Fellowship in Emergency Care
Fellowship in Pre-Hospital Emergency Care
Designed for doctors and paramedics interested in pre-hospital emergency medicine. Covers PHEM principles, HEMS operations, major incident management, tactical medicine and wilderness/austere environment medicine.
- typical duration
- 6 months
- estimated weekly study
- 4-6 hrs
- level
- Advanced
- format
- Self-paced
Programme overview
Designed for doctors and paramedics interested in pre-hospital emergency medicine. Covers PHEM principles, HEMS operations, major incident management, tactical medicine and wilderness/austere environment medicine.
Across roughly 6 months, the curriculum works through 8 core areas: PHEM Principles & Systems, HEMS Operations, Major Incident & Mass Casualty, Tactical & Combat Medicine, Pre-Hospital RSI, Wilderness Medicine, Trauma in Austere Environments and Pre-Hospital Research & Governance. Each area combines clinician-written notes, worked examples and self-assessment so you build understanding rather than memorise in isolation.
This is a structured, self-paced learning programme rather than an accredited qualification. It is designed to consolidate knowledge and support continuing professional development; the accreditation status is pending and it does not by itself confer a licence, registration or a university degree.
Who this is for
Who this is for: MBBS, paramedic or emergency care practitioner. It suits clinicians who want a coherent, exam-aware framework rather than scattered resources, and who prefer to study around clinical shifts.
Level: Advanced. Expected commitment: around 4-6 hours per week over 6 months, studied entirely online at your own pace with no fixed live sessions.
Where the knowledge transfers: the content overlaps with preparation for PHEM Certificate, ECP Qualification and SEMI Pre-Hospital. The programme is not an exam-registration route, but the concepts and clinical reasoning it builds are directly relevant to these assessments and to day-to-day practice.
Curriculum and competencies
Core areas covered
- PHEM Principles & Systems
- HEMS Operations
- Major Incident & Mass Casualty
- Tactical & Combat Medicine
- Pre-Hospital RSI
- Wilderness Medicine
- Trauma in Austere Environments
- Pre-Hospital Research & Governance
Learning outcomes
By completion you should be able to
- Apply PHEM principles to scene management, triage and pre-hospital clinical decision-making
- Understand HEMS operations including dispatch criteria, landing zones and crew resource management
- Implement METHANE and major incident frameworks during mass casualty incident responses
- Perform pre-hospital RSI safely using drug-assisted airway management protocols
- Manage trauma in austere and resource-limited environments including improvised haemorrhage control
- Apply wilderness medicine principles including environmental emergencies and extended care protocols
Programme schedule
Month 1-2: PHEM Foundations & Airway
- PHEM Principles, Systems & Scene Safety
- HEMS Operations & CRM
- Pre-Hospital RSI - Drugs, Techniques & Safety
- Pre-Hospital Trauma Management
Month 3-4: Major Incidents & Tactical Medicine
- Major Incident & Mass Casualty Management
- METHANE, CSCATTT & Triage Sieve
- Tactical & Combat Medicine
- Haemorrhage Control & Tourniquets
Month 5-6: Wilderness Medicine & Governance
- Wilderness & Austere Environment Medicine
- Environmental Emergencies (hypothermia, altitude, drowning)
- Pre-Hospital Research, Governance & PHEM Portfolio
- Capstone Assessment & Competency Review
How it is delivered and assessed
Every module is delivered self-paced inside the MedNext platform. You move through clinician-written notes, then reinforce each concept with flashcards, mnemonics and focused MCQs drawn from the wider MedNext question bank. There are no fixed deadlines, so you can complete the programme faster or slower than the indicative duration.
Assessment is formative and built for retention rather than gatekeeping: end-of-module self-assessment checks, progress tracking that surfaces knowledge gaps, and spaced review prompts that bring weak areas back at the right time. A reflective portfolio prompt at the end helps you record what you have covered for your own CPD log.
Frequently asked questions
Is this an accredited fellowship or a degree?
No. It is a structured, self-paced learning programme in the CPD style. Accreditation is pending and completion does not by itself grant a licence, registration or university award. It is intended to consolidate knowledge and support your professional development.
Who can enrol?
MBBS, paramedic or emergency care practitioner. The programme is designed to be studied around clinical work.
How long does it take and how much study is involved?
The indicative duration is 6 months, at an estimated 4-6 hours of study per week. Because it is self-paced with no fixed sessions, you can adjust this to your own schedule.
Will it help with my exams?
The content overlaps with PHEM Certificate, ECP Qualification and SEMI Pre-Hospital. It is not an exam-registration pathway, but the notes, reasoning frameworks and practice questions build knowledge that is directly relevant to these assessments.
How is it delivered and assessed?
Entirely online and self-paced within the MedNext platform, using clinician-written notes, flashcards, mnemonics and MCQs. Assessment is formative: end-of-module self-checks and progress tracking rather than a formal graded examination.
Related programmes
Fellowship in Emergency Care - Core
Trauma, resuscitation, toxicology and paediatric emergencies - the complete emergency medicine core curriculum.
Learn moreReview Fellowship in Pre-Hospital Emergency Care
Explore clinician-written learning resources, structured revision and practice across the MedNext platform.
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