Work Based Assessments

ACEM Training

TS1 (up to 3-years)

  • 12 FTE months of core ED (adult / mixed)
  • EM-WBA completion
    • 8x mini-CEX (1x neuro, 1x cardio, 1x resp, 1x GIT)
    • 1x communication (handover)
    • 1x communication (referral)
  • Mandatory ACEM module completion
    • Indigenous health and cultural competence
    • Assessing cultural competence
    • Critical airway management
    • ACEM core values
  • Primary exam completion (Written and VIVA)


  • 12 FTE months of core ED
  • EM-WBA completion
    • 4x CBD
    • 2x mini-CEX (2x medium complexity)
    • 1x communication (handover)
    • 1x communication (referral)
  • Mandatory ACEM online module completion
    • Clinical supervision
    • Giving feedback
    • Ultrasound


  • 12 FTE months of core ED
  • EM-WBA completion
    • 4x CBD (2x high complexity)
    • 3x mini-CEX (2x high complexity)
    • 3x shift reports
  • Mandatory ACEM online module completion
    • Clinical leadership
  • ACEM Fellowship exam (Written)

TS4 (up to 12-yrs)

  • 6 FTE months of core ED training
  • 6 FTE months of elective training
    • ED or non-ED (ultrasound, medical administration, toxicology, retrieval)
    • 2x uninterrupted 3-month blocks at different sites OR
    • 1x uninterrupted 6-month block at single site
  • EM-WBA completion
    • 3x shift reports in-charge
    • 2x team lead / intubations
  • Mandatory ACEM online module completion
  • 1x Morbidity and Mortality presentation
  • 1x Formal teaching presentation
  • 1x Guideline / Protocol review / audit
  • ACEM Fellowship exam (Clinical)

Non-ED training time

  • Completed TS1 – TS3
  • 6 FTE months
  • 2x uninterrupted 3 FTE month blocks. Each block may be completed in different discipline at different sites OR
  • 1x uninterrupted 6 FTE month block in a single discipline at single site
  • Placements in any of the following: Paediatrics, Anaesthetics, ICU

Major referral / Non-major referral training time

  • 6 FTE months need to be completed in a major referral centre i.e., Liverpool
  • 12 FTE months need to be completed in a non-major referral centre i.e., CTN

Paediatric Requirement

  • Can be commenced in TS1, but completion not mandatory to complete TS1
  • Maximum 2x DOPS and 1x mini-CEX can be completed in TS1
  • Must be completed in TS3 to enter into TS4
  • All components are undertaken in paediatric EDs, not during paediatric rotation
  • 3x CBDs (1x medium and 1x high complexity, 1x 2-12yo, 1x <2yo)
  • 3x mini-CEX (2x medium complexity, 1x DC communication, 1x focused assessment 2-12yo and unclear diagnosis, and 1x focused assessment <2yo + unclear dx)
  • 2x DOPS (1x specimen collection, 1x procedural sedation <5yo)
  • Paediatric portfolio (200x cases <5yo, 200x cases 5-15yo, 50x cases ATS 1 or 2, 150x cases ATS 1-3. Encounter = Hx, PEx, Mx, Disposition, Documentation)

Research Requirement

  • Can be commenced in TS1, but completion not mandatory to complete TS1
  • Must be completed in TS3 to enter into TS4
  • Satisfied by wither coursework or completion of trainee research project

Procedural Requirement

  • 12x core procedures (arterial line insertion, CVL insertion, procedural sedation, regional anaesthesia, fracture reduction, dislocation reduction, corneal FB removal / nasal packing, intubation, LP, DC cardioversion, pleural drain insertion, POCUS)
  • 9x assessment domains (1x technical, 8x non-technical)
  • All core procedures must be performed at level of junior FACEM i.e., performed independently in all 9 assessment domains, by TS4
  • Can be commenced in TS1, but completion not mandatory to complete TS1

Critical Care Requirement

  • Completed during TS2 – TS4
  • 6 FTE months of critical care training (anaesthetics, ICU)
  • 2x uninterrupted blocks of 3 FTE months (different disciplines, different sites) OR
  • 1x uninterrupted block of 6 FTE months (single discipline, single site)

For more information, click here

ACEM Curriculum

ACEM Term Dates

Trainee Handbook



Local WBA Coordinator

Changes to FACEM Curriculum

  • For trainees who joined ACEM prior to 2022, WBAs could only be counted during advanced training. 
  • From 2022, WBAs can be counted towards training from Training Stage 1.

