Team doctors come from a range of professional backgrounds: general practice, anaesthetics, emergency medicine, surgery and other specialities.
All have had formal training in pre-hospital emergency medicine, and many of the team's doctors hold either the Diploma or Fellowship in Immediate Medical Care (DIMC / FIMC), awarded by the Faculty of Prehospital Care Royal College of Surgeons of Edinburgh. Many of the doctors from acute specialities will have undertaken specific in-house training and assessment in how to undertake pre-hospital rapid sequence induction of anaesthesia, as part of the management of the severely injured patient.
The Intercollegiate Board for Training in Pre-hospital Emergency Medicine is responsible for training and assessment in Pre-Hospital Emergency Medicine (PHEM) on behalf of its parent Colleges.
PHEM is a new sub-specialty area of medical practice focusing on the specialist provision of on-scene and in-transit critical care. Training in PHEM is only through approved training programmes and once successfully completed will confer sub-specialty accreditation against your GMC CCT. See HERE
The programme is 12 months WTE which is completed in either 2x6 month WTE blocks or 12 months over 24 month less than full time. The proportion of training completed in PHEM and anaesthesia during the PHEM phase of training is dependent upon how the training programme has been set up within the deaneries offering PHEM training and in some cases, the needs of the trainee. Selection for the programme is done during the anaesthesia intermediate phase of training against the person specification for the training to be completed in ST5-7. An entry requirement for anaesthetists is that they must have completed basic emergency medicine equivalent to the 6 month emergency medicine post in ACCS.
Trainees who have not completed ACCS will have to complete an emergency medicine post as out of programme experience before applying. It is preferable that PHEM training commence at ST6 because it will allow trainees in most cases to have completed their higher neuro, paeds and ICM - the clinical skills acquired in these specialities will be valuable when stabilising and transferring seriously-injured or critically-ill adults and children.
The structure and content of the 2010 anaesthetics curriculum is relatively flexible and depending on the career aspirations of the trainee, it is possible for a trainee to complete their CCT in Anaesthetics and sub-specialty training in PHEM within the indicative eight years for ACCS anaesthesia trainees and a minimum of 7.5 years for core anaesthesia trainees. Some of the competencies achieved by the completion of the PHEM programme can be doubled counted against transfer medicine at the higher and advanced levels to meet the requirements of the anaesthesia CCT.
There is a requirement for trainees to complete the necessary WPBA and two national summative assessments.
The CARE Team and PHEM
The CARE team is recognised as a training platform for PHEM trainees.