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Higher emergency medicine training: ST3 via the Defined Route of Entry (DRE-EM) or ACCS, and ST4. National recruitment led by NHS England Yorkshire and the Humber.

Next to close10 Dec
Emergency Medicine DRE-EM ST3 2027

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Before you apply

  • Who can apply for Emergency Medicine ST3/ST4?

    ST4: CT1-3 ACCS EM competences (or Alternative Certificate) and MRCEM or FRCEM Intermediate by offers date. Prioritisation Act applies. Source ↗

  • How do you apply for Emergency Medicine ST3/ST4?

    One national application via Oriel for all vacancies across the four UK nations, run by NHS England Yorkshire. DRE-EM ST3 2027 opens 10am 19 November, closes 4pm 10 December 2026; no Round 2 expected. Source ↗

  • How are Emergency Medicine ST3/ST4 applicants shortlisted?

    DRE-EM ST3: eligibility longlisting, then self-assessment scores are used to shortlist if applications exceed interview capacity; far-off scores may be withdrawn early. Source ↗

  • What is the Emergency Medicine ST3/ST4 interview like?

    DRE-EM ST3: online (Qpercom), 9 or 10 March 2027, three 10-minute stations: prioritisation, clinical/ethical scenario, communication. Source ↗

  • How competitive is Emergency Medicine ST3/ST4?

    2025 Round 2: DRE-EM ST3 11.32 applications per post (283, 25 posts); EM ST4 1.46 (104, 71 posts); EM ST3 ACCS 0.82, NHS England. Source ↗

  • When does Emergency Medicine ST3/ST4 start and how long is it?

    Specialty training to become an emergency doctor takes a minimum of six years after foundation. Source ↗

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