Thinking about Pre-Hospital Sub-speciality training?


Our Clinical fellow posts are the perfect preparation...


PHEM sub-speciality training is now well established in the UK, and if you are reading this page, you probably have already visited the website of the Intercollegiate Board for Training in Pre-hospital Emergency Medicine (and if you haven’t, you should!).

It was clear from the 2017 intake PHEM sub-speciality intake that it is becoming much more competitive to get into PHEM sub-specialty training than in previous years, and a standard EM ST4’s CV really isn’t going to get much of a look in. Realistically, you are now looking at needing prior PHEM experience, ideally hold the DipIMC (which requires you to have PHEM experience anyway), and have ticks in many other “desirable” boxes in the person specification.   

However, it is also clear that many doctors wish to either “try out” PHEM before committing to a year of sub-specialty training.

And this is where our Clinical fellow posts come in, because we can help with either, from the “hell-bent on doing PHEM” to the “I’d like to take a look at it, please”.

Our Clinical Fellow posts provide an excellent start to a career incorporating PHEM, whether or not you intend to apply for a PHEM sub-speciality training number:

  1. A broad and gentle introduction to PHEM, guided by experienced paramedics on the road, and Critical Care Paramedics and PHEM Consultants on EMRTS (HEMS) shifts for 12-month PHEM post-holders, whilst you find your feet in the pre-hospital environment

  2. A variety of PHEM modalities - road ambulances, rapid response vehicles, and, for most of our PHEM Fellows, Helimed, to exposure you to the full range of PHEM in North Wales (which ranges from suburban to remote and rural).

  3. The perfect preparation for the DipIMC - especially now that the Caernarfon airbase is part of EMRTS and our PHEM Fellows are integrated into the very active CPD life of that EMRTS community.

  4. For Fellow staying at least 12 months, we’ll pay for the PHEC/PHEC Advanced course, or PHLTS, or ATACC - in addition to your study leave (though you’d go in PHEM time), and the top-ranking eight PHEM Fellows based on interview performance get to do EMRTS shifts too.

  5. Project work and CV building that is easily tailored to allow you to fulfil many of the “desirable” criteria in the PHEM sub-speciality Person Specification... in contrast to some other PHEM Clinical Fellow jobs, which will help you score in the “PHEM experience” box but aren’t necessarily going to help create opportunities for essential CV buffing to score more points in the other boxes, too. 

There’s also a good reason to try some PHEM before committing yourself to the arduous task of embarking upon formal sub-speciality training... you might not like it! Some doctors unexpectedly find they just don’t like the very attributes of working pre-hospital that attracted them to the idea in the first place. And if you find that you hate flying in helicopters, or get terribly air-sick, you probably need to find this out in advance, too.

For all these reasons we are certain that, although PHEM as a Clinical Fellow in Bangor will not count towards the 12 months of PHEM required in the standard CCT-route into sub-speciality training in PHEM, we can provide the perfect start to your pre-hospital career. 

PHEM Sub-specialty training in Wales

Wales has offered GMC-approved PHEM sub-specialty training since August 2013, and the fourth intake of PHEM trainees (one a former Clinical Fellow) are now in post.

Our Fellow and the Welsh Deanery PHEM trainees overlap at some activities - such as major incident exercises, and the monthly PHEM simulation sessions, but with a full schedule of activities to cover their PHEM sub-specialty training formal curriculum, the PHEM trainees won’t have time to undertake some of the fun stuff that our Clinical fellows enjoy, such as involvement supporting the teaching Search & Rescue rear-crew, or undertaking technical rescue courses in return. And they will also have to spend a lot of time in South Wales for many of the simulation and classroom based aspects of the PHEM sub-speciality training.

So if you like the idea of a gentle introduction to PHEM in its broadest sense (i.e. NOT only full-on HEMS - that’s limited to minimum of 18 and absolute maximum of 22 shifts - but an insight into the majority of PHEM work that goes on in the UK), seeing if you like it, taking part in Mountain Medicine scenarios, spending a day training with police about how medical staff bugger up crime scenes forensically and other such fun - you really need to do our post BEFORE you go on to apply for sub-speciality training!