The work of an expert Emergency Clinician has been divided into 12 Speciality learning Outcomes. Although Emergency Medicine is a team-based activity, an EM consultant must be able to take a leadership role in each of the activities outlined. They must be able to act without supervision-to be an independent practitioner. By dividing the work of an EM consultant in this way the progress of learners to independent, expert practise, in each of these areas of work can be considered.
Eight of these outcomes relate to activities that happen on shift in the ED. These activities include direct patient care. Each has a comprehensive description of the steps taken from entry to training to independent practise. At key thresholds in training an entrustment decision is made. This is a predication by the training faculty who have worked alongside that learner of whether they are ready to move into the next stage of training and shoulder the additional responsibility that is required.
Work in each of these Speciality learning Outcomes is focussed on making learners ready. That requires hard work, a readiness to seek out and accept and reflect on honest constructive feedback by trainees and the drive and commitment to support learners to experience clinical situations that are challenging where learning is at its richest.
Each of the Specialty learning Outcomes has Generic Professional Capabilities that underpin them and these are listed.
They also have a number of Key EM capabilities. These provide focus, emphasis and clarity as to what is required in providing the particular aspect of professional work the Outcome describes. These relate directly to Decision making about readiness to progress. These Key EM Capabilities are given further detailed context in a list of knowledge skills and attitudes that relate to them.