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


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.

About The Emergency Medicine Foundation Programme

Emergency Medicine Foundation Programme for House Officers Of Pakistan .

After successful launch of London Global EM programme ( MRCEM) for Pakistan, We are pleased to share that we are now moving one step further..

We believe House Officers are the key role player in patient safety and care , they are independent clinicians and it’s important we invest our time and resources in improving their knowledge and skills, let’s own them, train them, supervise them and bring best out of them.

This programme is purely for house officers, no matter which specialty they work in, this EM foundation programme will equipped them with all necessary skills to deal with any emergency medical situation they come across.

It’s first of its kind programme which will be directly addressing the needs of house officers.

How this course will be delivered?

Programme Duration: 1 year

Teaching hours: 120 Hours in 1 Year

Programme Delivery:

60% ( 60 Hours ) online

40% ( 40 hours) on-site practical

Online : 2 lectures per week one hour each

All lectures will be live, interactive and will be recorded so candidates can access them anytime flexibly.

Practical Face To Face Session:

40 hours of practical face to face sessions will be conducted in a form workshop, we will be conducting 4 days practical workshop in Karachi , Lahore And Islamabad , In Which we will teach 100 Emergency Medicine procedures 


You must be working as a house officer or starting house job by August 2022 or about to finish house job but happy to take clinical job as MO/RMO immediately after completing your house job.

Place of Work: Any Hospital, Any Speciality, this Programme doesn’t require you to leave your place of work, we will turn your place of work into place of education.

Fee Structure

£50/month if paying in UK account Or 10,000 PKR/month if paying in Pakistan account.

Programme Outcomes

A) Candidate will learn practical approach to deal 100 Emergency Medicine Conditions, which included Medical, Surgical , trauma , ENT/Opth Gynae and Obs.

B) Candidates will learn 100 Emergency Medicine Procedures with supervised hands on practice teaching sessions.

All teachings will be done by UK qualified consultants

C) At the end of programme candidates will get UK foundation competencies signed off certificate , this will save their 1 year and they will not be required to work as FY2 in UK or get these competencies signed off in UK, they can directly apply for core training.

D) Last but not the least , Candidates successfully completing this programme will directly be offered a place in our London Global EM programme for MRCEM MRCP and MRCPCH next year, here it’s important to mention that we are expecting more than 5000 applications for MRCEM programme next year.

So, If you are a House Officer in Pakistan or about to start House Job latest by August 2022 than this programme is for you.

Apply now: visit our website www.londongem.uk

Note: we aim to reply all candidates within 2 weeks of application , if you don’t receive reply from us than please contact us at [email protected]

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