Shift Reports

  • Dr Atul Goel will allocate these prior to commencement of each term and allocations can be found on the whiteboard outside the registrar room. 
  • All shift reports will be conducted during a day shift.
  • Shift reports will conducted in all areas of the department i.e., acute/resus, fast track, paeds and ESSU.
  • Late Phase ATs / TS3 and TS4 will all do Shift Reports as In-Charge and carry the admitting phone.

Case-Based Discussions

  • Dr Atul Goel will allocate these prior to commencement of each term and allocations can be found on the whiteboard outside the registrar room. 

Mini-CEX and DOPs

  • A non-clinical FACEM is allocated to supervising WBAs Monday-Friday 0900-1700.
  • This FACEM will be identified at the Chef’s meeting and it is incumbent on the trainee to seek out supervision during their shift.

    Minimum Requirement

    • We encourage trainees to do more than the bare minimum as it pertains to EM-WBAs. 
    • It formalises and institutes bedside teaching as part of your everyday training experience.
    • Failing that, please see the information provided by the college in regards to the minimum requirements in terms of numbers and complexities.

    ITA Checklist

    • During your beginning and end of term assessment, the DEMTs will complete the following ACEM Requirements checklist with you

    TS1 – TS4 (42-months FTE in ED + 6-months FTE in Critical Care)

    • These DOPS procedures, considered integral to the practice of emergency medicine, involve a trainee being observed by an Assessor whilst performing a specific clinical procedure.
    • The Assessor rates and provides feedback on the trainee’s performance, from the technical part of performing the procedure to post-procedure management and discharge advice, as applicable.
    • The Procedural Requirement will be noted by the relevant Trainee Progression Review Panel once all core DOPS have been completed successfully and submitted in the online Trainee Portal.

    Core DOPS / Procedures List

    DOPS / Procedural Requirement Process at Campbelltown 

    • 8 out of 9 assessment domains are based on non-technical expertise. It is expected that you complete the online learning modules developed to meet this need in order for you to pass these assessment domains. 
    • To be signed off as satisfactory for a procedure, trainees must complete the following:
      • Theoretic component – Online learning modules, click HERE
      • Practical component – Direct supervision in simulated environment
      • Practical component – Direct supervision in clinical environment and logbook completion
      • Assessment component – 2x Formative assessments and 1x Summative assessment, unless otherwise stipulated
    • Prior to successful completion, procedures will be entered as unsatisfactory with an explanation of why i.e., part of local procedure credentialing process

    Structured Marking Templates

    • These have been developed by Daniel to ensure the feedback you receive is structured, objective and constructive.
    • These can be found under Procedures Tab – ACEM CORE DOPS – MARKING SHEETS
    • Print them off and hand them to your FACEM assessor prior to commencing your DOPS.
    • These can be handed back and used to close any learning gaps which may have been uncovered and assist in OSCE preparation.

    ACEM Portal

    TS1 (12-months FTE in ED)

    • 8x Mini-CEX
      • At least 1x Cardio, 1x Resp, 1x Neuro and 1x GIT

    TS2 (12-months FTE in ED)

    • 4x Mini-CEX
      • 2x medium complexity

    TS3 (12-months FTE in ED)

    • 3x Mini-CEX
      • 2x high complexity

    TS4 (6-months FTE in ED)

    • 2x Team leads in intubation / resuscitation

    Mini-CEX at Campbelltown

    • We have developed online modules to help you prepare for your Mini-CEX.
    • We have developed marking sheets to provide objective and structured feedback.

    ACEM Portal

    CTN ED Assessment Guides

    • History Taking
    • Cardiorespiratory Examination
    • GIT Examination
    • Neurological Examination
    • Mental State Examination
    • Limb Examination
    • Paediatric Examination
    • Eye Examination
    • Templates

    TS1 (12-months FTE in ED)

    • 1x Handover
    • 1x Referral

    TS2 (12-months FTE in ED)

    • 1x Handover
    • 1x Referral

    Referral – Overview

    • Request to specialty service external to ED (inpatient / receiving team)
    • Does not apply to referrals made to allied health or ESSU
    • FACEM observes referral conversation (phone, person) between trainee and referral recipient OR FACEM assumes the role of recipient for a simulated referral prior to referral being made
    • Click HERE to watch a demonstration video

