Royal College of Surgeons in Ireland Coláiste Ríoga na Máinleá in Éirinn

Advanced Specialist Training in Emergency Medicine (ASTEM)

The duration of the ASTEM Training Programme in Emergency Medicine is four years. Trainees on the programme rotate as a Specialist Trainee through a minimum of three Emergency Departments, including six months in a dedicated Paediatric Emergency Department.

Entry requirements for the ASTEM Training Programme:


Candidates must be three years post-internship clinical experience with the following: 

  • A minimum of 18 months in Emergency Medicine in Ireland, UK, South Africa or Australasia
  • A minimum of six months in Anaesthesia/Intensive Care Medicine or evidence that the applicant has achieved the CSTEM competencies in this area by submission of the relevant work place assessments ( – airway management, rapid sequence intubation, organ support, central venous cannulation, arterial cannulation).
  • A minimum of six months in Paediatric EM or acute paediatrics 
  • The remaining 12 to 18 months in EM or specialties relevant to EM – medicine, surgery, orthopaedics
  • Experience must be within five years of application for ASTEM
  • Hold the Membership of the Royal College of Emergency Medicine (MRCEM / Intermediate FRCEM) diploma by the date of Application close date (7th December 2018)