CCP-PEM + MRCPCH PORTFOLIO PROGRAMME

In today’s increasingly competitive NHS job market, many International Medical Graduates (IMGs) face significant challenges securing junior-level positions through the traditional PLAB route. With growing competition, limited vacancies, and changing recruitment priorities, aspiring paediatricians need a smarter and more strategic pathway.

At London Global Emergency Medicine (LGEM), we believe the future belongs to doctors who build skills, qualifications, and a strong portfolio before entering the UK system.

That is why we created the LGEM CCP Paediatric Emergency Medicine 2-Year MRCPCH Portfolio Programme — an advanced pathway designed to help doctors accelerate their journey toward specialist careers in paediatrics.

Rather than spending years competing for entry-level jobs, many doctors can use the same time more effectively by:

* Gaining valuable paediatric clinical experience in their home country

* Preparing for and passing MRCPCH Membership Exams

* Building a structured professional portfolio

* Developing emergency paediatric competencies

* Applying directly for higher-level roles such as:

 * Junior Registrar

 * Middle Grade Paediatrics

 * Clinical Fellow roles

 * Trust Grade Paediatric positions

This can often be achieved within a similar timeline and financial investment as the PLAB route — while significantly improving employability.

With increasing competition for UK training posts, many doctors may progress through non-training and portfolio pathways to become specialists in the future.

A strong verified portfolio can support:

* Higher-grade job applications

* Clinical promotions

* CESR-equivalent future pathways

* Specialist recognition routes

* Competitive consultant progression planning

LGEM is proud to be among the first institutions to recognise the urgent need for structured portfolio development for non-training doctors worldwide.

LGEM CCP Paediatric Emergency Medicine

2-Year MRCPCH Portfolio Programme

Build Your Future in Paediatrics with Advanced Emergency Medicine Skills

This pioneering programme combines the educational frameworks of two prestigious UK Royal Colleges into one structured pathway:

* RCPCH General Paediatrics Curriculum

* RCEM Paediatric Emergency Medicine Curriculum

Delivered over 2 years.

Modern paediatricians must confidently manage:

* Outpatient clinics

* Inpatient wards

* Common childhood illnesses

* Trauma cases

* Critically ill children

* Resuscitation emergencies

* Leadership in acute settings

LGEM bridges the gap between traditional paediatrics and emergency medicine.

What You Will Learn

General Paediatrics

* Acute and chronic paediatric illnesses

* Neonatal medicine

* Community paediatrics

* Developmental care

* Safeguarding

* Ward and clinic management

Paediatric Emergency Medicine

* Trauma stabilisation

* Airway management

* Intubation & sedation

* DKA & sepsis management

* Cardiac arrest leadership

* Status epilepticus

* Fractures & injuries

* CT decision-making in head injuries

* Intraosseous access

* Foreign body emergencies

* Major trauma team leadership

1. CCP PEM Certification From LGEM

Certification of Completion of Programme in General & Paediatric Emergency Medicine with recognition of 500+ hours of supervised learning.

2. Professional Portfolio

A comprehensive, structured and verifiable portfolio demonstrating registrar-level competencies.

3. MRCPCH Preparation Pathway

* MRCPCH Part 1 (FOP + TAS) – within 12 months

* MRCPCH AKP – within 18 months

* MRCPCH Clinical Exam – within 24 months

4. Skills & Procedures Training

Hands-on learning aligned with RCPCH and RCEM competencies.

5. Competency Achievement

Support toward Level 1 curriculum competencies.

6. Clinical Expertise

Training across 100+ paediatric medical and emergency presentations.

Ideal for:

* IMGs interested in Paediatrics

* Clinical Fellows

* Trust Grade Doctors

* SHOs

* RMOs / SMOs

* Medical Officers

* Non-training doctors

* Paediatric trainees

* Consultants seeking emergency paediatric upskilling

Eligibility

* MBBS or equivalent qualification

* Working in acute paediatrics or ready to start within 4 months

* Internship desirable but not essential

Programme Structure

Duration

2 Years

Delivery

* 60% Online

* 40% Face-to-Face Workshops

Schedule

* Saturdays & Sundays

* Live Zoom Teaching

* Recorded Sessions Available

Faculty

Delivered by experienced NHS UK Consultants

Programme Fee

* £2500 Total (2 Years)

* £100 Registration Fee

* £100 Monthly Instalments Available

In the current climate, doctors who combine:

* UK-recognised postgraduate exams

* Clinical experience

* Emergency medicine exposure

* Strong portfolios

* Leadership skills

…will often stand out far more than candidates relying only on exam routes.

