About APEM
Staff Information (Doctors)
Doctors
Current training
The previous frame laid out the bare bones, what happens now is more of an open book.
- Whilst there are a number of units around the country that see enough children(must be >18,000) to be a training centre, the JCHTA+E ( Joint Committee for Higher Training in A+E) stipulates other criteria that must be met, often following a formal visit.
- Historically people undertook training on an almost individual basis at some of these centres.
- Both the RCPCH & FAEM have now produced curricula for those wishing to pursue a career in paeds A+E
Presently Paediatric A+E is not included in schedule 2 of the European Specialist Medical Qualifications Order 1995.
Until it is included there can be no CCST (Certificate of Completion of Specialist Training) in the specialty -the CCST permits doctors to be consultants in that specialty.
But...it is possible for SpR trainees from
- A+E
- Paediatrics
to undertake training with "special experience" which can be indicated on the specialist register
A+E with special experience of Paed A+E
- 6 months in Paediatric A+E Training department
- 6 months in Paediatric Specialities- including Paediatric medicine at Registrar level
in addition to General A+E training
This allows the trainee on completion to work in either an all age or children only department
Paediatrics with special experience of Paed A&E
- 12 months in Paediatric A+E Training department
- 9 months in Paediatric Surgical specialities
in addition to General Paeds training
This allows the trainee on completion to work in a children only department. Guidance on this role can be found in a document produced by the RCPCH in 2008:
http://www.rcpch.ac.uk/Policy/Emergency-Care
General Paediatricians workings as “Designated Liaison Paediatricians”.
There are no firm requirements for this post, often worked by a general paediatrician in an Acute General Hospital (DGH), overseeing certain areas- training, child protection, liaison. But in the future its role may be arguably more exciting, and varied than others, with perhaps a remit of transport medicine, or a specialist training role…

