Overview of Acute Care Common Stem (ACCS) Emergency Medicine Training

Acute Care Common Stem Emergency Medicine

An overview of Acute Care Common Stem (ACCS) Emergency Medicine ST1.

Important: Important

The information on these pages pertains to the 2027 recruitment process.

Applies to: England, Scotland and Wales. See guidance for Northern Ireland.

Important: Accuracy

Every effort has been made to ensure the accuracy of the information contained on this page.

The information presented is accurate at the time of publication.

These pages aim to provide you with information regarding the 2026/2027 ACCS Emergency Medicine recruitment process.

Working alongside The Royal College of Emergency Medicine we manage a centralised process aimed at delivering a fair and consistent process for all applicants. For more information about ACCS Emergency Medicine training, please visit the college’s website.

For careers advice please visit the Health Careers Website.

General information regarding recruitment to all specialty training posts and detailed information including person specifications, competition ratios and the national medical specialty recruitment is available on the Medical Specialty Recruitment pages.

Non-urgent advice: Important

Please note that all communication with applicants will be via Oriel, or via the contact details you provide as part of your original Oriel application. You must ensure that your contact details are correct and kept up to date throughout the recruitment process. You will be responsible for checking Oriel messages for any updates regarding the status your application.

2026/2027 Recruitment

The recruitment process details are provided throughout these pages in conjunction with central guidance that applies across specialties.

You must read these pages and the guidance on the Medical Specialty Recruitment pages before beginning your application.

Acute Care Common Stem Emergency Medicine (ACCS EM) recruitment model for assessing applications in 2026/2027.

  1. If you are eligible, you are required to sit a Multi-Specialty Recruitment Assessment (MSRA)
  2. Your MSRA score will be used to short list should interview capacity be exceeded
  3. If you are shortlisted, you will be invited to take part in an online interview, which will be scored
  4. Your MSRA score will be scaled and combined with the online interview scores to produce a total score and final rank

Summary of 2027 recruitment process

Details of the process for 2027 are provided throughout these pages in conjunction with central guidance issued by the national recruitment team that applies across specialties. You can find the central guidance on the Medical Specialty Recruitment pages.

You must read this page and the guidance on the Medical Specialty Recruitment pagess before beginning your application.

There are 2 vacancies for Acute Care Common Stem (ACCS) Emergency Medicine Training  ST1 in this recruitment round. One for England, Scotland and Wales – Acute Care Common Stem (ACCS) Emergency Medicine Training  ST1 (Vacancy 1) and one for Northern Ireland – Acute Care Common Stem (ACCS) Emergency Medicine Training  ST1 (Vacancy 2).

The guidance on this page only applies to England, Scotland and Wales vacancy. If you are wishing to apply to Northern Ireland, please refer to their guidance.

Applications will only be considered for 1 vacancy so you should ensure that you only apply to your preferred one. The Oriel system will not prevent 2 applications being made. At the application closing date, any applicants that have a live (such as, not withdrawn) application to both vacancies will have the application with the earliest submission date withdrawn and the later application will be retained.

Applications withdrawn by the applicant prior to the application closing date will not count as duplicates.

Applicants will not be able to withdraw their own duplicate application after the application window has closed. Withdrawals will be actioned by the relevant recruitment team.

Summary of change for recruitment process 2027

You can find the full details on our website for Prioritisation for 2027 specialty training recruitment.

Additional information can be found on Changes to Medical Specialty Training recruitment for 2027.

Page last reviewed: 23 October 2026
Next review due: 23 October 2028