| Revised Program Training Requirement |
Details of how this variation affects your training |
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TS2 - 12M Core ED
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Time already completed in Early Phase will be credited.
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TS2 WBAs
4 x CBD
4 x Mini-CEX
2 x Comms Skills
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Any CBDs or Mini-CEX already completed in Early Phase training will carry over if equivalent to TS2 requirements.
All Comms Skills WBAs will be credited and do not require completion.
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TS4 – Elective
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If the trainee is transitioned to TS2 and no Discretionary time has been completed, the TS4 Elective is required, and TS4 site and other requirements will apply to the TS4 elective.
If the trainee has partially or fully completed Discretionary time, this will be credited to the Training Stage 4 Elective requirement.
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Critical Care - Adult ICU Only
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If the trainee has completed the Critical Care requirement, they receive full credit for this even if it was completed in a Paediatric ICU.
Trainees who have partially completed this requirement will receive partial credit.
If the Critical Care Requirement has not been started it will be required as per Regulation G.
Moving forward all training to meet the critical care training requirement that is completed in an ICU must be completed in Adult ICU only.
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Non-ED placement
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Not required to progress to TS4 and can be completed at any stage prior to Fellowship.
Credit may apply if completed fully or partially.
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Online Modules: ACEM Core Values
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All transitioned trainees must complete the ACEM Core Values module to be eligible for Fellowship.
Trainees who have completed the ACEM Core Values module prior to the transition will have this credited towards this requirement.
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Paediatric Emergency Requirement (PER)
PER WBAs
3 x Mini-CEX
3 x CbD
2 x DOPS
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If the paediatric requirement has been completed, then full credit is given.
If the paediatric requirement has not been started, then Regulation G applies, and this requirement can be completed up until Fellowship regardless of which Training Stage the trainee is transitioned.
The trainee does not need to complete the PER to sit the OSCE examination.
If paediatric requirement is partially completed, then the Paediatric Logbook will be required with cases completed to date credited, but the Portfolio DEMT Comment will not be required.
Moving forward all remaining paediatric cases must be in an ED accredited for the PER only.
PER WBAs are required, with the number of PER WBAs dependent on the number of cases that are still to be completed at the point of transition:
- 0 - 49 cases to complete = 1 PER WBA ED only
- 50 – 99 cases to complete = 2 PER WBAs ED only
- 100 - 149 cases to complete = 3 PER WBAs ED only
- 150 – 199 cases to complete = 4 PER WBAs ED only
- 200 – 249 cases to complete = 5 PER WBAs ED only
- 250 – 299 cases to complete = 6 PER WBAs ED only
- 300 – 349 cases to complete = 7 PER WBAs ED only
- 350-400 cases to complete = 8 PER-WBAs ED only
PER-WBA Composition to be confirmed prior to transition.
There are no age requirements (i.e., 200 cases less than 5 years and 200 cases 5 – 15 years) for transitioned trainees, however the 100 triage 1, 2, 3 (Regulation B requirement) will apply to all.
If a 3 month Paediatric-ED placement has been completed prior to transition, then only 200 cases will be required for the logbook.
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Procedural Requirement (Core DOPs) as per Reg G
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If transitioned to TS2, Regulation G applies (all 12 DOPs are required).
All core DOPs successfully completed prior to transition will be carried over.
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TS2/3 Combined Time Limit of 8 calendar years
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No time limit on TS2 and TS3.
All transitioned trainees have up to their remaining 12-year limit to complete their training.
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Major Referral*
6 Month Adult/Mixed ED
Public ED
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Trainees who have completed 6 months Major Referral, even if in a Paediatric or Private ED, will be credited the full requirement.
Trainees who have partially completed this requirement will receive partial credit.
If the Major Referral Requirement has not been started it will be required as per Regulation G.
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Non-Major Referral*
12 Month Adult/Mixed ED
Public ED
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All transitioned trainees will be credited 6 months Non-Major referral. This means that only 6 months is required in a Non-Major Referral in Adult/Mixed Public ED.
Trainees who have completed 6 months of Non-Major Referral at the time of transition, even if in a Paediatric or Private ED, will be credited the full requirement.
Trainees who have partially completed this requirement will receive partial credit.
If the Non-Major Referral Requirement has not been started it will be required as per Regulation G (with 6 months credit applied).
*Any Major Referral/Non-Major Referral time completed as part of the core ED of Advanced Training prior to transition will be considered for credit towards this requirement.
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Minimum 18 Months in Adult/Mixed ED
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All transitioned trainees will be credited 6 months Adult/Mixed ED. This means that only 12 months is required in an Adult/Mixed ED.
Trainees who have already completed 12 months of Adult/Mixed ED at the time of transition will be credited the full requirement.
Trainees who have partially completed this requirement will receive partial credit.
If the Adult/Mixed ED Requirement has not been started it will be required as per Regulation G (with 6 months credit applied).
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Private ED Time Limit
- 12-month single site
- 18-months total
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Regulation G applies moving forward.
Previous time spent (prior to transition) in Private ED does not count towards Regulation G limits.
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Paediatric ED Time Limit
- 12-month single site
- 18-months total
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Regulation G applies moving forward.
Previous time spent (prior to transition) in Paediatric ED does not count towards Regulation G limits.
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