Become More Than a Traditional Paediatrician

If you want to lead in emergencies…

If you want to stand out globally…

If you want to build a specialist career faster…

LGEM CCP Paediatric Emergency Medicine Programme Is Your Pathway

London Global Emergency Medicine

Creating the Future of Child Healthcare

2-Year MRCPCH Portfolio Programme

Accelerated Academic Pathway for Future Paediatricians

The MRCPCH qualification is one of the most respected postgraduate credentials in Paediatrics. Traditionally, candidates attempting the final MRCPCH clinical examination often gain several years of clinical experience before sitting the exam.

At LGEM, our goal is to accelerate structured academic learning within 2 years, while helping candidates build the knowledge, confidence, portfolio, and competencies required for success.

⸻

Understanding the MRCPCH Pathway

To complete the MRCPCH examination journey, candidates are expected to:

1. Gain Broad Clinical Exposure

Develop experience managing a wide range of paediatric conditions in acute clinical settings, including inpatient, emergency, outpatient, and neonatal environments.

2. Successfully Pass All MRCPCH Components

The MRCPCH examination pathway includes:

* Foundation of Practice (FOP)

* Theory and Science (TAS)

* Applied Knowledge in Practice (AKP) Paper 1

* Applied Knowledge in Practice (AKP) Paper 2

* Final MRCPCH Clinical Examination

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How LGEM Supports You in 2 Years

During the 2-Year LGEM Paediatric Emergency Medicine Programme, candidates receive structured preparation for all components of the MRCPCH pathway through teaching delivered by experienced NHS UK Consultants.

⸻

Teaching & Assessment Framework

We use modern portfolio-based educational methods to track progress and promote continuous development.

Learning Tools Include:

* Case Based Discussions (CBDs)

 Clinical reasoning and case management reviews

* Directly Observed Practical Skills (DOPS)

 Assessment of clinical procedures in simulated settings

* Self Reflective Learning Logs (SRLs)

 Structured reflective practice

* Constructive Feedback Sessions

 Targeted performance improvement guidance

* Multi-Source Feedback (MSF)

 Professional feedback from peers and supervisors

* Quarterly Supervisor Meetings

 Progress review and career guidance

* Annual ARCP-Style Reviews

 Formal portfolio progression checks

* Practical Skills Workshops

 Hands-on procedural learning

* Face-to-Face OSCE Preparation Workshops

 Clinical exam readiness training

⸻

Certification

LGEM does not conduct a final licensing examination. Instead, candidates are continuously assessed through the educational tools listed above.

Successful participants receive a Certification of Completion of Programme based on satisfactory engagement, progress, and portfolio development.

Directly Observed Practical Skills (DOPS)

DOPS are designed to demonstrate your competence in key paediatric practical procedures.

Candidates are expected to complete satisfactory assessments in core procedures aligned with recognised paediatric training frameworks.

Practical Procedures Workshops

LGEM will arrange dedicated paediatric procedures workshops in Pakistan, where candidates will practice on mannequins and simulation models under senior supervision.

This helps doctors gain:

* Procedural confidence

* Safe technique

* Clinical readiness

* Improved performance in real-life supervised settings

Emergency Procedures Exposure

Candidates will gain learning opportunities across 100+ emergency medicine procedures, including skills relevant to paediatric acute care and emergency presentations.

Why This Matters

This programme is designed for doctors who want more than just exam preparation.

We help candidates build:

* Knowledge

* Practical confidence

* Strong portfolios

* Exam readiness

* Career competitiveness

* Specialist-level development mindset

RCPCH DOMAINS

This 2 years programme will cover all 11 domains outlined by RCPCH at core trainee level. During first 2-3 years RCPCH Expects all candidates to must achieve level 1 competencies outlined in RCPCH curriculum below.

