• Emergency medicine

Emergency medicine

Summary

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Emergency medicine is a field of practice based on the knowledge and skills required for the prevention, diagnosis and management of acute and urgent aspects of illness and injury affecting patients of all age groups with a full spectrum of episodic undifferentiated physical and behavioural disorders.

It further encompasses an understanding of the development of prehospital and inhospital emergency medical systems and the skills necessary for this development.

This means that the practice of emergency medicine is very broad, encompassing aspects of every other medical and surgical discipline, but with defined limits on where and when care begins and ends. This does give emergency medicine some similarities with other critical care disciplines, such as intensive care, but also with generalist disciplines such as general practice.

The College offers a training program leading to the award of Fellowship of the Australasian College for Emergency Medicine (FACEM).  Completion of this program confers eligibility for registration as a medical practitioner in the specialty of emergency medicine and use of the specialist title, specialist emergency physician by the Medical Board of Australia (MBA), as well as registration within the vocational scope of emergency medicine by the Medical Council of New Zealand (MCNZ).

The College also offers training programs that lead to the awarding of a Certificate in Emergency Medicine (Cert EM (ACEM)) and/or a Diploma in Emergency Medicine (Dip EM (ACEM)).

GPs can practice with a sub-specialty; this allows them to focus on a particular area of medical interest. See below for further information on the training requirements for a sub-specialty in Emergency medicine .

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Full time hours vary between states and territories, and trainees can work a minimum of 0.5 FTE as long as it meets minimum term duration for their level of training. hours/week
average time worked
$63,432 – $390,777/year
average salary
5 years
min full time
GP sub-specialty
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Emergency medicine
Australasian College for Emergency Medicine (ACEM)
   
Emergency medicine is a field of practice based on the knowledge and skills required for the prevention, diagnosis and management of acute and urgent aspects of illness and injury affecting patients of all age groups with a full spectrum of episodic undifferentiated physical and behavioural disorders; it further encompasses an understanding of the development of prehospital and inhospital emergency medical systems and the skills necessary for this development. This means that the practice of emergency medicine is very broad, encompassing aspects of every other medical and surgical discipline, but with defined limits on where and when care begins and ends. This does give emergency medicine some similarities with other critical care disciplines, such as intensive care, but also with generalist disciplines such as general practice.
https://www.acem.org.au/
$1,208
Full time hours vary between states and territories, and trainees can work a minimum of 0.5 FTE as long as it meets minimum term duration for their level of training.
47/53
100 (2017)
5
Oversubscribed
2412 (2017)
Yes
Trainees need to complete a minimum 12 months in emergency medicine training in various emergency departments with onsite medical staff and specialty teams. Prerequisites include an accredited training post, completion of core clinical training and completion of EMST/ATLS, APLS and ELS/ALS.
To be eligible to enter the FACEM training program, you must show:
- The successful completion of a medical degree
- The successful completion of 24 months prevocational training
- Current general registration as a medical practitioner in Australia or New Zealand
Introduction of a New Process for Selection into FACEM Training
ACEM will be ending the current enrolment process on 30 September 2017. As such, any prospective new trainees who qualify and wish to enrol into the FACEM Training Program, and commence their training between 1 October 2017 and 30 November 2018, will need to enrol by 30 September 2017. Doctors not enrolled by that date will be required to go through the new process during 2018, to commence training in December 2018 (New Zealand), or February 2019 (Australia). More information on these changes can be found at Selection into FACEM Training.
https://www.acem.org.au/Education-Training/Specialist-Training/Enrolment.aspx
https://www.acem.org.au/Education-Training/Specialist-Training/Enrolment.aspx
46
$63,432 – $390,777
Enrolment fee: $600
Annual FACEM training fee: $1,208
Primary examinations: $1,690 (written), $1,475 (FEx viva)
Fellowship examinations: $1,850 (written), $2,655 (clinical)
$7,670
Provisional training
12 months full-time equivalent (provisional) approved training, comprising:
- Six months training in a single approved ED within a 12 month period 
- Six months other approved training (ED or non-ED)

Advanced training
Total of 48 months full-time equivalent advanced training, comprising:
30 months Core 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
- A minimum of 12 months in a site that is classed as adult/mixed

Core ED for training purposes is divided into: Early phase
12 months approved ED training

Late phase
18 months approved ED training 

Remaining Advanced Training includes:
Critical care
Six months critical care:
- Anaesthesia term (accredited by ANZCA); or
- Intensive care unit (accredited by CICM); or   - A combination of the two

Non ED
- 6 months non-ED time

Discretionary
- 6 months discretionary time (ED or non-ED). Please note that discretionary time spent in ED is subject to the site accreditation limits.
Applications close in 30 September 2017. Applications then re-open December 2018 for New Zealand, and February 2019 for Australia.
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NB: Salary figures, working hours, undersubscribed and oversubscribed can vary greatly depending on various factors including but not limited to geographic location, private or public practice. MedVersus provides an Australia wide overview. For information specific to your needs we encourage you to discuss further with the relevant colleges/associations. For feedback/information to keep the site up to date please contact us by email: media@gptq.qld.edu.au

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