A brief overview of London Global Emergency Medicine Programme For UK & Worldwide from our Director - Dr Ash (Consultant Emergency Medicine, Acute Medicine & Geriatric Medicine NHS UK)

Introduction

London Clinical Courses ( LCC) is the leading Emergency Medicine course provider in UK.

LCC  was established in 2013 with an intention to help  International Medical Graduates and non trainee doctors of UK and abroad to get familiar with UK exam and training systems.

We proudly claim that we have trained more than 5000 IMGs in UK out of them more than 700 doctors were EM physicians who passed MRCEM exam after attending our courses, our exam success rate is consistently higher than 80% , We have conducted 25 MRCEM OSCE courses and 4 FRCEM final OSCE Courses, our Last (4th FRCEM Final OSCE course had 100% success rate) we published our result on our face book page with successful candidates. 

Here it’s important to mention that most doctors who attended our courses were non trainee doctors of UK or overseas doctors who never worked in UK, most were from KSA , UAE , Qatar, Pakistan and India. 

We are the first Institute to conduct MRCEM FRCEM Courses in Medina during 2020, We have also conducted 6 MRCEM OSCE courses in Dubai with success rate of consistently more than 80%. 

We are connected  with 1000s Non Trainee doctors  therefore we are fully aware of challenges and weakness they have to overcome, we know they have no one to train them, no one supervises or guide them and no one takes their ownership, they struggle to progress in their career, Considering all these hardships and challenges what a non trainee doctor faces, Dr Ash and his team LCC has designed this unique programme mainly for non trainee doctors. Yes , It’s London Global Emergency Medicine Programme.

About The Director of London Global EM Programme.

Dr Ashfaque Sorathia (Dr Ash) is among the few leading EM consultants in the UK who has taught and trained over 1000 EM physicians in the UK, he is a very passionate EM physician with a vast academic and teaching background, he is actively involved in teaching MRCEM, FRCEM and EBEEM Courses. He is the director of London Clinical Courses and a Founder of Pakistan Emergency Medicine Association.

Dr Ash has worked at Leading NHS UK hospital trusts, including Barts London NHS, The Royal London Hospital, Guys and St Thomas Hospital London, Queen Hospital London, and Newham Hospital London.

He has conducted numerous teaching sessions in UAE, Dubai, Saudi Arabia, Egypt, and Brussels Belgium.

He is the pioneer of MRCEM /FRCEM courses In Dubai and Medina.

All he wants now is to change Emergency Medicine across the world.

What is London Global Emergency Programme?

This programme is unique and first of its kind, no other institute or country has ever planned any programme like this. It’s mainly for non Trainee EM doctors of UK, Ireland, KSA, UAE and overseas doctors except Pakistan. 

Purpose of this programme  is to own non trainee doctors, teach them, train them and bring best out of them, Our aim is to provide necessary EM knowledge and skills to all non trainee doctors so they can run AE departments safely and smoothly. 

Programme Outcomes:

a) Full MRCEM:

With the help of this programme we will make sure all our candidates get full MRCEM with in 1 year. 

b) 100 EM procedures:

This  programme includes thorough teaching of 100 Emergency Medicine Procedures which no other institute , hospital or organisation teaches in such a short time. List of 100 EM Procedures Is given below. 

c) 120 hours of teaching:

Candidates registered in this programme will get 120 hours of teaching mapping RCEM Core EM curricula over a period of 1 year. 

d) Signed log book

(Core EM Competencies) with CME award of 120 credits points. 

Scope of MRCEM:

MRCEM is now world recognised qualification in the field of EM, it’s widely accepted as specialist qualification in most Parts of the world including KSA, UAE and UK. 

Having Full MRCEM in hand will open the whole world of EM for you, candidate with MRCEM are welcome to work in NHS UK as registrar even without doing IELTS Or OET and your starting salary package in UK can be upto £85000-90000/Year with extra allowances. 

If you have more than 6 years of EM experience than with MRCEM you may be able to step up as consultant in UK. 

How this course will be delivered?

This course is flexible 60% on-line and 40% on-site face to face in a form of full day workshops which will be conducted in Dubai and London.

Online lectures will be one hour long twice a week, all lectures will be delivered by senior NHS EM physicians who are currently working at UK best hospitals and have vast experience of teaching MRCEM/FRCEM. 

How this programme will be useful? 

a) It will improve your EM skills and Knowledge.

b) You no longer have to study on your own , we will design your study pattern and supervise you through out your MRCEM Journey.

c) We Will teach you 100 Emergency Medicine procedures on mannequins with full hands on practice, no other course has ever been designed like this before.

d) All our teaching sessions will be based as per RCEM topics and guidelines which will enable you to compete for ST4 higher speciality training in UK. 

Programme Start Date: June 2023

Programme Director: Dr Ashfaque Sorathia ( Dr Ash) Consultant EM , Acute Medicine and Geriatric Medicine NHS UK. 

Eligibility:

  1. Must Have Valid License to practice Medicine in respective country 
  2. Must be working in Emergency Department above Foundation level, preferably registrar, Middle Grade, Specialist Doctor

This programme is open for all countries except Pakistan ( Application Portal for Pakistan is now closed)

Course fee: £200/Month .