LGEM 2 years programme will make sure all successful candidates achieve level 1 competencies in all 11 domains.

DOMAIN 1

Domain 1 - Professional values and behaviours and professional knowledge (GPC 1 and 3)

Level 1

* In addition to the professional values and behaviours required of all doctors (Good Medical Practice), a paediatric trainee maintains confidentiality but judges when disclosure may be required in relation to safeguarding, taking into account the differing legislation and health services between the four countries

Level 2

* Adheres to the specific legislation (including safeguarding) and healthcare systems between the four countries. which applies to children and families’ legislation

* Acts as a role model and guides junior colleagues in developing professional values and behaviours in relation to paediatrics

* Creates an open and supportive working environment

Level 3

* Adheres to current legislation related to children and families, e.g. adoption, safeguarding, etc.

* Adopts a self-regulatory approach to their own behaviour and demonstrates the professional qualities required by a paediatrician undertaking independent practice, across the four countries

Domain 2

Domain 2 - Professional skills: communication

Level 1

* Develops effective relationships with children and families and colleagues, demonstrating effective listening skills, cultural awareness and sensitivity

* Communicates effectively in the written form, by means of clear, legible, and accurate written and digital records Level 2

* Participates effectively in the MDT and engages with patients and families/carers, facilitating shared decision making * Recognises complex discussions and when to seek assistance

Level 3

* Leads MDTs and demonstrates effective communication skills in a range of environments and situations with children, young people and families in challenging circumstances

* Communicates effectively with external agencies, including authoring legal documents and child protection reports

Domain 3

Domain 3 - Professional skills: procedures

Level 1

* Adapts clinical examinations to meet the needs of the child and family/carers, undertaking basic paediatric clinical procedures

* Recognises an emergency situation, knowing when and how to escalate appropriately. Initiates basic life support and able to carry out advanced life support with guidance

Level 2

* Supervises and assesses junior staff when undertaking clinical procedures

* Responds to and manages emergency situations, and is able to perform advanced life support

Level 3

* Demonstrates competence in the full range of clinical skills relevant within paediatrics and either General Paediatrics or their chosen sub-specialty

* Utilises the skills of other health professionals when required

Domain 4

Domain 4 - Professional skills: patient management

Level 1

* Conducts a patient assessment and makes a differential diagnosis

* Plans appropriate investigations and initiates a treatment plan

Level 2

* Refines differential diagnosis and tailors management plans in response to the patient’s needs and/or response to initial treatment

Level 3

* Considers the full range of treatment and management options available, including new and innovative therapies, relevant within paediatrics and either General Paediatrics or their chosen sub-specialty

* Anticipates and determines the need for transition from paediatric services and plans accordingly

Domain 5

Domain 5 - Health promotion and illness prevention

Level 1

* Promotes healthy behaviour, including giving advice, from early years to adulthood

Level 2

* Takes into account the potential impact of cultural, social, religious and economic factors on child and family health Level 3

* Demonstrates leadership in the promotion of health and wellbeing practices in the wider community

Domain 6

Domain 6 - Leadership and team working

Level 1

Recognises why leadership and team working are important in the paediatric clinical environment. Works constructively within a team, valuing contributions of others. Develops personal leadership skills

Level 2

Demonstrates an awareness of own leadership qualities, adjusting their approach to improve outcomes

Participates effectively and constructively in multidisciplinary and inter-professional teams

Level 3

Leads in multi-disciplinary team working. Promotes an open culture of learning and accountability by challenging and influencing colleague’s behaviour

Supports the development of the team’s leadership qualities and critical decision-making skills

Domain 7

Domain 7 - Patient safety including safe prescribing (GPC 6)

Level 1

* Establishes the importance of safe prescribing, and is able to prescribe commonly-used medication in an appropriate manner

* Recognises when a patient has been exposed to risk and escalates in accordance with local procedures

Level 2

* Applies appropriate procedures to both prescribing and clinical care situations and manages risk effectively

* Demonstrates ability to mitigate against potential risks.

