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Clinical Topic Review (CTR)

To help you achieve the maximum marks for your CTR, we have instigated some timelines during your higher speciality training to help you ensure that the CTR is not left to the last minute. It is worth noting that Fellowship of the College of Emergency Medicine ( FCEM) candidates who have mostly completed their CTR by the end of ST4 do best overall in the FCEM   exams.

All trainees are expected to use the CEM examination guidance and marking scheme whilst writing their CTR to ensure that they respond to what is needed and gain as higher score as possible.

The steps that need to be taken whilst you are on the higher speciality training programme are:

By the end of ST4

Draft CTR  should include:

  • Chosen topic, formed into the three part question
  • A literature review
  • Outline of your introduction, results and discussion
  • Evidence of your “own work” towards the CTR.


The draft CTR must be seen and reviewed by your educational supervisor and will then be discussed at your ARCP .

If this has not been done, or felt to be unsatisfactory you will be given an ARCP 2, to allow further time for satisfactory completion.

By the end of ST5

Completed CTR

Your CTR needs to have been proof read by your educational supervisor and to be in the format that you can submit it for FCEM. Many candidates seek opinions of other consultants on their CTR . Whilst this is a good idea, but we advise that you seek assistance from no more than two or three consultants. Several consultants in the region offer excellent CTR support.

Please give your educational supervisor time to read the CTR . It can often take four to six hours to read, check literature reviews  and make comments. Do not expect them to be able to do it the night before an ARCP or the closing date for the FCEM !

It also needs to have been read by the Head of School prior to submission. Poor CTRs will not be submitted. Review should be at least three weeks before the submission date. Any applications received less than a week before the submission date cannot be reviewed and unfortunately that trainee will not be able to take their exam at that sitting.

Flexible Trainees

The timelines for trainees who are less than full-time (LTFT) are the same as above. The timings for the end of ST4 may not fit in exactly with the ARCP process, but the ARCP panel will expect to see appropriate progress with the CTR .

Good luck everybody!

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