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Emergency Medicine · Before training

How to get Emergency Medicine experience before ST1

Arrange a useful ED taster and find realistic routes into quality improvement, teaching, research networks and trainee groups before Emergency Medicine training.

Last verified: 28 September 2026Part of: ACCS Emergency Medicine
Recruitment and training source status

The 2027 process removes Core Training entry and confirms a fresh MSRA sitting, 40% MSRA / 60% interview weighting and two online stations of up to 10 minutes: portfolio and clinical/ethical. Detailed scoring anchors and internal clinical/ethical sequencing remain unpublished.

ContentsHow to get useful Emergency Medicine experience from a standing start

Before training

How to get useful Emergency Medicine experience from a standing start

You do not need an Emergency Department Foundation post to build informed commitment. Aim for achievable exposure to decisions, team processes and patient pathways, then contribute to one useful piece of work.

Arrange a focused taster

Ask the Foundation or postgraduate education team, an ED clinical tutor or a consultant. Request objectives across triage, majors, resus, paediatrics, frailty or ambulatory pathways and handover. Protect confidentiality and local induction requirements.

Follow workflows, not just procedures

Observe how a patient is streamed, assessed, investigated, referred, safety-netted or admitted. Notice how decisions change with crowding, bed availability and new results. This gives more useful interview insight than counting cannulas or airways.

Join a proportionate QI project

Ask the ED QI lead, governance meeting or pharmacist about a current local priority. RCEM's 2026 programmes cover adolescent mental health, older people and time-critical medication, but a local project should follow the problem your department actually has.

Explore RCEM QI resources

Teach a defined learner group

Offer a short session for students, Foundation colleagues, nurses or multidisciplinary staff on an agreed need such as acute assessment, ECGs, safety-netting or human factors. Collect feedback and improve the next session.

Use trainee research networks

TERN runs multicentre EM studies with local collaborators, while PERUKI focuses on paediatric emergency research. Ask what projects are open and what the local role involves before assuming participation or authorship.

Visit TERN

Learn from trainee and SAS voices

Speak to current trainees about ACCS placements, exams, nights, recovery and programme variation. EMTA represents trainees; EMSAS represents specialty, specialist and associate specialist doctors. One honest conversation can correct a brochure-level view of the career.

Visit EMTA

From understanding to practice

Put this topic into an interview answer

Use EM portfolio station for original prompts and an answer structure relevant to this topic.

Explore ACCS Emergency Medicine practiceExplore the Question bank and spoken practice coming at launch.

Spoken practice is launching soon. Use the free questions and guides to start preparing now.

Sources

References linked in this article

ACCS Emergency Medicine hub sources