Level 3

* Participates in investigating, reporting and resolving risks to patients, including appropriate communication with patients and families/carers

* Evaluates safety mechanisms across a range of healthcare settings, applying a reflective approach to self and team performance

Domain 8

Domain 8 - Quality improvement (GPC 6)

Level 1

Applies quality improvement methods (eg audit and QI projects) under guidance

Level 2

* Independently applies knowledge of quality improvement processes to undertake projects and audits to improve clinical effectiveness, patient safety and patient experience

Level 3

* Identifies quality improvement opportunities

* Supervises healthcare professionals in relation to improvement projects

* Leads and facilitates reflective evaluation in relation to quality improvement interventions

Domain 9

Domain 9 - Safeguarding (GPC 7)

Level 1

* Promotes the professional responsibility of safeguarding children and young people, and able to document accurately and raise concerns in a professional manner to senior staff

Level 2

* Takes responsibility for raising concerns, getting advice and taking appropriate actions, with supervision

Level 3

* Independently leads the full process of safeguarding management for children, including assessment and reporting

Domain 10

Domain 10 - Education and training (GPC 8)

Level 1

* Performs planned teaching and learning events under guidance

Level 2

* Plans and delivers teaching and learning experiences to trainees and other professionals

* Provides appropriate and constructive feedback.

Level 3

* Demonstrates the required knowledge, skills and attitudes to provide appropriate teaching, learning opportunities, supervision, assessment and mentorship in the paediatric healthcare setting

Domain 11

Domain 11 - Research (GPC 9)

Level 1

* Adopts an evidence-based approach to paediatric health practice and the critical appraisal of existing published research

Level 2

* Implements an evidence-based approach to practice to inform decision-making and enhance patient care and patient outcomes

Level 3

* Demonstrates the independent development and revision of guidelines and procedures centred around current clinical research and evidence-based healthcare to improve service delivery.

Note: Level 1

This is the first level of training and usually lasts between 2-3 years. This level provides a basic level of knowledge about paediatrics and child health. The trainee usually learns this in the following settings: acute general, community and neonatal departments, by the end of 2 years programme all our LGEM trainees will have level 1 understanding in all above domains, along with RCPCH curriculum this programme will also cover RCEM Paeds EM curriculum which is outlined below.

Paeds Emergency Medicine Component of LGEM Programme.

During this 2 years programme London GEM trainees will learn most competencies outlined by RCEM with learning outcome 1.

RCEM Sub-specialty Learning Outcome 1 Includes following Key Capabilities

1. Manages the critically ill neonate, child and young person.

2. Assesses and manages the patient in respiratory failure.

3. Assesses and effectively manages the septic or shocked patient.

4. Assesses and manages the patient with a cardiac disorder.

5. Assesses and manages the patient presenting with a reduced level of consciousness.

6. Assesses, diagnoses and manages the patient presenting to the PED with major or minor trauma.

7. Identifies and manages acute mental health conditions in the PED.

8. Assesses and manages presentations that suggest physical or psychological abuse.

9. Manages the processes following an unexpected death in the PED.

10. Illustrations

11. Upper airway obstruction.

12. Allergic conditions and anaphylaxis.

13. Respiratory failure, in particular related to acute asthma, pneumonia and bronchiolitis. 14. Sepsis, the systemic inflammatory response and shock.

15. Hypotension and heart failure.

16. Congenital heart disease.

17. Cardiac arrhythmias. Myocarditis.

18. Recognises, assesses and manages the full range of paediatric emergency conditions. 19. Demonstrates knowledge of the PED management:

20. Hypertension.

21.Syncope.

22. Acute neurological emergencies, including status epilepticus.

23. Febrile and non-febrile seizures.

24. Raised intracranial pressure and reduced level of consciousness. Headaches.

25. The neurosurgical patient.

26. Diabetic ketoacidosis.

27. Hypoglycaemia.

28. Metabolic disease.

29. Endocrine abnormalities.

30. Common childhood illnesses.

31. Minor and severe infections.

32. Upper respiratory tract infection (URTI) and lower respiratory tract infection (LRTI), Gastroenteritis.

33. Non-blanching rash.

34. Kawasaki disease.

35. Upper and lower urinary tract infections.

36. Common and emergency nephro-urological presentations.

37. Abdominal pain, including surgical and non-surgical causes as well as functional abdominal pain.

38. Scrotal pain.

39. Bilious vomiting.

40. Gastrointestinal bleeding.

41. Inflammatory bowel disease.

42. Common and emergency gynaecological presentations.

43. Sexually transmitted diseases.

44. Patients seeking emergency contraception.

45. Life-threatening ENT emergencies, eg quinsy and post-tonsillectomy bleeding.

46. Common ear, nose and throat (ENT) disorders, eg otitis media, nasal injuries, epistaxis and removal of foreign bodies.

