Reflective Practice Toolkit

The General Medical Council (GMC), Academy of Royal Colleges, COPMED and others have produced summary guidance on reflection in clinical practice. This provides updated advice on how to reflect, the standards expected during the reflective process, and how the reflections should be used in appraisal and professional development.

Reflective Practice Toolkit

Full Guidance on Being a Reflective Practitioner – for the interested among you

Summary Guidance on Reflective Practice – Read this if you only have a few minutes


Web Resources

Below are a number of online resources useful for learning about basic sciences and clinical practice relevant to emergency medicine.

1. St Emlyn’s Blog – a huge website rich in information on almost any topic you could think of.

An excellent resource of educational material, hypothetical cases, journal club as well as teaching / learning theory. The entire website and its content is mapped to the emergency medicine acute care common stem (ACCS) and higher speciality training (HST) curriculum. The content has been made readily accessible to all levels of trainee from foundation trainee to consultants.


2. Emergency Medicine Journal (EMJ) Podcasts – a host of podcasts summarising month-by-month the happenings in emergency medicine.

A wealth of podcasts discussing clinically relevant updates and new developments in clinical practice. Useful for up-to-date knowledge on the topics the group decide to cover each month.


3. The Resus Room – multiple mediums of emergency medicine information compacted into one website.

The Resus Room collates monthly updates into a single easily digestible podcast as well as publishing podcasts targeting particular high yield topics. Each month there is also a round-up of featured articles from around the web to help bring clarity to the continuous flow of papers released across the world. Their ‘roadside to resus’ section provides podcasts and papers with an evidence-based approach to managing emergencies.


4. RCEM Learning – A resource well-aligned to the FRCEM syllabus.

RCEM Learning is written / edited by senior trainees in emergency medicine as well as consultants and physicians with an interest in emergency medicine. It contains a number of review articles, podcasts and ‘5 minute learning’-style topics to improve understanding and prepare you for post-graduate examinations.



1. All-in-One Notes FRCEM Primary – Moussa Issa

A ‘cover all’ text for the basic sciences underpinning the redeveloped FRCEM Primary Examination. Compiled from revision notes produced by a senior registrar in emergency medicine, this text maps closely to the FRCEM examination and provides a sound grounding on anatomy and physiology required. This text also covers the other areas of the examination (microbiology, pathology, pharmacology, evidence-based medicine), however these areas are covered more superficially and sometimes lack the depth and understanding required of the examination.

A strong textbook for anatomy and physiology, however it is useful to look elsewhere for other topics.

Lots of images to support the text.


2. Revision Notes for the FRCEM Primary – Mark Harrison

A more wordy book with fewer images for those who prefer reading. Technically more difficult to work from and a little less organised than All-in-One Notes, however it provides strength in some of the areas less covered by the former. Although it provides a good basis of the basic sciences for the primary examination, this book should be supplemented by other educational resources such as dedicated text books and mock question resource banks.

Would benefit from being refreshed and re-organised to make the content more easily digestible, as well as inclusion of more images to simplify the topics.


3. Oxford Handbook of Emergency Medicine – Jonathan Wyatt

The godfather of textbooks for easy reference on a day-to-day basis. This pocket guide covers most of the topics encountered regularly in emergency medicine, spanning from diagnosis to referral / discharge, as well as everything in-between. Its regular re-publication ensures up-to-date information and acts as an easy ‘go to’ during work in the emergency department to support decision-making and management planning.

A good quick reference guide for guidance and when key concepts need refreshing.


Question Banks

1. FRCEM Success – a comprehensive question bank mapping closely to the content of the FRCEM Primary with questions covering all aspects of the examination to a depth at the level of, or more detailed. There are at least 3000 single best answer questions to attempt, each with comprehensive explanations with images and further resources to support learning and recall. As the question bank expands this website can only cover the examination more completely than it already accomplishes.

A small investment for 3 months that will put candidates in good stead for sitting the notoriously difficult examination.


2. FRCEM Tutor – another comprehensive question bank of approximately 1500 questions, focusing primarily on anatomy and physiology. The explanations associated with the questions are more superficial, however provide links to resources that will help support and cement learning. Although the questions map well to the examination content, this style of learning expects the candidate to be more proactive in following the links provided and reading around topics to improve their understanding.

Invest for as many months as required to support learning and approach to questions, however further reading may be needed to have a confident handle on the material.


3. FRCEM ExamPrep – Another huge question bank of old & new style questions. The largest bank of new intermediate level questions currently available online, with seemingly good alignment to the exam content. Each question has a full and comprehensive explanation with images, links to further learning and other resources.

A useful website in developing an approach to both MCQs and SAQ style questions.