The document outlines changes to the training program for the Australasian College for Emergency Medicine (ACEM) in 2015. Key changes include defining curriculum learning outcomes, introducing regular workplace-based assessments beginning in 2016, and significantly changing the structure of the Fellowship Examination. The Fellowship Exam will now have separate written and clinical components, with the written exam focusing on knowledge application and comprising multiple choice and short answer questions, and the clinical exam consisting of an Objective Structured Clinical Examination with various station types. Other advanced training requirements like pediatric experience, research, and special skills logging remain unchanged.

1. Changes to ACEM training

2. Changes to ACEM training - 2015
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Advanced training
Curriculum
Training time
Workplaced based assessment
Fellowship exam
• Transition arrangements

4. Curriculum

5. Curriculum structure

6. Training time

7. WBA’s
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Mini-CEX
CbD
DOPS
Shift report
MSF
ITA
• One per month

8. Transition to new program

9. Fellowship Exam- Written
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Can sit after completion of early phase
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Fellowship Examination (FEx) Focus:
The FEx (Written) will:
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continue to examine at consultant level, with a focus on knowledge-application.
be a separate assessment from the FEx (Clinical)
Format: The FEx (Written) will comprise two components:
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1. Select-choice Question
Multiple Choice Questions (MCQs)
Each MCQ comprises a stem (i.e. a short lead-in phrase) and a number of alternative
options for response. The correct response is presented, along with a number of plausible
distractors. The MCQs will be written to current best-practice guidelines.
Extended Matching Questions (EMQs)
Each set of EMQs comprise a theme (e.g. a particular presentation, investigation, diagnosis,
or treatment); a list of possible answers (i.e. related to the theme), and a number of stems
requiring a response chosen from the list.
2. Short Answer Question (SAQ)
The SAQ component will incorporate Visual Aid Questions (VAQs) and be structurally
modified to align with current best-practice guidelines. The revised format SAQs will use
questions that are highly structured and specific, with responses that will require single
words or short phrases, rather than mini-essays.

10. Fellowship Exam- Clinical
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To be eligible candidates must:
– Have successfully completed FEx written
– Have satisfied research requirement
– be in final 12 months of training
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Focus: The FEx (Clinical) will:
– continue to examine at consultant-level, with a focus on knowledgeapplication, skills and attributes.
– be a separate assessment from the FEx (written).
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Format: The FEx (Clinical) will comprise one component:
– 1. Objective Structured Clinical Examination (OSCE)
– A set of clinical examination stations (c.f. the pre-2015 FEx 'Structured
Clinical Examination Stations [SCEs]). The OSCE stations may include
standardised patients, observation stations, clinical scenarios,
communication scenarios and simulations of management of critically ill
patients.

11. Changes to ACEM training
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Due in 2015
Curriculum learning outcomes defined
WBA’s will begin next year
Significant change to structure of FEx
Other advanced training requirements unchanged
– Paediatrc requirement
– Trainee research
– Special skills logbook