2025 National Emergency Medicine ST4 Recruitment 

For information about the posts in each region please follow the links below to view the Local Office / Deanery websites:

 NB Vacancy numbers are updated as they are submitted by the regional offices

All vacancy information is indicative and subject to change.

The eligibility criteria for ST4 Emergency Medicine are listed in the Person Specification.

Please note there have been changes made to the 2025 ST4 Person Specification in the eligibility section, please refer to this section to assess your eligibility.  It is an applicant’s responsibility to demonstrate that they meet the eligibility criteria. 

Please note to be eligible for ST4 Emergency Medicine you must have completed the core elements of Emergency Medicine training.  Please refer to the person specification for the full list of ACCS EM core elements.  If you will not have these core elements you will be longlisted out of the ST4 EM process but you may be eligible for ST3 DRE-EM.  You must make a separate application for ST3 DRE-EM as applications cannot be transferred.

The core elements section of the application form must be answered accurately:

Have you completed or will have completed (by intended start date) a UK ACCS Emergency Medicine training programme?

You should only be answering “yes” to this question if you have completed a UK ACCS Emergency Medicine training programme or are currently in a UK ACCS Emergency Medicine Programme

If you have gained experience via another route you need to answer “no” to this question and then complete the relevant fields that appear.

Failure to complete this section correctly may result in your application being removed from the process as we will be unable to assess your experience.

The Emergency Medicine ST4 Alternative Certificate of Competences is now available for applicants who's experience is from non GMC approved posts. 

The alternative certificate can be found in the Oriel Resource Bank:

https://www.oriel.nhs.uk/Web/ResourceBank

You must also evidence of your ACCS Specialtiies by providing a letter on hospital letter headed paper confirming dates, grade and specialty for each ACCS post

All evidence must be uploaded at the point of application.

All applications will be assessed against the eligibility criteria during longlisting. Any applications which do not meet the eligibility criteria will be longlisted out of the process and will not progress to the next stage.

If application numbers exceed interview capacity the self-assessment scores will be used to shortlist.

Please Note: If there is a significantly greater number of applications than the interview capacity, we will shortlist out candidates whose self-assessment score is too far away from the interview capacity cut off to have a chance of being shortlisted. Where this is the case, we will withdraw candidates at an early stage, usually soon after applications close once numbers can be assessed against capacity.

“By allowing applicants to progress to the interview stage, NHS England -Yorkshire HAS NOT accepted or confirmed that applicants meet all eligibility requirements.  This includes immigration status, evidence of achievement of Foundation competencies or equivalent, and requisite length of time in training as per the relevant national person specification.  This list is not exhaustive, and is applicable to all eligibility criteria.  Applicants may still be withdrawn from the application process at any stage, including after the interviews have taken place, if the evidence pertaining to an eligibility criterion is found to be unsatisfactory.”

Click the links below to view information about:

• Payscales
• Travel and Relocation Expenses
• Less than Full Time Training
• Applying for a Deferred Start Date