In the United States, residents must complete a minimum training period of 36 months in an approved emergency medicine training residency programme before they can sit the Board examination. A typical residency curriculum includes the following assignments:
emergency medicine, intensive care units, paediatrics, trauma surgery, toxicology, orthopaedics, neurology/neurosurgery, obstetrics and gynaecology, emergency medical services and electives.
The necessary technical skills and knowledge are acquired during residency training and in practice, and are published in texts that outline relevant procedures. Such skills include, but are not limited to, airway control, venous access, diagnostic procedures, pericardiocentesis and thoracocentesis.
South Africa is in the process of developing a full postgraduate specialist training programme, in addition to the Diploma in Emergency Medicine that is presently available. Many doctors have taken the opportunity to complete the excellent certification programmes available eg Acute Trauma Life Support, Acute Cardiac Life Support and Lecture Notes on Emergency Medicine
Acute Paediatric Life Support. These certification courses have done much to stimulate the interest of many who are involved in emergency care.
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