These unique posts designed are primarily designed for post-ACCS doctors, but we do very much welcome more senior trainees on OOPE too (post-EM ST4 or 5 is actually perfect) and occasionally European or Australian EM trainees or specialists. We are very happy to accept post-ACCS AM or anaes, not just EM.

Our original CF post was the PHEM post, for doctors wishing to make a start on (or consolidate) their PHEM experience: almost 25% of the job plan consisted of PHEM, PHEM-related activities, and paid SPA time. To provide more of a choice, we then added three other varieties of CF post: Medical Education, Management/QI for the budding medical directors or medico-politicians, and most recently, Global EM & Mountain Medicine. And - new for August 2019 - MedEd posts are now 50% MedEd time.

Read more in our hugely comprehensive #NotTheOfficialJobDescription (NB this version is now slightly out of date)

By coming to Bangor you can take a break from the hamster-wheel of ST training: commence your middle-grade career in a friendly, small ED, and remind yourself why you were attracted to Emergency Medicine in the first place, whilst also enhancing your CV. 12-month stay recommended (many extend to stay longer), but for certain variants of the scheme we can do a 6-month option for post-ACCS EM trainees (or others with at least 10/12 prior EM). 

Everything you want to know about the Clinical Fellow posts...

How the posts work

The basics about what the jobs are, who comes here, and why

Why do PHEM here?

Why a Bangor Clinical Fellowship is the perfect start to your PHEM career

Global EM

Our exciting new offering, and designed primarily as a two-year post (though you can do just one year), this is offered an option perfect for dynamic, resilient doctors who have perhaps always wanted to start training in Global EM, but never been able to afford to take unpaid leave to do so. We have a solution!  

Mountain Medicine

Mountain bunny? How to do the DipMM in work time.

MedEd posts

Read more about the programme on offer, including a fully funded PGCert MedEd

Mgt/QI option

Flexible, tailor-made, and perfect for FRCEM prep

CESR/Article 14 prep

Personal development time customised to meet your priorities and needs

6 or 12 months

We strongly recommend our Fellows stay for 12 months (many extend to stay longer) but we know that isn’t feasible for everyone. If you’re an EM trainee, or have at least 10 months’ previous EM experience at SHO-level or above, we can consider shorter posts, but there are drawbacks to be considered. Here’s the lowdown.

The CV enhancing stuff

Our Fellow posts aren’t just about the playtime. We take preparing you for the next stage of your career very seriously, with an integrated assessment & personal development “grid” system to help structure meetings with your educational supervisor. Here’s a taste of the activities on offer.

Rota and pay

Our goal is to offer a fair deal when it comes to pay, and a rota that is compatible with a decent work-life balance. We think you’ll like it.

Job Description & Person Specification

The official Job Description and Person Specification are always available from the NHS Jobs page when the posts are advertised. However, you’ll find an unofficial, extremely comprehensive guide to the Clinical Fellow posts here - it was deemed insufficiently corporate to be the official JD in early 2018. Do always please check the latest, official JD if you are thinking of applying!

I’m an anaesthetic trainee: am I eligible?

Post-ACCS anaesthetists are very welcome, but if you want to do the PHEM option, you need to be at least five years post-graduation, so that’s usually after CT3. If you’re a pure anaesthetist, it’s a bit more complicated - you’re unlikely to be able to go straight into an EM middle grade role without significant prior EM experience - but here are some ideas how we might be able to help.

I’m an ACCS AM trainee: am I eligible?

Post-ACCS anaesthetists are very welcome, but if you want to do the PHEM option, you need to be at least five years post-graduation, so that’s usually after CT3. We can sometimes offer a 6-month SHO-tier post first you need a boost of EM before taking the plunge on the middle grade rota. Read more here!

I’m an EM trainee: what can you offer me?

If you’re an EM trainee, you should be the perfect fit... 

I’m an overseas doctor: am I eligible?

Occupational Health Requirements (PHEM posts)

You don’t need to be an Olympic athlete, but there are some specific issues to consider for the PHEM posts: flying options will be limited or impossible if you’re seriously overweight, and pregnancy precludes any front-line PHEM work. Essential information, without the PC wrapper!

Do the PHEM posts include helicopter shifts?

