Hybrid International Emergency Medicine HI EM Training


Hybrid International Emergency Medicine HI EM Training : HIEM is the first collaborative international Emergency Medicine (EM) training developed in the UK. HIEM trainees will go through 4 years of training (1st and 4th year training in Nepal and 2nd and 3rd year training in the UK). Trainees will follow Royal College of Emergency Medicine (RCEM) curriculum and Fellowship in Quality improvement (FQim) modules as part of the training. At the end of the training process, trainees will appear for Member of Royal College of Emergency Medicine MRCEM exam, and will receive two qualifications (MRCEM and FQim). The degree of MRCEM will be awarded by Royal College of Emergency Medicine. The degree of FQim will be awarded by International Academy of Medical Leadership (IAML). HIEM training is recognised by Nepal Medical Council (NMC) and RCEM-UK. The trainees on successful completion of the process will be able to work as specialists in Nepal. The candidates will be designated as International Training Registrar (ITR), after selection in the HIEM training.

Trainees will be recruited through Quality improvement Medical Education Training centres (QiMET) worldwide. In Nepal, Chitwan Medical College (CMC) has been recognised as QiMET centre. Trainees will come to the UK for training through Medical Training Initiative (MTI) national scheme. The MTI scheme is designed to allow a small number of doctors to enter the UK from overseas for a maximum of 24 months, so that they can benefit from training and development in NHS services before returning to their home countries as specialist. In this training pathway, trainees do not need to sit the PLAB exam.

Eligibility criteria of HIEM entrance exam:
  • MBBS degree with one-year internship registered in Nepal Medical Council.

Eligibility criteria of applying MTI application to continue HIEM UK training (2nd year and 3rd year training):

  • Have completed at least 3 years postgraduate experience, including an internship; selected candidates who have completed only internship should work for one year as Medical Officer in the Emergency Department of CMC and then they can continue into the first year of HIEM Training at CMC, thus completing three years of post-graduate experience.
  • Be certified in at least one life support course – ALS (or RCEM recognised Equivalence).
  • Have achieved a minimum score of 7.0 in each section (speaking, listening, reading and writing) of the academic module of the IELTS and an overall minimum score of 7.5. Test should have been taken within the last 2 years.
    Have achieved a grade of at least ‘B’ in each testing area (speaking, listening, reading and writing) of the Occupational English Test (OET)-medicine version. Test should have been taken within the last 2 years.
    If the candidate fails to clear IELTS or OET – medicine version, the candidate will undertake all four years of HIEM Training at Chitwan Medical College.
  • Have an institutional sponsor specifying the post they will return to Chitwan Medical College.

Examination Dates:

  • 26TH September, 2018
    • MCQ- 100 MCQ true or false questions (from Oxford Hand book of Emergency Medicine)
    • Selected first sixteen candidates will appear for OSCE
  • 27th and 28th September, 2018 (Only for selected candidates):
    • English test (Only for selected candidates)- 500 words essay
    • OSCE 4 stations –
      • Clinical Questions
      • Practical OSCE
      • Leadership and management
      • General Questions

A total of 4 candidates out of 16 shortlisted candidates will be selected for the HIEM Training.

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Exam venue:

  • QiMET Centre, Chitwan Medical College, Chitwan, Nepal

Application charge:

  • 2500 NPR

Application submission deadline:

  • 20 Sept 2018


Admission fee:

  • 1 lakh NPR

Tuition fee:

  • 22 lakh NPR


  • 5 Lakhs NPR (refundable at the completion of HIEM Training)


  • Stipend during CMC Training (1ST and 4th Year): NPR 18,000 per month in the 1st Year and NPR 20,000 per month in the 4th Year
  • Stipend/Benefits during UK Training (2nd & 3rd year): £35,000/ annum (Nepalese Rupee 5,065,119.00) + 50% banding £17,500 (Nepalese Rupee 2,532,559.00)
  • Other funding benefits during UK Training (£3800-Nepali Rs 549,932) as follows:
  • Fellowship in Quality improvement (FQim) course fund – £2000
  • ALS, ATLS, APLS course funding support (around £1200)
  • eportfolio funding support (£400/ year)
  • First month accommodation free (£175)
  • Entitle to bring your immediate family (wife children)
  • Successful applicants can obtain full GMC registration without taking the Professional and Linguistic Assessment Board (PLAB) test.

Application Form:

Please log in to: http://www.cmc.edu.np/admission/hrem/form.php

More Information: CMC Website 

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Sagun's Blog is a Public Health Information sharing platform created by Sagun Paudel. The main purpose of this blog is to share public health updates.

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