HST

Higher Speciality Training (HST) is the transition to ‘middle grade’ and comprises the ST4-6 years.

During HST, trainees are exposed to the full range of Emergency Medicine practice and begin to ‘run the department’
Trainees should gain experience in at least one teaching centre and one district general hospital during HST.
Trainees should spend 25% of HST caring for children.

HST Training Guide

Teaching

See Regional Teaching Programme
Trainees must aim to attend >70% of regional teaching days each year

Exams

HST must complete the following examinations prior to CCT

• FRCEM SBA
• FRCEM OSCE

Opportunities

As well as clinical and managerial opportunities on the shop floor…
HST is also when most EM trainees consider diversifying their careers with research, Subspecialty training, OOP or dual accreditation

ARCP

Maintaining a logbook of ultrasound, procedures, SPA time and teaching days can be challenging to demonstrate for ARCP. We recommend use of a logbook to ensure that your review runs smoothly. Here is a blank template for your use to document your work. These can be uploaded as PDFs to your portfolio for review before ARCP. 

SPA, Ultrasound & Procedures Logbook – Numbers edition

SPA, Ultrasound & Procedures Logbook – Excel edition

You will also be using the ARCP decision aid tool for progression or ARCP decision aid tool for annual review