RCEM 2016 curriculum update. St.Emlyn’s

rcem-2015curriculum-update1If you are a trainee or trainer in the Royal College of Emergency Medicine  (RCEM) then you should be familiar with the curriculum and the exam1. You will also know that we really think that you need to look after your trainees.2 This has recently been updated in 2015 and covers the breadth of the speciality. Notably there is a new addition to the common competences called Leadership and Emergency Medicine non-technical skills (EmNTS) which we think is a great addition as it’s such an important aspect of our practice. It appears as a sub-section in the following core competencies: CC4 Time and workload management, CC5 Decision making and clinical reasoning, CC7 Prioritisation of patient safety in clinical practice, CC8 Team working and patient safety

There are also two new presentations required, and again we think these enhance the curriculum. HAP35: Complex Older Patients and HAP36 : The patient with chronic disease. These presentations are core EM skills and so they are very welcome indeed.

Here at St.Emlyn’s we believe that #FOAMed resources can make you a better doctor AND help you get through the exams. We have linked our posts to the curriculum in three ways.

1. You can see which St.Emlyn’s topics cover the curriculum by topic by clicking on the hyperlinks below.

2. At the end of each post you will be able to see a ‘tag’ with a code that looks something like CAP7. These codes link to the curriculum and if you click on the tag it will take you to related pages.

3. There is a permanent page for the curriculum on the website here.

The curriculum is separated into the following sections. Click on a link to take you to that section or scroll down to see them all. Remember that some topics (e.g. headache, chest pain) appear in multiple sections so to be sure use Ctrl+F to search for a keyword or use our search box on the right to find the right post for you.

If you get a ‘Not Found, Error 404’ message it means that we have not linked anything to that category (yet 🙂 ).
Core competencies
ACCS Major Presentations CT1&2
ACCS Acute Presentations CT1&2
Additional Adult Acute Presentations CT3
Paediatric major presentations (PMPs)
HST Major Presentation (HMP)
HST Acute Presentations (HAP)

