Defined Route of Entry into Emergency Medicine (DRE-EM)

What is DRE-EM?


Defined Route of Entry into Emergency Medicine, ‘DRE-EM’, is an entry point into Emergency Medicine specialty training. DRE-EM began in 2014, and has its own national selection process. The intention of DRE-EM is to increase recruitment to Emergency Medicine training whilst maintaining quality.

The Defined Route of Entry to Emergency Medicine (DRE-EM) was introduced in 2014. It allows entry to ST3 via 2 routes:

Route 1 - from surgical training


One route is to enter into Emergency Medicine specialty training, having successfully completed two years of a UK core surgical training programme or two years of a run through surgical training programme in the UK.
Applicants should provide evidence of achievement of CT/ST1 competences in surgery at the time of application and CT/ST2 competences in surgery by the date the post commences. Entry via this route leads to a Certificate of Completion of Training (CCT) in Emergency Medicine.

Route 2 - from ACCS specialties


The other route is to enter into Emergency Medicine specialty training with evidence of a minimum of 24 months at core trainee level (not including time spent within a Foundation programme or equivalent) in any ACCS specialties (Anaesthesia, Emergency Medicine, Intensive Care Medicine or Acute Medicine), of which at least 12 months must be in Emergency Medicine, with at least 6 months of this worked within an Emergency Medicine environment similar to that seen in the UK and at least 12 months worked in the UK as a fully registered medical practitioner

OR completion of the equivalent of core surgical training with evidence of achievement of CT/ST1 competences in surgery at the time of application and CT/ST2 competences in surgery by the time of appointment.

This route leads to a Certificate of Eligibility for Specialist Registration – Combined Programme (CESR CP) in Emergency Medicine.

Route 2a – from approved ACCS programmes


Some trainees may have applied and been selected on the DRE-EM route having switched from other specialties within approved ACCS programmes. There might be options for trainees in this category to train to CCT or CESR-CP.

The ST3 'year' will normally last for 18-24 months depending on the competences each trainee still requires for entry to ST4.  ST4 Person Specifications are the same for DRE-EM and non-DRE-EM trainees and include having full MCEM. Trainees from CST who have the MRCS are exempt from sitting the MCEM part A if they successfully complete Parts B & C within four years of the MRCS pass.