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Looks like, but is not quite, the case. You must still have 5 years higher training (post FRCS/MRCP), but your mandatory secondments can be in SHO posts pre-MRCP/FRCS -----Original Message----- From: Adrian Fogarty [mailto:[log in to unmask]] Sent: 07 August 2001 12:46 To: [log in to unmask] Subject: Re: Whats wrong with me ? Patrick Plunkett said: > FACEM and FAEM training are, on paper, very similar, but there is a significant difference in that 5 years Higher Specialty Training is mandatory under European rules, whereas FACEM only needs four years. (30 months in Emergency Departments and 18 months in other disciplines) But most British trainees get 12 to 18 months of their higher training lopped off at the outset, in recognition of SHO level experience prior to their entry exam. This rather makes a mockery of Europe's 5 year higher training, doesn't it? Patrick Plunkett said: > The comment on clinical evaluation in the FFAEM is noted, and known, but surely it is for a robust RITA system to ensure that trainees are up to scratch clinically before presenting for the exam? Only our profession can adequately decide whether a person is acceptable, but they must do so in a reproducible, transparent and fairf ashion. That makes clinical exams, performed in a ½ to 1 hour setting totally unrealistic. But the RITA system could not be considered robust for a minute, it's a rubber stamping exercise! The RITA "assessment" is essentially carried out by your trainer, although a panel then "assesses" the trainer's assessment, if you see what I mean. There is a glaring conflict of interest - no trainer wants to drag down his trainee, partly as trainers get close to their trainees, and partly as trainees' shortcomings will inevitably reflect on the trainer's unit and his training status. There's nothing wrong with clinical exams if planned and executed well. We already rely on them for most undergraduate and postgraduate exams; at least they are viewed as relatively independent and that is more important than ever these days. Conversely if you are going to use continuous assessment, then use continuous assessment alone; an exam at the end should not be necessary and will only devalue the continuous assessment! Adrian Fogarty ********************************************************************** This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. **********************************************************************