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.

Clinical Teaching Course
(for Supervisors)
Contact &
The Emergency Medicine Diploma (EMD) is a 18 month competency-based training program conducted in the workplace under the supervision of an approved EMCD Supervisor.

The 18 month program includes 12 months working in the Emergency Department plus six months in Critical Care. The Critical Care time may be spent in the Emergency Department, Intensive Care Medicine, Anaesthetics or a combination of these.

EMD trainees are required to complete the following six program components:
  • EMD online learning units:
    • Manage complex emergency presentations
    • Participate in advanced clinical support activities
    • Demonstrate advanced professional, legal and ethical practice.
  • Workplace-based assessments:
    • 8 x Mini Clinical Exercises (Mini-CEXs)
    • 9 x Direct Observation of Procedural Skills (DOPS)
    • 4 x Case Based Discussions (CbDs)
    • 1 x Audit
    • Procedural Checklist.
  • Two of the following four workshop options:
    • Advanced Paediatric Life Support (APLS) or Advanced Paediatric Emergency Medicine (APEM)
    • Early Management of Severe Trauma (EMST) or Emergency Trauma Management (ETM)
    • Advanced Complex Medical Emergencies (ACME)
    • Effective Management of Anaesthetic Crisis (EMAC).
  • 12 written ED case reflections
  • Statement of attainment submitted by the supervisor
  • Online EMD MCQ exam.
The EMD online learning units enable trainees to work at their own pace and include:
UNIT 1:  Manage complex emergency presentations.
  • 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 and toxinological emergencies
  • Newly born baby
  • Ill infant
  • Injured infant or child
UNIT 2:  Participate in advanced clinical support activities.
  • Quality assurance and improvement
  • Public health issues
  • Disaster management
  • Emergency health care in rural and remote context
  • Indigenous health issues
  • Emergency retrieval and transportation
  • Referral and transfer
UNIT 3:  Demonstrate advanced professional, legal and ethical practice.
  • 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

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 EMD.
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.
ePortfolio Written ED case reflections 12 x written ED case reflections. Used throughout training program as evidence of achievement of learning outcomes and to enable trainees 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.
Statement of attainment Overall competence in the clinical setting Statement of attainment to be completed by Primary supervisor to confirm trainees 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 prerequisites?
To be eligible to enrol in the Emergency Medicine Diploma (EMD) program prospective trainees must:
  • Hold a medical degree and be registered to practise medicine in a state or territory of Australia or New Zealand, or another country deemed appropriate by the Non-Specialist Training Committee (NSTC)
  • Be in post graduate year three or above
  • Be working under the supervision of an approved EMCD Supervisor
  • Be working at least 0.5 FTE in an emergency department at an approved training site
  • Have completed the ACEM Emergency Medicine Certificate (EMC), or the RACGP Advanced Rural Skills Training (ARST) in EM, or the ACRRM Advanced Specialised Training (AST) in EM.
There is an EMC Fast Track Pathway for trainees who have a minimum of seven years experience at 0.5 FTE (or above) working in an emergency department. Each application will be assessed by the NSTC on a case-by-case basis. For further information please contact ACEM at [email protected].

Who is an approved EMCD supervisor?
An approved EMCD supervisor is:
  • a Fellow of the Australasian College for Emergency Medicine (FACEM); or
  • co-supervision by a currently certified Diplomate of the Australasian College for Emergency Medicine (Dip EM (ACEM)) and a FACEM
who has satisfactorily completed the ACEM Clinical Teaching Course.

What is an approved training site?
An approved training site is an emergency department with one full time equivalent FACEM, at least one of whom is an approved EMCD supervisor.

The list of approved training sites can be found on our website. Please contact the College at [email protected] if a hospital name is not included on the list.

What are the program fees?
The cost of undertaking the EMD program 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.

Who can supervise me?
A minimum of 30% of the trainee’s workplace practice must be under the direct supervision of an approved EMCD supervisor(s) and/or FACEM.

An approved EMCD supervisor must sign the EMD enrolment form as the primary EMD supervisor.

How do I enrol?
Download or print an EMD enrolment form.

For further enquiries please contact the College on +61 3 9320 0444 or [email protected]

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

How long do I have to complete the EMD?
All trainees are required to complete the EMD within a five year timeframe.

Can I complete the time in separate ED terms?
With the prior approval of the College, training may be undertaken in blocks of not less than six (6) FTE weeks.

Can I have any of my previous time working in the emergency department recognised for the EMD?
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 emergency department time must be completed from the date of enrolment in the program.

Can I apply for RPL?
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 [email protected]

Emergency skills workshops (i.e. APLS, APEM, ETM, EMST, ACME, EMAC) which have been completed and are still current on the date of enrolment will be accepted.

Is support available?
Telephone and email support is available. Please contact the College on +61 3 9320 0444 or [email protected]

Clinical Teaching Course (for Supervisors)

The Clinical Teaching Course is a requirement for FACEMs and ACEM Diplomates to become an approved EMCD 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.