The Intercollegiate Board for Training in Pre-Hospital Emergency Medicine | IBTPHEM



Specialist trainees in Emergency Medicine, Anaesthesia, Intensive Care Medicine or Acute Medicine will be invited to apply for PHEM sub-specialty training. PHEM training programme places will be available through a national recruitment, and will consist of 12 months whole time equivalent training taken after the ST4 year.

The Board strongly supports blended training (mixing base specialty with PHEM training - scheme A) to reflect future working patterns and give trainees sufficient time to consolidate information. Many programmes therefore will last for 2 years, and trainees in this time will undertake the equivalent of 1yr PHEM and 1yr in their core specialty.

The 2015 ‘Guide to Training’ gives more details on what is involved in sub-specialty PHEM training. Download it from the Resources page.


Each training programme will have to assist trainees in covering all the elements of the curriculum. Not every region in the country will have a PHEM training programme and details on the current approved programmes available are below.

Training is divided into 3 phases -

1A 1B 2
Initial 1 month - whole time equivalent Development 5 months - whole time equivalent Consolidation 6 months - whole time equivalent
100% direct Consultant supervision 50% minimum direct Consultant supervision 20% minimum direct Consultant supervision


The Guide details which parts of the curriculum should usually be covered in each phase of training. The IBTPHEM currently provides a National Induction Course in phase 1 - a week long residential course covering elements of phase 1 around rescue, extrication, working on roads/water/collapsed buildings/railways/airplanes/confined spaces/at height along with some clinical skills.