Emergency Medicine Diploma

The Emergency Medicine Diploma (EMD) is aimed at providing doctors working in Emergency Departments with adequate knowledge and sufficient clinical experience to be safe, efficient practitioners. The course benefits Career Medical Officers, Junior Medical Officers and Visiting Medical Officers/General Practitioners.

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The Emergency Medicine Diploma (EMD) is an 18 month competency-based training program that is conducted in the workplace. Candidates are required to work 12 months in an emergency department under the supervision of an approved ACEM Supervisor. As part of the course candidates will be expected to undertake six months in an anaesthetics term or three months in anaesthetics and three months in ICU terms.

The EMD course consists of six components:
  • Completion of online learning modules which include ongoing self-assessments
  • Workplace-based assessments
  • Certification in ELS and one of EMST, ACME, EMAC, APLS, APEM or ETM
  • Submission of twelve written reflections of ED cases via the ACEM e-portfolio
  • End of course report submitted by the supervisor
  • Online EMD MCQ exam
Candidates are required to complete all online learning materials which include ongoing assessments.  The online learning materials consist of three units:
  • Managing complex emergency presentations
  • Participating in advanced clinical support activities
  • Demonstrating advanced professional, legal and ethical practice
Candidates are required to complete a number of workplace-based assessments including:
  • 8 x Mini-CEX encounters (Mini Clinical Exercise)
  • 9 x DOPS encounters (Direct Observation of Procedural Skills)
  • 4 x CbD (Case Based Discussion)
  • 1 x  Audit
  • Procedural Checklist
Other requirements include the successful completion of:
  • Emergency  Life Support (ELS) and one of EMST, ACME, EMAC, APLS, APEM or ETM
  • Twelve written reflections on separate emergency department cases.  Reflections will be submitted online through the ACEM e-portfolio.
  • A final online MCQ examination and an end of course report by the supervisor conclude the assessment for this course. 
The EMD course is an 18 month (Full Time) training program.  18 months is the time required to demonstrate the required level of competence in the identified units. Candidates are required to complete the EMD by the end of a five-year timeframe.

The online learning units are designed to promote self-directed learning enabling candidates to work through at their own pace.  Candidates are required to complete all online learning modules. The online learning outcomes consist of the following:

UNIT 1:  To be able to manage complex emergency presentations in:
  • Difficult Airway
  • Complex Breathing Difficulties
  • Cardiac Emergencies
  • Haemodynamic Emergencies
  • Complex Trauma Emergencies
  • Neurological Emergencies
  • Complex Burns
  • Complex Wounds
  • ENT Emergencies
  • Ophthalmological Emergencies
  • Environmental Emergencies
  • Infectious Diseases
  • Metabolic and Endocrine Emergencies
  •  Musculoskeletal Emergencies
  • Obstetric and Gynaecological Emergencies
  • Advanced Pain Relief
  • Complex Psychiatric Emergencies
  • Complex Toxicological Emergencies
  • Newly Born Baby
  • Ill Infant
  •  Injured Infant or Child
UNIT 2:  To be able to participate in advanced clinical support activities including:
  • Quality Assurance and Improvement
  • Public Health Issues
  • Disaster Management
  • Emergency Health Care in Rural and Remote Context
  • Australia Indigenous Health Issues and New Zealand Indigenous Health issue.
  • Emergency Retrieval and Transportation
  • Referral and Transfer
UNIT 3:  To be able to demonstrate advanced professional, legal and ethical practice in:
  • Professional and Ethical Behaviour
  • Legal practice and Forensic Medicine
  • Leadership and Management Skills
  • Prioritisation and Decision-making Skills
  • Evidence-based Approach to Medicine
  • Advanced Communication Skills
  • Supervision and Teaching
The Emergency Medicine Diploma Brochure provides a summary of the course and FAQs

Enrolment form and course fees

Download an EMD enrolment form and forward completed application by post, fax or email to ACEM:

34 Jeffcott St, West Melbourne, VIC, 3003.
Fax (03) 9320 0400
EMCEMD@acem.org.au

For further enquiries please contact the College on +61 3 9320 0444 or EMCEMD@acem.org.au

The cost of the EMD course is AUD $5,895.00 for applicants in Australia and AUD $5,355.00 for applicants in New Zealand.

