References
Developing the concept of a multi-professional pre-hospital emergency medicine (PHEM) practitioner training programme
The term ‘pre-hospital emergency medicine’ (PHEM) covers a wide range of medical conditions from minor illness and injury to life-threatening emergencies. Pre-hospital interventions therefore also range from simple first aid to advanced emergency care. Clinical providers may be first responders, technicians, paramedics, nurses and doctors. All of this activity may take place in urban, rural or remote settings (Intercollegiate Board for Training in Pre-Hospital Emergency Medicine, 2015).
PHEM practice relates to the emergency response, primary scene transfer and secondary emergency transfer functions within pre-hospital care at the level of the consultant (level 8) practitioner (Skills for Health, 2015), with focus on the area of clinical care required for the seriously ill or injured patient. The key drivers include ensuring consistency in the provision of PHEM services, ensuring equality of access, service delivery, quality and clinical governance.
The PHEM curriculum and assessment system was designed by the Faculty to meet the requirements of General Medical Council (GMC) medical sub-specialty regulations but also to support multi-professional training programmes. PHEM was subsequently approved by the GMC, in 2011, as a medical sub-specialty to some existing medical specialties. Work has been ongoing since that time to explore the possibility of non-doctor access to the PHEM curriculum and examination process. In July 2015 the Faculty of Pre-Hospital Care supported, in principle, multi-professional access to the PHEM curriculum and examination process for appropriately trained and experienced paramedics and nurses.
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