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Emergency Medicine: portfolio, hot topics and useful resources

Emergency Medicine evidence ideas, RCEM current issues, training resources and direct routes into the ACCS EM ST1 guide cluster and interview preparation.

Professional body: Royal College of Emergency Medicine (RCEM)Last checked: 23 September 2026
Illustrative emergency medicine clinician caring for a patient in a hospital resuscitation bay.

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Emergency Medicine evidence ideas, RCEM current issues, training resources and direct routes into the ACCS EM ST1 guide cluster and interview preparation.

Portfolio & evidence

Useful things to do before you apply

These are development ideas, not a claim about points in a particular recruitment cycle. Check the current official person specification and scoring guidance before relying on any activity for an application.

  1. Follow a patient from streaming through assessment, referral or discharge and reflect on the Emergency Physician's decisions.

  2. Choose a small ED or acute-care QI problem with a clear standard, intervention and realistic repeat measure.

  3. Keep examples of prioritisation, uncertainty, escalation and communication across professional boundaries.

  4. Join a defined local role in TERN, PERUKI or another governed study rather than chasing nominal authorship.

  5. Teach an identified acute-care need, collect feedback and improve the next session.

Read the general portfolio-building framework

Royal College / Faculty watchlist

Current topics worth understanding

These are concise summaries of current professional-body material, not predicted interview questions. Use them to understand the specialty and then read the primary source.

RCEMJune 2026

Crowding, corridor care and avoidable harm

RCEM's June 2026 State of Emergency Medicine analysis estimated 15,860 excess deaths associated with long waits in English EDs during 2025, while July 2026 set a record for 12-hour waits in that month.

Why it matters for a candidate: Connect crowding to monitoring, privacy, medicines, deterioration and staff workload. Discuss reliable escalation and whole-hospital flow rather than blaming the front door.

Read the primary source
RCEMCurrent workforce resources

Emergency Medicine workforce and retention

RCEM workforce resources describe the need for an appropriately trained multidisciplinary team and enough senior decision-makers to provide safe, sustainable emergency care.

Why it matters for a candidate: Discuss supervision, rota design, breaks, culture, flexible careers and retention as patient-safety issues, not only recruitment numbers.

Read the primary source
RCEM2026 QIPs

RCEM Quality Improvement Programme 2026

The 2026 national QIPs cover adolescent mental health, care of older people and time-critical medication, reflecting common harm outside high-profile resuscitation.

Why it matters for a candidate: Use one topic to show how measurement, multidisciplinary work and reliable routine processes can improve outcomes in a crowded ED.

Read the primary source
RCEMAugust 2025 update

Updated Emergency Medicine curriculum

GMC-approved changes to the 2021 curriculum took effect on 6 August 2025, with updated capabilities and assessment guidance while the broad training structure remained.

Why it matters for a candidate: Connect curriculum delivery to supervision, feedback, protected teaching and a breadth of clinical exposure during sustained service pressure.

Read the primary source

Useful stuff

Official tools you can actually use

The Interview Bank

ACCS Emergency Medicine application and career hub

The comprehensive 2027 guide to eligibility, MSRA, interview, evidence, ACCS training, exams, on-call, subspecialties and current issues.

Read on The Interview Bank
The Interview Bank

Emergency Medicine evidence and example builder

Map truthful experience to the 2027 person specification without inventing an ST1 self-assessment score.

Read on The Interview Bank
The Interview Bank

ACCS EM portfolio station guide

Prepare concise, evidence-led answers for commitment, teamwork, leadership, QI, teaching and research with original prompts.

Read on The Interview Bank
The Interview Bank

ACCS EM clinical and ethical station guide

Practise acute prioritisation, capacity, consent, professionalism, escalation and changing information in original scenarios.

Read on The Interview Bank
RCEM

RCEM Quality Improvement

National QIP topics, standards, data tools and guidance for improvement in Emergency Departments.

Open resource
RCEM

Emergency Medicine curriculum

The current capabilities, assessment programme and progression expectations for UK Emergency Medicine training.

Open resource
RCEMLearning

RCEMLearning

College learning resources spanning induction, clinical topics, professional development and exam-oriented study.

Open resource
TERN

Trainee Emergency Research Network

Multicentre research opportunities designed for meaningful trainee participation across UK Emergency Departments.

Open resource
EMTA

Emergency Medicine Trainees' Association

Trainee representation, education, employment, wellbeing and practical training resources.

Open resource

Interview reflection

Turn exploration into a real “Why Emergency Medicine?” answer

What have you learned about whether rapid switching and safe decisions under uncertainty genuinely suit you?

Start with something you genuinely experienced. Explain what it taught you about the work, what appealed to you, what challenge you noticed and what you did next.