of General Practitioners (RACGP)*; or
• Are a Fellow of the Royal New Zealand College of General Practitioners (RNZCGP)*; or
• Are a Fellow of the Australian College of Rural and Remote Medicine (ACRRM)*; and
• have successfully completed the RACGP Advanced Rural Skills Training (ARST) in Emergency Medicine*; or
• have successfully completed the ACRRM Advanced Specialised Training (AST) in Emergency Medicine*. 

*Applicants with these qualifications or experience must submit a Direct Entry Application form for Entry Pathway 3 into the EMAD, including all required documentation as detailed on the form, and be approved by ACEM prior to submitting their online enrolment form for the EMAD.

Apply now by completing the EMAD Enrolment Form.

Training Requirements	Entry Pathway 1 EMAD, EMD and EMC Training and Assessment Requirements	Entry Pathway 2 EMAD and EMD Training and Assessment Requirements	Entry Pathway 3 EMAD Training and Assessment Requirements
Training Time Requirements	18 months ED	12 Months ED	6 Months ED
Meetings with Primary Supervisor	Start of Placement and Reflection Meetings	Start of Placement and Reflection Meetings	Start of Placement and Reflection Meetings
Workplace Based Assessment Requirements	13 Mini-CEX 14 DOPS 4 CbD 1 DOCS EMC Procedural Checklist EMD Procedural Checklist EMAD Procedural Checklist 2 Clinical Lead Shift Reports 1 Quality Assurance Improvement Activity	8 Mini-CEX 8 DOPS 2 CbD 1 DOCS EMD Procedural Checklist EMAD Procedural Checklist 2 Clinical Lead Shift Reports 1 Quality Improvement Activity	3 Mini-CEX 3 DOPS 1 DOCS EMAD Procedural Checklist 2 Clinical Lead Shift Reports 1 Quality Improvement Activity
Workshops/Courses	ALS2 or NZ equivalent APLS EMST or ETM Ultrasound ACEM Clinical Supervision Course	APLS EMST or ETM Ultrasound ACEM Clinical Supervision Course	Ultrasound ACEM Clinical Supervision Course
Online Modules	Indigenous Health & Cultural Competency
Supervision Requirements	Primary Supervisor (EMCD Supervisor) 30% of clinical time under the direct supervision of an ACEM Clinical Supervisor. 320 hours working in a multi-FACEM site
Training Site Requirements	1 FTE FACEM, one of whom is an EMCD Supervisor.
Online Examination	EMC Online Multiple Choice Questions exam EMD Online Multiple Choice Questions exam EMAD Online Multiple Choice Questions exam	EMD Online Multiple Choice Questions exam EMAD Online Multiple Choice Questions exam	EMAD Online Multiple Choice Questions exam
Timeframe	All program components must be completed within six years from your enrolment date.	All program components must be completed within four years from your enrolment date.	All program components must be completed within two years from your enrolment date.

The required supervised ED training is undertaken in an ED that meets the staffing requirements of the program, with a Primary Supervisor overseeing and guiding your training.

Training can be undertaken full time (38 hours per week) or part time at a minimum of 0.5 FTE hours per week (19 hours per week). You can complete training in blocks of a minimum of six FTE weeks at a time, however you must be able to complete the ED training time requirements within the applicable program time limit.

Training can commence on any day as ACEM does not have intakes at specified times of the year. ACEM does not back date your start date for any ED time completed previously, so please ensure that your application reaches us before or on the date that your ED placement starts.

Guidance on Dual Training
Should a trainee decide that they wish to undertake another specialty training program at the same time as their ACEM EMCD Training Program, it is their responsibility to ensure that they are able to maintain and meet all regulations and requirements of the EMCD Training program.

Training can be completed at emergency departments that have one FTE Fellow of ACEM (FACEM), with at least one FACEM an EMCD Supervisor.

ACEM doesn’t organise training placements for trainees, this is something you must organise before you commence the program.

Download the approved EMAD Training and Multi-FACEM Training Sites list.

Every trainee must have a Primary Supervisor who has oversight of your trainee progression through the program. Each trainee must select their own Primary Supervisor who is a Fellow of ACEM (FACEM).

Primary Supervisors must have completed the ACEM Clinical Supervision Online Modules and the EMCD Supervisor Workshop and be working at least 0.5 FTE at the same site or health service as the trainee.

Your emergency medicine training must include 30% of direct supervision by an ACEM Clinical Supervisor.

An ACEM Clinical Supervisor can be:

• a FACEM, or
• ACEM Advanced Diplomate who has completed the ACEM Clinical Supervision Online Modules and the EMCD Supervisor Workshop.