Core competencies

CC1 History taking

CC2 Clinical examination

CC3 Therapeutics and safe prescribing

CC4 Time management and decision making

CC5 Decision making and clinical reasoning

CC6 The patient as central focus of care

CC7 Prioritisation of patient safety in clinical practice

CC8 Team working and patient safety

CC9 Principles of quality and safety improvement

CC10 Infection control

CC11 Managing long term conditions and promoting patient self-care

CC12 Relationships with patients and communication within a consultation

CC13 Breaking bad news

CC14 Complaints and medical error

CC15 Communication with colleagues and cooperation

CC16 Health promotion and public health

CC17 Principles of medical ethics and confidentiality

CC18 Valid consent

CC19 Legal framework for practice

CC20 Ethical research

CC21 Evidence and guidelines

CC22 Audit

CC23 Teaching and training

CC24 Personal behaviour

CC25 Management and NHS structure

ACCS Major Presentations CT1&2

CMP1 Anaphylaxis

CMP2 Cardio-Respiratory Arrest

CMP3 Major Trauma

CMP4 Septic Patient

CMP5 Shocked Patient

CMP6 Unconscious Patient

3.3.3 ACCS Acute Presentations CT1&2

CAP1 Abdominal Pain including loin pain

CAP2 Abdominal Swelling, Mass & Constipation

CAP3 Acute Back Pain

CAP4 Aggressive/disturbed behaviour

CAP5 Blackout/Collapse

CAP6 Breathlessness

CAP7 Chest Pain

CAP8 Confusion, Acute/Delirium

CAP9 Cough

CAP10 Cyanosis

CAP11 Diarrhoea

CAP12 Dizziness and Vertigo

CAP13 Falls

CAP14 Fever

CAP15 Fits / Seizure

CAP16 Haematemesis & Melaena

CAP17 Headache

CAP18 Head Injury

CAP19 Jaundice

CAP20 Limb Pain & Swelling – Atraumatic

CAP21 Neck pain

CAP22 Oliguric patient

CAP23 Pain Management

CAP24 Painful ear

CAP25 Palpitations

CAP26 Pelvic pain

CAP27 Poisoning

CAP28 Rash

CAP29 Red eye

CAP30 Mental health

CAP31 Sore throat

CAP32 Syncope and pre-syncope

CAP33 Traumatic limb and joint injuries

CAP34 Vaginal bleeding

CAP35 Ventilatory Support

CAP36 Vomiting and Nausea

CAP37 Weakness and Paralysis

CAP38 Wound assessment and management

3.3.6 Additional Adult Acute Presentations CT3

C3AP1a Major trauma – Chest Injuries

C3AP1b Major trauma – Abdominal trauma

C3AP1c Major trauma – Spine

C3AP1d Major trauma – Maxillofacial

C3AP1e Major trauma – Burns

C3AP2a Traumatic limb and joint injuries – Lower limb

C3AP2b Traumatic limb and joint injuries – Upper limb

C3AP3 ABGs -Interpretation of abnormal blood gas results in the Emergency Department

C3AP4 Abnormal blood glucose

C3AP5 Dysuria

C3AP6 Emergency airway care (CT3 and covers HST)

C3AP7 Needlestick injury

C3AP8 Testicular pain

C3AP9 Urinary retention

Paediatric major presentations (PMPs)

PMP1 Anaphylaxis

PMP2 Apnoea, stridor and airway obstruction

PMP3 Cardio-respiratory arrest

PMP4 Major trauma in children

PMP5 The shocked child

PMP6 The unconscious child

Paediatric Acute Presentations (PAPs)

PAP1 Abdominal pain

PAP2 Accidental poisoning, poisoning and self-harm

PAP3 Acute life-threatening event (ALTE)

PAP4 Blood disorders

PAP5 Breathing difficulties – recognise the critically ill and those who will need intubation and ventilation

PAP6 Concerning presentations

PAP7 Dehydration secondary to diarrhoea and vomiting


PAP9 Fever in all age groups

PAP10 Floppy child

PAP11 Gastro-intestinal bleeding

PAP12 Headache

PAP13 Neonatal presentations

PAP14 Ophthalmology

PAP15 Pain in children

PAP16 Painful limbs – atraumatic

PAP17 Painful limbs- traumatic

PAP18 Rashes in children

PAP19 Sore throat

HST Major Presentation (HMP)

HMP1 Anaphylaxis

HMP2 Cardio-respiratory arrest

HMP3 Major Trauma

HMP4 Shocked patient

HMP5 Unconscious patient

HST Acute Presentations (HAP)

HAP1 Abdominal pain

HAP2 Acute back pain

HAP3 Alcohol and substance abuse

HAP4 Anal pain and rectal bleeding

HAP5 Blackouts

HAP6 Breathlessness

HAP7 Bruising and spontaneous bleeding

HAP8 Chest pain

HAP9 Dental emergencies

HAP10 Dialysis

HAP11 Environmental emergencies

HAP12 Epistaxis

HAP13 Falls

HAP14 Fever

HAP15 Fits /Seizure

HAP16 Haematemisis and melaena

HAP17 Headache

HAP18 Joint swelling – atraumatic

HAP19 Limb pain and swelling – traumatic and atraumatic

HAP20 Major Incident management

HAP21 Oncology emergencies

HAP22 Observational Medicine

HAP23 Palpitations

HAP24 Penile conditions

HAP25 Poisoning

HAP26 Pre-hospital care

HAP27 Pregnancy

HAP28 Rash – Life-threatening rashes

HAP29 Research

HAP30 Sexual assault

HAP31 Sexually transmitted disease

HAP32 Visual loss

HAP33 Weakness not due to stroke

HAP34 Wound management

HAP35 Complex Older Patients

HAP36 The patient with chronic disease


Carley S. Passing the FRCEM. St.Emlyn’s. http://www.stemlynsblog.org/exams/fcem-resources/. Published September 2016. Accessed September 2016.
grayson alan. Futureproofing EM: Why your trainees deserve it (and your nation needs it). St.Emlyn’s. http://www.stemlynsblog.org/futureproofing-em/. Published September 2016. Accessed September 2016.

Cite this article as: Simon Carley, "RCEM 2016 curriculum update. St.Emlyn’s," in St.Emlyn's, September 10, 2016, https://www.stemlynsblog.org/rcem-2016-curriculum-update-st-emlyns/.

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  1. Pingback: Global Intensive Care | RCEM 2016 curriculum update. St.Emlyn’s

Thanks so much for following. Viva la #FOAMed

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