This Specialty Learning Outcome includes the generic requirements of all Specialty Trainees for research and scholarship and puts these in an EM context. It is important that an EM specialist is able to search the EM literature, appraise interpret and synthesise research findings to come up with a ‘clinical bottom line’ across a broad range of topic areas. In this way they can contribute expertly to the introduction of new techniques and treatments to patients attending the ED. They will also be able to participate in research, able to take consent and recruit patients into research studies.
Domain 9: Capabilities in Research and scholarship
At completion of ACCS a trainee:
- Will be able to search the medical literature effectively and know how to appraise studies of diagnosis and therapy
An EM specialist
- Will be able to appraise, synthesise, communicate and use research evidence to develop EM care
- Will be able to participate in research
- Manage clinical information/data appropriately
- Demonstrate ability to carry out critical appraisal of the medical literature, including journal articles and web based information sources
- Understand the role of evidence in clinical practice and demonstrates shared decision making with patients
- Demonstrate appropriate knowledge of research methods, including qualitative and quantitative approaches in scientific enquiry
- Demonstrate appropriate knowledge of research principles and concepts and the translation of research into practice
- Follow guidelines on ethical conduct in research and consent for research
- Understand public health epidemiology and global health patterns
RCEM learning modules on critical literature appraisal
Local and regional teaching on literature searching and appraisal, evidence synthesis and concluding a ‘clinical bottom line’
Departmental journal clubs
Good Clinical Practice (GCP) training
Trainees should rotate through an ED that is actively involved in research, ideally recruiting patients into NIHR Portfolio research studies or equivalent. EM trainees should receive study specific training, have GCP training in date and be prepared to undertake delegated study activity.
Summative assessment each year is a judgement by the Educational Supervisor, with overview from the ARCP panel. There is requirement for progression year on year towards the elements described. It is possible to progress through these more rapidly if trainees have a particular interest or opportunities in this SLO.
End of core training:
- Under development by the ACCS intercollegiate board.
- End of intermediate training
- Evidence of critical literature appraisal activity is required, with evidence synthesis and a clinical bottom line
End of HST
- Evidence of journal club activity, with feedback on presentation to co-workers.
- Evidence of work towards a higher degree or presentation at national or international meetings also accepted for this SLO.
Critical appraisal SAQ can be taken at any point from commencing EM specialty training, but must be completed by the end of training.
MSO – A data handling station, or one in which the application and communication research findings for patient care is being considered.