HST 4-6



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Higher specialty training

During ST4 - the trainee should undertake:

  • Formative assessment (Mini-CEX, CbD) in 3 of the major presentations:
    • HMP1 - Anaphylaxis
    • HMP2 - Cardio-respiratory arrest
    • HMP3 - Major trauma
    • HMP4 - Shocked patient
    • HMP5 - Unconscious patient
  • Formative assessment (ACAT-EM, Mini-CEX or CbD) in 9 acute presentations which must include:
    • HAP3 -  Alcohol and substance abuse
    • HAP5 -  blackout
    • HAP11 - environmental emergencies
    • HAP17 - headache
    • HAP 34 - wound assessment
  • additional assessments of a further 8 acute presentations by
  • Summative assessment of the 3 paediatric major presentations not completed in CT3 (mini-CEX or CbD)
    • PMP1 - anaphylaxis
    • PMP2 - Apnoea, stridor and airway obstruction
    • PMP3 - Cardiorespiratory arrest
    • PMP4 - Major trauma
    • PMP5 - Shocked child
    • PMP6 - Unconscious child
  • Formative assessment (Mini-CEX, CbD or ACAT-EM) of 5 acute paediatric presentations
  • Ultrasound - trainees should complete the theory training and log summary and commence the triggered assessments for

 

During ST5 - the trainee will undertake:

  • Formative assessment (Mini-CEX, CbD) in 2 of the  major presentations:

    • HMP1 - Anaphylaxis
    • HMP2 - Cardio-respiratory arrest
    • HMP3 - Major trauma
    • HMP4 - Shocked patient
    • HMP5 - Unconscious patient
  • Formative assessment (ACAT-EM, Mini-CEX or CbD) in 8 acute presentations which must include:
    • HAP21 - oncological emergencies
    • HAP27 - medical emergencies in pregnancy
  • additional assessments of a further 8 acute presentations by :

  • Formative assessment (ACAT-EM, Mini-CEX or CbD) of 5 acute paediatric presentations 

  • Ultrasound - completion of triggered assessments and sign off

During ST6 there are no assessments as the trainee should focus on the FCEM exam

Common competences

By ST6 the trainee should seek evidence of level 4 competence in all 25 common competences.