ACCS - Guidance on Assessment Paperwork (CT3)

(What you need to achieve in your CT3 year to receive a successful ARCP)

Paediatric emergency medicine 6/12

Refer to the Paediatric section of the CEM Curriculum (Section 3.3.7) for learning content and a list of the major and acute presentations assessments listed below:

During the paediatric emergency medicine post - the trainee must undertake:

  • Summative assessment (Mini-CEX or CbD) of 3 of the 6 Major paediatric presentations or successfully complete APLS/EPLS
    • PMP1 - anaphylaxis
    • PMP2 - Apnoea, stridor and airway obstruction
    • PMP3 - Cardiorespiratory arrest
    • PMP4 - Major trauma
    • PMP5 - Shocked child
    • PMP6 - Unconscious child

  • Summative assessment (Mini-CEX or CbD) in the following acute presentations in children:
    • PAP1 - abdominal pain
    • PAP5 - breathlessness
    • PAP10 - Fever
    • PAP17 - child in pain
  • Formative assessment (ACAT-EM, Mini-CEX or CbD) in the following acute presentations:
    • PAP6 - concerning presentations in children
    • PAP18 - limb pain
    • PAP21 - sore throat
    • PAP2 - poisoning
    • PAP20 - rash

  • The remaining 10 acute presentations in children should be sampled by successful completion of:
    • e-learning *
    • teaching and audit assessments
    • reflective entries
    • additional ACAT-EMs
  • Formative assessment of the following practical procedures:
    • Paed AP Fever - Mini-CEX
    • Venous access in children
    • Airway assessment and maintenance
    • Safe sedation in children
    • Paediatric equipment and guidelines in the resuscitation room
    • Primary survey in a child
  • additional practical procedures may be completed in EM using generic DOPs




The trainee should have evidence of 30 elearning modules by the end of CT3

Below is a current list of e-learning modules related to PEM.

Updated Steve Fordham - 7/5/2011

E-Lfh (
Common childhood exanthems
Image interpretation: Xray: Introduction (Paediatric)
Image interpretation: Xray: Non accidental injury (Paediatric)
Image interpretation: Xray: Self evaluation (Paediatric)
Image interpretation: Xray: The ankle (Paediatric)
Image interpretation: Xray: The bones of the thorax and spine (Paediatric)
Image interpretation: Xray: The elbow (Paediatric)
Image interpretation: Xray: The foot and calcaneum (Paediatric)
Image interpretation: Xray: The hand (Paediatric)
Image interpretation: Xray: The knee, tibia and fibula (Paediatric)
Image interpretation: Xray: The pelvis and hip (Paediatric)
Image interpretation: Xray: The radius and ulna (Paediatric)
Image interpretation: Xray: The shoulder and humerus (Paediatric)
Image interpretation: Xray: The skull and facial bones (Paediatric)
Image interpretation: Xray: The wrist (Paediatric)
Soft tissue and bony injuries in children
Urinary collection in children
Safeguarding children - Level 1 - Introduction to safeguarding children and young people
Safeguarding children – Level 2 – Recognition, response and record in secondary care
Safeguarding children – Level 3 – Maintaining and updating competencies. online modules (
Assessment and management of stridor in the Emergency Department
Assessment and management of paediatric serious illness
Assessment and management of the Breathless Child: Bronchiolitis
Assessment of the breathless child: croup
Assessment of the breathless child: pneumonia
Assessment of the febrile child
Initial management of the fitting child

CEM Enlightenme (
Knowledge bank: CEMPedia section

Child with a Rash

Knowledge bank: eCTRs

Paediatric Intramuscular Ketamine Dissociative Sedation in the Emergency Department

The Irritable Hip ESR and CRP: Should we Bother?
The use of clinical algorithms in the emergency department management of the limping child

Knowledge bank: Best practice
Ketamine Sedation of Children in Emergency Departments (Sept 2009)

Management of Pain in Children (May 2010)


Adult Emergency Medicine Post 6/12

Refer to the Additional Adult Acute Presentations for CT3 section of the CEM curriculum for learning content and the assessments listed below:

During the adult emergency medicine post - the trainee must undertake:

  • Summative assessment (Mini-CEX or CbD) of the following trauma presentations:
    • C3AP1a Major trauma - chest injury
    • C3AP1b Major trauma - Abdominal injury
    • C3AP1c Major trauma - Spinal injury
    • C3AP1d Major trauma - Maxillofacial injury
    • C3AP1e Major trauma – burns

  • Formative assessment (ACAT-EM, Mini-CEX or CbD) for the following:
    • C3AP2 - Traumatic limb pain
    • C3AP3 - Blood gas interpretation
    • C3AP4 - Patient with abnormal blood glucose

  • the remaining 5 acute additional presentations C3AP5-9; and any of the remaining 38 acute presentations should be sampled by completing either
    • e-learning
    • teaching and audit assessments
    • reflective entries
    • additional ACAT-Ems

  • there are no new practical procedures in adults in CT3. Trainees must ensure they have successfully completed assessments for all 44 procedures.

Common competences

During CT3, trainees should seek evidence of level 2 competence in ALL 25 common

Trainees are also expected to demonstrate evidence of the following:

The trainee should complete at least one round of MSF in CT3, but ideally one in each

Academic activity: Participation in/completion of at least one piece of academic work:
e.g audit, research; publications; guideline introduction'.

Exams; Successful completion of MCEM

Courses: Completion of ALS/APLS/ATLS and evidence of other relevant courses