---

With the latest changes in regulations to employment of overseas doctors into training programs in the UK, it appears that pursuing MCEM or FCEM (or for that matter any other specialty) there is difficult.

Regarding the three types of EM personnel, I think there is one more type that could be added to the list. They are doctors who are trained in pre-hospital care. These doctors have specialist skills in retrieving and transferring patients who are acutely unwell in the pre-hospital setting to a point of definitive care. It is not just a supervisory/advisory role.

I think a system of good pre-hospital network is already evolving in many states/cities.