Training Program Overview

Simulation training in an ED

What do emergency medicine physicians do? 

Emergency medicine physicians are 'acute generalists' with specialist skills in resuscitation and diagnosis in the acute phase of illness. With a strong belief in evidence-based medicine and a wide range of procedural and technical skills, emergency medicine physicians provide care for patients in all age groups and with a wide range of clinical needs.

Training Program
The Emergency Medicine Specialist Training program is the specialist medical course for medical practitioners who wish to pursue a career in emergency medicine. Successful completion qualifies for independent practice as a consultant in emergency medicine in Australia and New Zealand and awards Fellowship of the Australasian College for Emergency Medicine (FACEM).

Program Structure 

The training program is divided into two stages: Provisional and Advanced Training. Trainees in the Training Program are required to work in emergency departments for the majority of their training. As part of training, participants are also required to work in prescribed clinical areas outside of emergency medicine. The program structure is outlined below:

Provisional Training 

Training Time Requirements Assessment Requirements
12 months full time equivalent approved training, comprising:
  • Six months training in a single approved ED within a 12 month period, and 
  • Six months other approved training (ED or non-ED)
The minimum placement duration for Provisional Training is two months full time equivalent at a single training site.
In-Training Assessments  

Structured References  

Primary Exam  

Advanced Training 

Training Time Requirements Assessment Requirements
Total of 48 months full time equivalent, comprising:

30 months ED training to include:
  • A minimum of 6 months in a major referral ED
  • A minimum of 6 months in urban referral or rural/ regional ED
Early Phase
12 months approved ED training

Late Phase
18 months approved ED training 

Critical Care
  • Six months Critical Care:
    • Anaesthesia term (accredited by ANZCA); or
    • Intensive Care Unit (accredited by CICM). 
Non ED
  • 6 months Non-ED time
  • 6 months discretionary time (ED or Non-ED). Please note that discretionary time spent in ED is subject to the site accreditation limits.
The minimum placement duration for Advanced Training is three months full time equivalent at a single training site.
In-Training Assessments  

Workplace-Based Assessments  

Trainee Research Requirement  

Paediatric Requirement  

Special Skills  

Fellowship Exam  

Expected timeframe for training completion

ACEM trainees have an overall 12-year period to complete the Emergency Medicine Specialist Training Program and achieve election to Fellowship from the date of commencement of training.

This includes:
  • A maximum of five years may be taken to progress from Provisional Training to Advanced Training, and
  • A maximum of 10 years may be taken to achieve election to Fellowship.  However, this time period will be reduced if more than two years are spent in Provisional Training.


The ACEM Specialist Training Program may be conducted part-time. The minimal on-call and standard working hours supports good work-life balance. In addition, some training may be taken overseas. View the Placement section for more information.