Total Fee For 1 Year Programme= £2400

How We Will Reimburse Full fee.

Candidates registered for this programme will get:

  • LCC 2 Days FRCEM Primary Course worth £499 for free 
  • LCC 2 Days FRCEM SBA intermediate  course  worth £499 for free 
  • LCC 2 Days MRCEM OSCE Course worth £700 for free 
  • LCC 4 days , 100 Emergency Medicine Procedure workshop worth £800 for free. 

In Short, candidates registered for this programme will pay only  £2400 in 1 year time and in return will get £2500 LCC courses for free on top of 120 hours of teaching which will be a period of 1 year.

List of 100 Emergency Medicine Procedures which will be taught by senior NHS EM consultants on mannequins with full supervision and hands on practice. DOPs will be signed confirming that candidate has performed these procedures in controlled/simulated environment. 

Day 1 - 100 EM Procedures

1) Airway Manoeuvres

2) Use of Basic airway adjuncts ( OPG/NPG)

3) Use of Bag Valve mask and basic ventilation

4) Use of Advance Airways I Gel, LMA

5) Endo Tracheal Intubation

6) Surgical Airway Cricothyroidotomy/ Tracheostomy

7) Removal of foreign body from upper airway

8) Abdominal Thrust to remove airway foreign body in Adults

9) Needle Cricothyroidotomy

10) Surgical Cricothyroidotomy

11) Percutaneous Tracheostomy

12) Neck Immobilization and Intubation

13) Open surgical chest drain

14) Eletrical DC Cardiovesion

15) Tension Pneumothorax Needle Decompression

16) Aspiration Pneumothorax

17) Sildenger Chest drain

18) I/V cannulation

19) Venupuncture

20) Arterial Blood Gases

21) Insertion of Arterial Line

22) Obtaining Intraosseus access

23) Valsalva

24) Modified Valsalva Manouvre

25) Chemical Cardio Version

Day 2 - 100 EM Procedures

26) Cervical spine immobilization and protection

27) Log Roll

28) Shoulder Dislocation and Manipulation Technique (one)

29) Elbow Dislocation and Manipulation Technique      

30) Reduction and manipulation of Distal Radius Fracture (Colles Fracture)

31)Reduction and Management Phalangeal Dislocation

32)Application of slings Collar and cuff slings , Broad arm slings

33)Application of below elbow back slab/PoP( Sling POP)

34)Use of various splints in hand/ finger Neighbour strapping

35) Application of Sager/Donnoway/Thomas Splint ( need)

36) Fundoscopy ( Done)

37) Otoscopy ( Done)

38) How to Check Eye PH ( PH strip)

39) Eye Irrigation in Chemical injuries to eye ( Morgan lense)

40) Removal of Foreign body from eye and application of Eye patch

41) Management of Anterior Epistaxis , Anterior Nasal Packing

42) Use of Rhinopad to control Anterior and post Epistaxis ( Rapid Rhino)

43) Cauterization for Anterior Epistaxis ( Silver Nitrite Sticks)

44) Removal of Foreign body from Ear ( Mosquito Forceps)

45) Removal of Foreign Body from Nose ( Nasal Probe)

46) Technique and Principles of Quinsy Drainage ( Orange/Gray cannula)

47) Incision and Drainage of Abscess ( Scalpal and wound pack)

48) Drainage of Subungal hematoma 

49) Nail bed injuries à Repair and Rimplantation

50) Wound Closure/Suturing

Day 3 - 100 EM Procedures

51) Urethral Catheterization

52) Bimanual PV Examination

53) Cuscos Spaculum Examination

54) High Vaginal Swab /Cervical Sampling /Pap Smear

55) Removal Of Foreign Body from Vagina ( lost tampon/Condom removal) on mannequin.

56) P/R and Prostate Examination on Manneqquin

57) Breast Examination on Mannequin

58) CVS ( SVT Chemical Cardioversion

59) VT chemical Cardioversion

60) Ankle Relocation

61) wound suture flap

62) ring removal with silk thread and soap

63 64)BLS Paeds

65)Primary Survey

66) Secondary survey

67) patellar relocation

68) Above knee back slab

69) Ulnar gutter splint

70) Scaphoid cast

71) procedure sedation

72) safe transfer

73) removal of patient from scoop

74) Safe transfer from bed to bed ( Pat slide)

75) Intubation in patient with head and neck trauma BLS Adult

DAY 4 - 100 EM Procedures

76) Removal of helmet in Head injured patient

77) femoral stab

78) FAST scan

79) aorta scan

80) echo in life support

81) Dental Block ( Dental Syringe)

82) Volar Slab

83) Transcutaneous pacing

84) Pericardiocentesis

85) Radial Head Sublaxation

86) fish hook removal

87) Lumbar Puncture

88) Suprapubic bladder 

89) Priapism Management

90) Digital globe massage

91) How to apply thumb spica cast

92) Antenatal examination of Full-term pregnant lady in ER

93) Laryngoscopy

94) Foreign Body helminch manouver

95) FB back blows

96) FB Abdominal thrust

97) TMJ Dislocation /Relocation

98) Intramuscular Injections

99) deroofing of Burns blisters

100) fasciotomy