Defined Route of Entry into Emergency Medicine (DRE-EM)
What is DRE-EM?
Defined Route of Entry into Emergency Medicine, ‘DRE-EM’, was introduced in 2014. It is an entry point into Emergency Medicine specialty training and has its own national selection process. The intention of DRE-EM is to increase recruitment to EM training whilst maintaining quality.
DRE-EM allows entry to ST3 via 2 routes:
Route 1 - from surgical training (UK approved with MRCS)
One route is to enter into EM specialty training, having successfully completed two years of a UK core surgical training programme or two years of a UK run through surgical training programme and have obtained MRCS.
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 1a - from surgical training (UK equivalent)
Applicants who complete the equivalent of a UK Core Surgical Training programme (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) and who do not have MRCS will train towards Certificate of Eligibility for Specialist Registration – Combined Programme (CESR-CP).
Route 2 - from ACCS specialties
The other route is to enter into EM 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.
This route leads to a 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 FRCEM Intermediate or MRCEM.