47. Common oral and dental injuries and emergencies

48. Management of the injured child and young person

49. Demonstrates knowledge of the PED management of:

50. The child or young person with polytrauma and potential major trauma

51. Bleeding disorders in trauma and recognises and manages massive haemorrhage

52. Chest trauma and performs and facilitates key chest procedures, eg chest drain insertion

53. Abdominal and pelvic trauma, including the application of pelvic binders

54. Acute head and spinal injury, including spinal cord injury

55. Acute drowning and immersion injury

56. Acute burn injuries (including electrical burns) and subsequent complications

57. All limb-threatening injuries, including open fractures and reduces injuries compromising nerve or vascular supply

58. All fractures and ligamentous injuries

59. A dislocated joint and reduces the joint and manages the onward referral

60. All lacerations and open wounds

61. Rhabdomyolysis and compartment syndrome

62. Common and emergency ophthalmological presentations. Common and emergency dermatological conditions.

63. Bites and infestations.

64. The limping child.

65. Rheumatological and non-traumatic musculoskeletal presentations. Acute and chronic pain. 66. Oncological conditions, including making an initial assessment and diagnosis as well as managing complications related to the disease process or its treatment.

67. Haematological disorders, e.g. sickle cell disease. Immunodeficient states.

68. Delirium and psychosis.

69. Self-harm.

70. Poisoning, accidental drug ingestion and overdose. Hypothermia and hyperthermia.

71. Electrolyte abnormalities.

72. Needlestick injuries.

73. Anticipates injury patterns in common trauma presentations in each age group.

74. Demonstrates knowledge of the PED management of:

75. The child or young person with polytrauma and potential major trauma

76. Bleeding disorders in trauma and recognises and manages massive haemorrhage

77. Chest trauma and performs and facilitates key chest procedures, eg chest drain insertion

78. Abdominal and pelvic trauma, including the application of pelvic binders

79. Acute head and spinal injury, including spinal cord injury

80. Acute drowning and immersion injury

81. Acute burn injuries (including electrical burns) and subsequent complications

82. All limb-threatening injuries, including open fractures and reduces injuries compromising nerve or vascular supply

83. All fractures and ligamentous injuries

84. A dislocated joint and reduces the joint and manages the onward referral

85. All lacerations and open wounds

86. Rhabdomyolysis and compartment syndrome

87. Safeguarding within the PED:

88. Recognises presentation patterns which suggest physical or psychological abuse, stratifies risk and engages with allied professionals in accordance with national and local policies and guidance. 89. Recognises how societal issues, such as sex trafficking, involvement with gang culture and female genital mutilation (FGM) may impact on children and young people presenting to the PED. 90. Mental health:

91. Manages children and young people sensitively where sexual assault and sexual abuse is suspected.

92. Performs a mental health assessment relevant to PED care.

93. Risk-stratifies children and young people attending the PED with acute mental health issues to identify those who require admission or urgent intervention.

Dr Ashfaque Sorathia (Dr Ash) is among the few leading EM consultants in the UK who has taught and trained over 1000 EM physicians in the UK, he is a very passionate EM physician with a vast academic and teaching background, he is actively involved in teaching MRCEM, FRCEM and EBEEM Courses. He is the director of London Clinical Courses and a Founder of Pakistan Emergency Medicine Association.

Dr Ash has worked at Leading NHS UK hospital trusts, including Barts London NHS, The Royal London Hospital, Guys and St Thomas Hospital London, Queen Hospital London, and Newham Hospital London.

He has conducted numerous teaching sessions in UAE, Dubai, Saudi Arabia, Egypt, and Brussels Belgium.

He is the pioneer of MRCEM /FRCEM courses In Dubai and Medina.

All he wants now is to change Emergency Medicine across the world.