PHEM in Wales


Welcome to Wales!  Croeso I Gymru!

Posts are available for Scheme A, B or C training which can combine training in your core specialty and sub-specialty over a one or two year period. This may be delivered as a full-time 12 month training period outside core specialty or as two 6 month training periods over the two years. Less than full- time trainees can also be accommodated.

The training scheme is split into 3 phases. Phase 1a is an induction phase where you will be fully immersed into the Welsh Emergency Services – becoming familiar with EMS, Police and Fire and Rescue services, the specialist health responders such as Emergency Medical Retrieval and Transfer Service in Wales (EMRTS), Hazardous Area Response Teams (HART) and the Physician Response Unit (PRU) in SE Wales.  You will also spend 10 days on the national PHEM induction course and 4 days on a specialist simulation course in North Wales.

In phases 1b and 2, You will be trained by the full range of pre-hospital medical staff including Doctors, Paramedics, Critical Care Practitioners and Nurses, all with appropriate qualifications and expertise. You will also have a Wales Deanery Educational Supervisor allocated to you to guide you safely through the curriculum. You will always work under the supervision or mentorship of an experienced provider in the pre-hospital environment.

Most of the Wales PHEM training is completed as an attachment to EMRTS Cymru. This service runs in conjunction with Wales Air Ambulance from its bases in Llanelli and Welshpool, therefore most shifts will be based around these sites. Accommodation or travelling expenses are provided between the sites.

EMRTS have a new airbase that opened in 2016 near Llanelli, with dedicated training rooms and conferencing facilities. There are also IT and study facilities there.

Some aspects of the PHEM curriculum cannot be covered by Critical Care alone and therefore PHEM trainees in Wales will also spend some time on the PRU – a joint venture between the Welsh Ambulance Service and Aneurin Bevan University Health Board in SE Wales. These shifts will enable you to manage lower acuity patients, and find new ways to apply your pre-hospital skills. More specialist training will be delivered by study days at a regional and national level in conjunction with IBTPHEM. We also have several NSA 1 and 2 examiners in the region who are great for advice regarding examinations.

Supervision is provided on several levels. Once Phase 1a is completed, the trainee will be working directly with doctors and paramedics who have been trained in the use of the IBTPHEM Workplace Assessment tools. A Consultant Clinical Supervisor will also directly supervise the trainee at least one shift in five, and your Educational Supervisor will meet with you regularly to assess your progress. During phase 2 more independent practice is encouraged and supervision can be maintained at a more distant level.

Another great reason for training in Wales is the amazing people you will meet and places you will see – what other reasons can you need for training here?

If you want to talk to us about a PHEM career in Wales, get in touch with Tim Manfield – AWSEM PHEM lead and deputy TPD, or Stuart Gill – PHEM TPD.