Joint Training PEM

Paediatrics trainingPaediatric Emergency Medicine (PEM) subspecialty training is available to trainees from the following participating Colleges:
  • Australasian College for Emergency Medicine (ACEM)
  • Royal Australasian College of Physicians (RACP)
This Joint Training Program in paediatric emergency medicine (PEM) is administered by a Joint Training Committee consisting of both ACEM and RACP members. The committee is chaired alternately by an ACEM member and a RACP member.
 
ACEM provides governance of those components which determine the ACEM qualification and the RACP those components that determine the RACP qualification.

Registration Requirement

Those seeking to undertake paediatric emergency medicine subspecialty training need to a registered and financial Advanced Trainee of either ACEM or RACP (their ‘parent College’).

Enrolment in the Joint Training Program in paediatric emergency medicine is limited to those who:
  1. are registered as a trainee with either ACEM or RACP (the ‘parent College’) for the purpose of undertaking their initial specialist training (concurrent registration with both Colleges is not required), and
  2. are an Advanced Trainee with their 'parent College'.
Eligible candidates should submit their application for enrolment in the Joint Training Program to their 'parent College'. The timing of enrolment is at the discretion of the trainee, but early enrolment is encouraged to help ensure that appropriate training is pursued.

To apply for the Joint Training Program in PEM, please complete the following form: PEM Enrolment Joint Training Program.
 

Program Structure

The table below illustrates the elements which must be undertaken in order to complete Joint Fellowship in optimum time. It describes the training required for the purposes of obtaining Joint Training Committee certification, and how the requirements of the Joint Training Program and the standard training program of the ‘parent’ College can be harmonised.
 
  ACEM Trainee Requirements RACP Trainees Requirements
Stage 1
  • 12 months Provisional Training and
  • Pass the ACEM Primary Exam
  • 36 months Basic Training and
  • Pass FRACP Part 1 (written and clinical exams)
Stage 2
 
 
  • 12 months paediatric medicine and
  • 18 months paediatric emergency medicine and either
    • 6 months paediatric ICU or
    • 3 months paediatric ICU and 3 months neonatal ICU
  • 12-24 months adult EM and
  • Fulfil Trainee Research Requirement
  • Pass Fellowship Exam
 
On completion of this stage, achieves ACEM Fellowship and a letter from the Joint Training Committee
  • 12 months adult EM and
  • 18 months paediatric EM and either
    • 6 months paediatric ICU or
    • 3 months paediatric ICU and 3 months neonatal ICU
  • Complete CPPT requirements, including:
    • 6 months mandatory training and
    • Research requirements
 
On completion of this stage, achieves RACP Fellowship and a letter from the Joint Training Committee
 
Stage 3
 

 
  • 12 months paediatric medicine and
  • Pass FRACP Part 1 (written and clinical exams) and
  • Complete CPPT requirements including
    • 6 months mandatory training and
    • RACP research projects
On completion of this stage receives a dual Fellowship ACEM & FRACP
  • 12 months adult EM and
  • Pass ACEM Fellowship Exam and
  • Fulfil ACEM Trainee Research Project







On completion of this stage receives a Dual Fellowship ACEM & FRACP


Stage 1
This stage is undertaken through the ’parent’ College prior to enrolment in the Joint Training Program.

Stage 2
This stage is undertaken through the ‘parent’ College.  It is not complete until fellowship of the ‘parent’ College has been awarded and the Letter of Completion has issued by the Joint Training Committee.

Stage 3
Prior to commencement of this stage, registration as a trainee with the other College is required. 

Minimum Requirements

Unless otherwise stated, all PEM subspecialty training must be undertaken at Advanced Training level. PEM training time must include a minimum of:
  • 24 months approved adult ED training *
  • 18 months of approved paediatric ED training
  • 12 months of approved paediatric medicine and
  • 6 months of approved paediatric ICU (this may be split as 3 months paediatric ICU and 3 months neonatal ICU).
* Of the required 24 months adult ED training, up to 12 months may be undertaken during Provisional Training. This means that the amount of adult ED training required during Advanced Training will vary between 12 and 24 months depending on the amount undertaken during Provisional Training.

Paediatric tertiary emergency departments and large mixed departments must be specifically accredited for PEM training.  For up-to-date details and accreditation guidelines, please view the ACEM accredited hospital and training sites page and the Royal Australasian College of Physicians Paediatric Emergency Medicine Accreditation Settings.

Adult ED training

With regard to the adult ED time, the follow applies:
 
a) RACP trainees – 12 months of adult ED may be retrospectively recognised by ACEM (when commencing stage 3 of the joint program) provided that –
  • it was accredited as part of RACP training
  • the department in which it was undertaken was accredited by ACEM; and
  • it was prospectively assessed at the time of training by means of RACP  in-training assessment forms
  • the remaining 12 months of adult ED training must be prospectively assessed by ACEM and trainees must be current financial members of ACEM before this period commences
b) ACEM trainees – 12 months of this may be undertaken during Provisional Training provided that:
  • it was accredited as part of ACEM training
  • it was undertaken in an emergency department approved for Advanced Training; and
  • it was assessed at the time of training by means of ACEM assessment documentation

Paediatric ED training

The 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.

Eligibility for ACEM Fellowship Exam

All joint trainees (whether ACEM or from the RACP) must satisfy all standard eligibility requirements before they can attempt the ACEM Fellowship examination.

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 for training in paediatric emergency medicine.

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

PEM151 Application for enrolment in PEM Joint Training Program
PEM152 Notification of term details FACEM PEM candidates only
PEM153 In-Training Assessment FACEM PEM candidates only

Please note: the above forms are currently under revision
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