The below information ONLY applies to trainees who started the FACEM Training program prior to 2022.
For trainees starting the FACEM Training program from 2022, a Joint PEM training option will be available and information will be made available soon.
Duration: Minimum four years full-time (part-time available)
Structure: Stages 1, 2 and 3
Eligibility
You must be:
- Registered as an Advanced trainee with either ACEM or RACP (the ‘parent College’) for the purpose of undertaking your initial specialist training (concurrent registration with both Colleges is not required), or
- A Fellow of ACEM (FACEM), or
- A Fellow of the Royal Australasian College of Physicians (FRACP).
Curricula
FACEM Trainees undertaking the Joint Paediatric Emergency Medicine (PEM) Training Program are guided and supported in their training by the PEM Advanced Training Curriculum, used in conjunction with ACEM’s Curriculum Framework.
The curricula specify the learning outcomes expected at the completion of each stage of training, building upon the pre-existing knowledge, skills and professional attributes of trainees. Assessment of Joint PEM trainees occurs through In-Training Assessments (ITAs) conducted by the PEM DEMT or Supervisor.
Requirements:
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ACEM Trainee Requirements
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RACP Trainee Requirements |
Stage 1 |
- 12 months Provisional Training in an Adult/Mixed Emergency Medicine
- Pass the Primary Exam
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- 36 months Basic Training
- Pass FRACP Part 1 (written and clinical exams)
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Stage 2 |
- 12 months paediatric medicine
- 18 months1 paediatric emergency medicine
- 6 months Paediatric ICU2
- 12-24 months3 adult EM
- Fulfil Trainee Research Requirement
- Pass Fellowship Exam
On completion of this stage, achieves ACEM Fellowship and a letter confirming completion of Stage 2 training ACEM Pathway.
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- 12 months Adult Emergency Medicine Training
- 18 months1 Paediatric Emergency Medicine Training
- 6 months Paediatric ICU2
- Development & Psychosocial training
- Advanced Paediatric Life Support Course
- Logbook (Adult EM Procedures)
- Research requirement
On completion of this stage, achieves RACP Fellowship and a letter confirming completion of Stage 2 training RACP Pathway.
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Stage 3 |
- 12 months paediatric medicine
- Pass FRACP Part 1 (written and clinical exams)
- Complete Developmental & Pyschosocial requirements including
- 6 months mandatory training and
- RACP research projects
On completion of this stage, receives a Dual Fellowship with ACEM & RACP
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- 12 months adult EM
- Fulfil ACEM Trainee Research Project
- Pass ACEM Fellowship Exam
**The RACP have notified ACEM they will cease the RACP Stage 3 PEM from January 2022.
This will not affect any ACEM trainee receiving their PEM specialisation, however if you had intentions to train with the RACP under stage 3 PEM arrangements please contact the RACP as soon as possible to discuss: [email protected]
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1The 18 months of mandatory paediatric emergency medicine training time may only be undertaken in departments that have specific PEM accreditation and, unlike adult ED training, must be wholly undertaken during Advanced Training.
2PICU sites classified by CICM as either ‘Foundation’ or ‘Limited General Training (G6)’ will not count towards the PICU requirement of the Training Program. Sites must be classified as ‘General Training (Gen)’.
3Dependent upon the amount of adult emergency medicine training a trainee completes during their Provisional Training phase. A minimum of 24 months adult emergency medicine training must be completed to receive FACEM and Stage 2 Letter of Completion.
Assessments:
- Emergency Medicine Workplace-based Assessments
- In-Training Assessments
Training end-point:
There are two potential end-points to specialist training in paediatric emergency medicine:
1. Single Fellowship
Trainees may elect to terminate Joint Paediatric Emergency Medicine training at the end of stage two of the joint program, ie. once they receive Fellowship of their parent College and a letter from the Joint Training Committee stating that they have completed all requirements of the Joint PEM Training Program.
At this point, Fellows may apply to AHPRA for recognition as a Specialist Paediatric Emergency Physician.
2. Dual Fellowship
Trainees who wholly complete stage two of the joint program may also elect to continue with stage three of joint training. Before commencing stage three, it is necessary to register as a trainee with the other College (ACEM or RACP, as appropriate). Completion of all components of stage three will lead to dual fellowship of both ACEM and RACP.
Forms
Complete the relevant enrolment form:
If you are currently training with RACP, or are a FACEM wishing to commence dual Fellowship training requirements in PEM, please contact RACP directly for information about enrolling into the Joint Training Program in Paediatric Emergency Medicine.
Neonatal ICU Towards General Paediatric Medicine
The CJCT-PEM have approved in principle that up to 3m NICU training time may be accredited towards the General Paediatric Medicine component of PEM Training, subject to their review and approval of the training site and learning outcomes of the role.
For the CJCT-PEM to review 3m of your NICU placement for contribution towards the PEM training time requirement of General Paediatric Medicine, please provide the following:
- Confirmation of the NICU site at which you intend to complete this placement.
- A position description for the placement.
- If possible, confirmation of your supervisor for this placement.
- Cover letter on how you intend to address Learning Outcomes.
Joint PEM Trainees are expected to meet the Learning Outcomes as outlined in the Guideline on Certification of Neonatal ICU (NICU) to The General Paediatric Medicine Requirement for Joint PEM.
To request that an additional 3m of NICU training time be considered towards General Paediatric Medicine requirements (6m in total), you will need to submit a Special Consideration request. You should review the Exceptional Circumstances and Special Consideration Policy and if you wish to proceed, submit an application on this form, together with relevant supporting documentation.
It is unlikely that your supporting documentation will be very different to that supplied for your first request, but you may wish to include a letter of support from a relevant supervisor that identifies any specific benefits resulting from an additional 3m in this placement. An application for Special Consideration is subject to a $220 application fee.
For any questions, please contact [email protected].
RACP
e [email protected]
m 145 Macquarie Street, Sydney NSW 2000
t +61 2 8247 6232
If you have any questions, please contact the ACEM Training Team on [email protected] or call +61 (0)3 9320 0444.
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