Current candidates can log in here

Hospitals with approved EMD Supervisors

Download the approved hospitals list. Please contact the College at EMCEMD@acem.org.au if a hospital name is not included on the list.

It is possible for candidates to complete the Diploma at a Non-approved site provided certain conditions are met. Please refer to the course Handbook.

EMD Assessment

The Curriculum Document includes information about the EMD assessments.

The following table gives a snapshot of the tools, methodology and assessment used in the EM.
 
Emergency Medicine Diploma
Mini-CEX (Mini-Clinical Evaluation Exercise) History taking, examination, diagnosis and management 8 x 15-20 minute Mini-Clinical evaluation exercises observed by supervisor
Procedural Checklist
Direct Observation of Procedural Skills (DOPS)
Ability to safely and appropriately carry out procedures Supervisor to complete checklist of procedures observed.
9 x DOPS forms to be completed for highlighted procedures.
e-portfolio Reflection on ED cases 12 x Reflective Journal Entries. Used throughout training program as evidence of achievement of learning outcomes and to enable candidates to reflect on their clinical practice.
Case Based Discussion (CbD) Analysis of event, situation or problem 4 x CbD with supervisor (including 1200 word written report)
Audit Analysis of current department practice 1 x 1200 word report
On-line assessment Knowledge of key topic areas On-line quizzes applied at the end of each online module.  Self-assessment formative.
End of Course Report Overall competence in the clinical setting Report to be completed by Primary supervisor to confirm candidates overall results and readiness to sit the MCQ exam.
MCQ Examination Knowledge of key topic areas 1  hour online MCQ under supervision
 
The EMD Program is governed by Regulation D2.

Are there any pre-requisites?
To be eligible for the EMD course candidates must:
  • hold a basic medical degree and be registered to practise medicine in a state or territory of Australia or New Zealand or another country deemed to be appropriate by Non Specialist Training Committee (NSTC)
  • be at a minimum PGY 3
  • be under the supervision of an Approved ACEM Supervisor (i.e. a FACEM, or EM Diploma graduate, who has completed the Clinical Teaching Course)
  • be working in an emergency department which is an “Approved” or “Non-approved” training site, provided certain conditions are met (see below)
  • hold ACEM Emergency Medicine Certificate (EMC) or
  • hold RACGP Advanced Rural Skills Programme in EM or
  • hold ACRRM Advanced Skills training in EM.
There is an EMC Fast Track Pathway for candidates who have 7 years’ experience or more at 0.5 or more FTE working in an emergency department and whom wish to enter the Diploma. Each application will be assessed by the NST Committee on a case-by-case basis. For further information please contact ACEM at EMCEMD@acem.org.au

What is an “Approved” training site?
An “Approved” training site is an emergency department with one full time equivalent FACEM.

Is it possible to complete the Diploma at a “Non-approved site”?
Yes, it is possible for candidates to complete the Diploma at a non-approved site provided certain conditions are met. Applicants must complete additional documentation to show how they will receive at least 30% direct ACEM approved supervision at the non-approved site and how they will spend a minimum of 320 hours working at an approved multi-FACEM (at least 2.5 FTE FACEMs) site. For further information please contact ACEM at EMCEMD@acem.org.au

Can I have any of my previous time working in the emergency department recognised for the Diploma?
No. Previous time spent working in the emergency department cannot be recognised for the EMD.

The EMD is a workplace-based qualification that assesses current competency, therefore the twelve months ED rotation must be completed under the supervision of an approved ACEM supervisor.