    Referral – Assessment

    • Communication
      • Demonstrate principles of good communication
      • Convey information in a structured format
      • Check referral recipient’s understanding 
      • Reach a negotiated understanding / consensus
      • Demonstrate importance of handover documentation
    • Prioritisation & Decision Making
      • Demonstrate appropriate clinical reasoning in facilitating referral
      • Evidence-based risk stratification tools
      • Impression and DDx
      • Clinical and diagnostic testing
      • Analytic thinking
      • Refer to salient aspects (urgency, patient assessment, provisional diagnosis, complications, pitfalls, provisional and further management plans / issues)
    • Teamwork & Collaboration
      • Demonstrate a collaborative approach focused on patient outcomes
    • Health Advocacy
      • Demonstrate patient advocacy

    Handover – Overview

    • Transfer of professional responsibility and accountability for some / all aspects of clinical care
    • Can be to another team member in ED (ESSU FACEM), for more than one patient and for patients whom the trainee has had primary responsibility of assessment and management
    • Assessment may include all or part of a clinical handover
    • Can be of a section or physical area of the ED, or of more than one patient at the conclusion of a shift
    • Click HERE to watch a demonstration video

    Handover – Assessment

    • Communication
      • Display principles of good communication
      • Convey information in a structured format
      • Check handover recipient’s understanding
      • Minimise risks associated with clinical handover
      • Demonstrates importance of handover documentation
    • Medical expertise
      • Perform handover of essential information
      • Recognise high risk features
      • Outline appropriate DDx
      • Identify undifferentiated patients
    • Prioritisation and Decision Making
      • Identify key decision making and potential gaps in decision making
      • Prioritise outstanding tasks
      • Highlight potential deterioration and outline appropriate management

    ACEM Portal

    TS2 (12-months FTE in ED)

    • 4x CBD (2x medium complexity)

    TS3 (12-months FTE in ED)

    • 4x CBD (3x high complexity)

    CBD at Campbelltown

    • We expect that TS1 trainees will complete at least 2x CBDs during 12-months FTE in ED.
    • We will be assessing your
      • Medical Expertise
      • Prioritisation and Decision Making
      • Teamwork and Collaboration
      • Health Advocacy
      • Communication incl case notes
      • Professionalism

    ACEM Portal

      FACEM CBD Feedback Guide (produced by D Gaetani)

      TS1 – TS3 (36-months FTE in ED)

      • 3x Mini-CEX (1x can be completed in TS1, rest in TS2-TS3)
      • 3x CBD
      • 2x DOPS (2x can be completed in TS1, rest in TS2-TS3)
      • Paediatric portfolio (can only be completed in ED)


      • Patient discharge communication for common diagnosis
      • Focussed assessment + Age 2-12 yo + Unclear diagnosis (verbal communication with child) 
      • Focussed assessment + Age <2 yo + Unclear diagnosis (non-verbal communication with carer)


      • At least 1x Age 2-12 yo and 1x Age <2 yo


      • At least 1x Specimen collection for lab analysis + Age <5 yo
      • At least 1x Procedural sedation + Age <5 yo

      Paediatric Portfolio

      • Minimum 400 cases
      • 200 cases related to the management of children <5 yo;
      • 200 cases related to the management of children 5-15 yo;
      • 50 cases classified as triage category 1 or 2;
        • of which at least 25 must be <5 yo
      • 150 cases classified as triage category 1, 2 or 3.

      ACEM Portal

      TS3 (12-months FTE in ED)

      • 3x shift reports (in-charge of an area within the department for entirety of the shift).

      TS4 (6-months FTE in ED)

      • 3x shift reports IN-CHARGE (in-charge of department i.e., holds AMO phone, for entirety of the shift).


      • Specific feedback provided on all domains of Curriculum Framework
      • Assessment of trainee performance regarding factors impacting ED as a whole.
      • Take periodic snapshots of the trainee and feedback throughout and at end of shift.
      • Ask feedback from other clinical staff about trainee performance as deemed appropriate.
      • At least 3 of the 8 components need to be assessed on the form.
      • When providing feedback, it should be directed at the gap between the trainee’s current practice and the ideal practice of a graduating FACEM, not necessarily what is expected from trainee at her level.

      Shift Reports at Campbelltown

      • You will be allocated to a shift report during each term.
      • Shift reports will be conducted in all areas of the department and allocated based on level of seniority. 

      ACEM Portal

      TS4 (ED or Non-ED)

      • Formal teaching presentation

      Scholarship & Teaching at Campbelltown

      • Regardless of stage of training, trainees will be expected to present at least 1x formal teaching session per year.