We have up to eight places available for PHEM-only Clinical Fellows in 12+-month posts to undertake shifts with EMRTS Cymru. We won’t make you fly if you don’t want to, or you may try it and hate it, but Helimed shifts are obviously a very popular component of our PHEM fellowships, although they do bring additional responsibilities (and a higher weekend frequency).

If your relationship with EM is “complicated”, please read this section!

We know that a year out of training into posts like ours can be an attractive option for doctors who are wavering with their commitment to EM (or, more positively, wondering whether to jump into EM from ACCS anaesthetics or AM!). We also know that psychological distress, burnout and mental health problems are extremely common amongst junior doctors, especially in EM. Unlike most places, we are happy to talk about this, and turning around doctors who’ve had a tough time, and watching them regain their love of medicine gives us great satisfaction. However, if you are considering applying for our posts, and you know you’re struggling, please do try take an honest look at the problem, and consider your expectations and goals. 

Past Clinical Fellow satisfaction with the posts

We want our doctors to be happy here, and we’re really proud of our 95% satisfaction rate with the posts. There’s yet more stuff on wellbeing and resilience in this section, too.

Everything you want to know about Bangor ED

& living/working in North Wales

Living in North West Wales

Life with Snowdonia on the doorstep - it’s fantastic!

Leisure Activities in North West Wales

What to do when off duty - many of our Fellows scamper off up Snowdon before late shifts and other such activities!

Life in Bangor ED

The playtime options are important, but the posts are still 80% in the ED - learn more about the ED itself

Rural EM for the uninitiated

What’s different and why it’s fun

Archived pages - no longer maintained

The original description of the PHEM posts

How it all began - our very first posts!

Bangor ED and Search & Rescue

What’s changed since the RAF handed over?

Contact us if you are looking for a ST4-level post between now and August 2020

Back in 2011/12, we were the first ED in the UK to introduce posts featuring time off the shop floor for EM middle grades (in additional to an SPA session). Options for the Personal Development Time component include:

  1. PHEM (up to 5 posts at a time include EMRTS helicopter shifts, and helicopter shifts are only available to those in 12+-month posts)

  2. MedEd (50% Med Ed time)

  3. QI/Management

  4. Global EM (24-month programme)

  5. Mountain Medicine (start-date dependant if you want to do the DipMM)

  6. CESR preparation.

Some (not all) of these options can be mixed ‘n’ matched, or make a suggestion for an alternative for us to consider.

We work very hard to keep this website up to date, but there is a lot of it (!) and we are experiencing technical glitches at the moment, so if you decide to apply for our posts, do ensure at that time you read the Job Description carefully as it is revised each time! Visitors are always welcome to come along, have a chat, see if our posts match your dreams and career plans (as well as your life plans!) and have a look at the area. We really do like to meet (or at least chat to) potential applicants beforehand - we are pretty good at careers counselling and never hesitate to signpost doctors elsewhere, if our posts are not the best fit.

Our excellent reputation and the fame of these posts has a downside: sometimes people forget these are jobs like any other. We work very hard to provide great packages and look after our Fellows well, but the main part of the posts is being an EM middle grade in today’s NHS, and we make no secret that can be as tough in North Wales as anywhere else... although having control over your hours (you make your own trade-off between income and time off), holidays, and weekends - plus the paid time off the shop floor doing other activities - makes a huge difference to sustainability and wellbeing. More info on this here.

The key contact for the 2019/20 recruitment round is


  1. Since August 2018, EMRTS (HEMS) shifts are no longer included with 6-month posts,      or with posts combining PHEM with Medical Education/Global EM/Mountain Medicine/Mgt & QI.

  2. We’ll have 5 places available on the Caernarfon EMRTS aircraft from August 2019: these are allocated to PHEM Fellows in posts at least 12 months’ in duration based on order of interview ranking.

  3. We can accommodate additional posts with PHEM, but they will undertake ground shifts only.

  4. Participating in the EMRTS programme involves additional responsibilities as well as working an additional 6-7 weekend shifts each year in addition to the standard 3:8 weekend commitment in the ED. However, EMRTS is optional, not compulsory! 

Everything you need to know about the famous Bangor ED Clinical Fellow posts, right here at your fingertips...