Can I apply for RPL?
A candidate can apply for the Recognition of Prior Learning (RPL) for any of the emergency skills workshops i.e. ELS, EMST, ACME, EMAC, APLS, APEM or ETM providing the qualifications are current or have been successfully completed within the last 5 years.
RPL may be granted for previous completion of six months in an anaesthetics term or three months in anaesthetics and three months in ICU terms. To apply for RPL please contact EMCEMD@acem.org.au

What are the course fees?
The cost of undertaking the EMD course is AUD $5,895.00 for applicants in Australia and AUD $5,355.00 for applicants in New Zealand.
Please note fees are subject to change.  Please refer to the enrolment form for the current fee.

How do I enrol?
Download or print an EMD enrolment form from the Course Administration tab. For further enquiries please contact the College on +61 3 9320 0444 or EMCEMD@acem.org.au

Can I apply if I am working part time?
It is a requirement that a candidate be working at least 0.5 in an emergency department to be eligible to apply. Part time candidates will be required to complete the time requirement pro-rata. For example, a candidate working 0.5 FTE will be required to spend 36 months in the program. All candidates will be required to complete the EMD by the end of a five year timeframe.

Who is an approved ACEM supervisor?
An approved ACEM supervisor is a FACEM, or EM Diploma graduate, who has completed the ACEM Clinical Teaching Course. 

Who can supervise me?
A minimum of 30% of the candidate’s workplace practice must be under the direct supervision of an approved ACEM supervisor.
Candidates are required to identify a willing supervisor before enrolling in the EMD course.
In the case where an EM Diploma graduate is supervising a Diploma candidate, there is a requirement that a FACEM (who is an approved ACEM supervisor) be involved in the supervision of the candidate as a co-supervisor as per the requirements of the Non-Specialist Training Committee (NSTC).

How do I access the online learning materials?
Once payment of the course fee has been received, candidates will be issued with login details and instructions on how to access the ACEM e-Learning site and the online EMD Course.

What is an e-portfolio?
The ACEM e-portfolio is an online area which provides candidates with a personal space to write reflective journal entries about cases encountered during the EMD course. Supervisors will view candidate's entries and comment where necessary.

When can I sit the EMD exam?
Candidates can take the EMD exam after the successful completion of ten months of supervised practice, providing all the online assessments, workplace-based assessments, and two of the relevant workshops have been completed. The exam must be sat on the day scheduled by the College and under supervision.

Can anyone else assess my performance in the workplace?
Any approved ACEM supervisor may undertake the workplace-based assessment of a candidate with approval from the primary supervisor. The end of course report and reflective journal entries however must be assessed by the primary supervisor. The Mini-CEX and DOPS can be assessed by a FACEM who is not an approved ACEM supervisor provided the hard copy of each assessment is handed to the primary supervisor for approval prior to upload. With approval from the primary supervisor, the procedural checklist can be signed off by any approved ACEM supervisor, any other FACEM, or any specialist from a relevant area.

Do I have to pass all the assessment tasks?
Candidates are expected to achieve competence in all the areas listed within the curriculum.

What if I fail the final EMD examination?
Candidates who are unsuccessful in the EMD examination will receive an EMD examination report outlining areas in need of improvement.  Unsuccessful EMD exam candidates will be required to register for the next scheduled EMD examination and pay an administration fee of $500.

Is support available?
Yes.  Telephone and email support is available. Please contact the College on +61 3 9320 0444 or EMCEMD@acem.org.au

Clinical Teaching Course (for Supervisors)

The Clinical Teaching Course is a requirement for those wanting to become an Approved ACEM Supervisor for the Emergency Medicine Certificate and Diploma.
 
The course has two components:
  • Clinical Teaching Workshop - a one day face to face workshop
  • Clinical Teaching Online Modules - an online course
The course information brochure including upcoming workshop dates is available here.

Please contact the College on +61 3 9320 0444 or EMCEMD@acem.org.au


Current candidates can log in here