      ACEM Portal

      TS3 or TS4 (18-months FTE in ED)

      • At least 1x guideline / protocol review or clinical audit

      Clinical Audit or Guideline / Protocol review – Assessment

      • Topic selection (Plan)
        • Identify and justify need for review
        • Identify potential barriers in conducting review
        • Identify strategies to mitigate potential bias
        • Critically evaluate departmental / organisational practice and variation from current guideline / protocol
        • Consider local governance requirements
      • Methodology (Do)
        • Propose parameters for focused literature search surrounding protocol / guideline
        • Design stakeholder questions
        • Analyse and respond to stakeholder feedback
      • Analysis (Study)
        • Critically appraise literature review and compare against previous guideline / protocol
        • Demonstrate a collaborative approach and incorporate stakeholder perspectives in guideline / protocol
      • Recommendations (Act)
        • Draft a new or modified guideline / protocol
        • Provide rationale for maintaining or modifying guideline / protocol based on evidence and stakeholder perspectives
        • Discuss plan for implementation, education and dissemination
        • Identify plan for feedback cycle and audit
        • Acknowledge contributors
      • More information can be found HERE


      • Background and timeline
        • Patient history
        • Observations
        • Investigations
        • Assessment
        • Treatment
        • Other factors (hospital journey)
        • Outcome for patient
      • Evolution of case
        • Identify relevant

      QA / QI Requirement at Campbelltown 

      • As a trainee, you will be allocated to a departmental committee based on preference or need.
      • As a committee member, you will be required to perform at least 1x guideline / protocol review or clinical audit per year, regardless of stage of training.
      • You will be expected to help prepare and present at least 1x M&M every 12-months

      ACEM Portal

      TS4 (6-months FTE in ED)

      • A Team Lead resuscitation/intubation assessment involves the direct observation of a trainee leading a team during the resuscitation or intubation of a patient.
      • The ability to lead a team during a resuscitation or intubation is essential for all FACEMs and this assessment provides the opportunity for trainees to consolidate their leadership skills.
      • The assessor rates and provides structured feedback on the trainee’s performance leading the team.

      Assessment Criteria

      • Prioritisation and Decision Making
        • Plan and prepare for arrival of patient
        • Anticipate problems
        • Demonstrate continued situational awareness with increased task loading
        • Make safe and timely decisions
        • Respond to additional information
        • Recruit specific additional staff and resources as required
        • Incorporate input from team to inform shared decision making
      • Leadership and Management
        • Allocate or reassign roles appropriately
        • Demonstrate authority and control
        • Ensure timely interventions and process
      • Teamwork and Collaboration
        • Employ active listening
        • Provide constructive feedback
        • Intervene to minimise errors in patient care
        • Use conflict resolution strategies as required
        • Support fellow team members during and after resuscitation
        • Debrief team members when required

      ACEM Portal

      Liverpool ED Placement

      • Complete LDP at start of term with designated DEMT
      • Complete ITA at completion of term with designated DEMT
      • Meet EM-WBA and Paediatric-WBA requirements according to stage of training in conjunction with WBA supervisor
      • Be allocated a mentor at the start of term
      • Participate in roster as per contracted FTE hours
      • Engage in scholarship & teaching activities
      • Engage ultrasound, research, QA and QI activities
      • Complete ACEM QA/QI, teaching and leadership requirements (TS3-TS4)
      • Enter paediatric cases into paediatric portfolio as per ACEM requirements
      • See ‘Secondment Logbook


      • Meet with term supervisor 

      Primary Exam

      • Completed in TS1 / Provisional Training
      • Assesses application of basic sciences (Anatomy, Physiology, Pathology, Pharmacology)
      • 2x 3hr Written Exams (SCQ)
      • 1x Integrated VIVA (4x 10-minute stations over 1-hr period)
      • For more information, click here

      Fellowship Exam (Written)

      • Completed in TS3 (Written) / Late phase advanced training
      • Assesses trainee’s knowledge, application of knowledge and understanding alignment with TS3 learning outcomes
      • 2x 3hr Written Exams (1x SCQ 120 Qs and 1x SAQ 30 Qs)
      • For more information, click here

      Fellowship Exam (OSCE)

      • Completed in TS4 / Late phase advanced training
      • Successful completion of FEx Written required
      • Conducted over 2 days
      • 10x clinical stations per day
      • Each station lasts 11-minutes (4-minutes reading time, 7-minutes assessment)
      • For more information, click here