Meetings
You will be required to complete a Start of Placement meeting with your Primary Supervisor, to establish learning intentions and goals for training.

You will be required to complete Reflection Meetings every three calendar months with your Primary Supervisor to reflect on training, learning and performance, and to gain formative feedback and establish further learning goals.

Workplace-Based Assessments (WBAs)
WBAs involve short periods of observation and/or discussion with a trainee in clinical practice, followed by structured feedback to the trainee and an assessment of the trainee's performance.

You are required to complete the following WBAs in the revised EMAD Training Program:

• Three x Mini-Clinical Evaluation Exercises (Mini-CEXs) 
• Three x Direct Observation of Procedural Skills (DOPS) 
• One x Direct Observation of Communications Skills 
• One Procedural Checklist.
• Two x Clinical Lead Shift Reports
• One Quality Improvement Activity

There are prescribed patient types and presentations required for each Mini-CEX, DOPS and DOCS. See the Curriculum or Trainee Handbook for more detailed information.

Emergency Skills Workshop
You will be required to complete an Ultrasound course and the ACEM Clinical Supervisor Course.

Online Modules​
You will be required to complete ACEMs Indigenous Health and Cultural Competency Online Modules.

Assessment Forms and Instructions 
Start of Placement Meeting
Reflection Meetings
Mini-Clinical Evaluation Exercises (Mini-CEXs)
Direct Observation of Procedural Skills (DOPS)
Direct Observation of Communications Skills
Case-based Discussions (CbDs)
EMC Procedural Checklist
EMD Procedural Checklist
EMAD Procedural Checklist
Clinical Lead Shift Report
Audit
Morbidity and Mortality Meeting
Clinical Pathway, Guideline, Policy Update or Development
Ultrasound course requirements
Approved Assessor Matrix

Online MCQ Examination​
The EMAD MCQ exam is completed online at your hospital under supervision. It is 60 minutes in duration and consists of 50 multiple choice questions based on the revised EMAD Training Program Curriculum.

The EMAD Training Program and the Entry Pathway that you are enrolled in will determine the examination(s) you are required to sit.

The examinations will be held on the following dates at 12pm Melbourne Time:

EMC:

• Friday June 23 2023 – Closing date: 2 June 2023
• Friday September 8 2023 – Closing date: 18 August 2023

EMD:

• Friday July 21 2023 – Closing date: 30 June 2023
• Friday October 20 2023 – Closing date: 29 September 2023

EMAD:

• Friday June 9 2023 – Closing date: 19 May 2023
• Friday August 18 2023 – Closing date: 28 July 2023
• Friday November 10 2023 – Closing date: 20 October 2023

To Register for an Examination:

• Check your eligibility to sit an examination by reviewing the Examination section of the Training Handbook.

Complete and submit the Online Examination Registration form prior to the examination closing date. Applications received after the closing date will not be accepted and the trainee will need to register for the next examination.

To Withdraw from an Examination:
If you wish to withdraw from an Emergency Medicine Certificate examination, please complete and submit the Examination Withdrawal Form.

Preparing for Examinations
To assist trainees with preparing for the examination, review the following information:

• Studying for Examinations Guide
• Examinations Operational Guide
• Examinations Standard Setting and Results
• EMCDAD Curriculum
• Training Handbook

Please complete the Notification of Completion form once you have completed all your training time and assessment requirements, and the information has been entered onto your Assessment Summary Site.

Once you have submitted the Notification of Completion form the EMCD Team will contact you to finalise your Program, sending you a Letter of Completion. Certificates of Completion will usually be issued within two to three months of completing your program.

Withdrawal Form

To formally withdraw from the EMCD Training Programs, please complete the online notification of withdrawal. It is also recommended that you review the College’s Policy on Former EMC, EMD and EMAD Trainees Re-entering the EMC, EMD and EMAD Training Programs prior to making any decision.

The Curriculum outlines the training and assessment requirements and learning objectives.

The EMAD online learning modules are a series of audio, video, graphics, animation and online quizzes. Although not a compulsory element of the new EMAD Training Program, they provide up to date information, links and resources that support your learning throughout the program and are highly recommended.

Regulation D: EMC, EMD and EMAD Training Programs

These regulations should be read in conjunction with all relevant College policies and guidelines and the Training Handbook.

The Training Handbook outlines your training and assessment requirements, how to complete them, where to find more information and who to contact.

Full details of the applicable fees can be found on our Fees and Payments page.

If you have any further questions, please contact the ACEM EM Certificate and Diploma team at;
 
Ph: 61 3 8679 8872
Email: [email protected]