There are 11 ACCS Learning Outcomes that are followed in core training. Thereafter there are 12 RCEM SLOs that cover the whole of training in the RCEM curriculum. The progression in training from ACCS Learning Outcomes to RCEM SLOs is shown in Table 2.
Table 2. Progression from ACCS LOs to RCEM SLOs
ACCS LO | RCEM SLO | Note |
1. Care for physiologically stable adult patients presenting to acute care across the full range of complexity | 1. Care for physiologically stable adult patients presenting to acute care across the full range of complexity | Continuous |
2. Make safe clinical decisions, appropriate to level of experience, knowing when and how to seek effective support | 2. Support the ED team by answering clinical questions and making safe decisions | Increased sophistication and acknowledgement of the need to support others from intermediate training onwards |
3. Identify sick adult patients, be able to resuscitate and stabilise and know when it is appropriate to stop | 3. Identify sick adult patients, be able to resuscitate and stabilise and know when it is appropriate to stop | Continuous |
4. Care for acutely injured patients across the full range of complexity | 4. Care for acutely injured patients across the full range of complexity | Continuous |
5. Provide safe basic anaesthetic care including sedation | Content moves to SLO 3 and 6 in Intermediate and Higher Training | |
5. Care for children of all ages in the ED, at all stages of development and children with complex needs | Begins in intermediate training as a requirement, although experience and feedback can be accrued in Core Training | |
6. Deliver key procedural skills | 6. Deliver key procedural skills | Continuous |
7. Deal with complex and challenging situations in the work place | 7. Deal with complex and challenging situations in the work place | Continuous |
8. Manage patients with organ dysfunction and failure | Content moves to SLO 3 and 6 in intermediate and Higher Training | |
8. Lead the ED shift | Requirement from intermediate training onwards | |
9. Support, supervise and educate | 9. Support, supervise and educate | Continuous |
10. Participate in research and managing data appropriately | 10. Participate in research and managing data appropriately | Continuous |
11. Participate in and promote activity to improve the quality and safety of patient care | 11. Participate in and promote activity to improve the quality and safety of patient care | Continuous |
12.Manage, Administer and Lead | Requirement from intermediate training onwards |