APPLICATION CALL FOR Hybrid International Emergency Medicine- HIEM Training Program

APPLICATION CALL FOR Hybrid International Emergency Medicine- HIEM Training Program

19 Aug, 2019
APPLICATION CALL FOR Hybrid International Emergency Medicine- HIEM Training Program (Deadline extended till 12 p.m., September 24)


Hybrid International Emergency Medicine- HIEM Training Program
MRCEM (Member of Royal College of Emergency Medicine)
FQim (Fellowship in Quality Improvement


QiMET International Limited is the first international organisation to recognise that doctors need to be trained as clinicians and leaders at the same time. This is why we call our doctors “Hybrid” doctors. We also recognise that doctors work internationally but are not always trained to work internationally. We pride ourselves in creating “International” curricula to respond to the health care needs of a global population as a measure to increase patient safety and reduce medical error. Our programme is the: Hybrid International Emergency Medicine (HIEM) Programme.



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, RCEM eportfolio,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 which is accepted by NMC. The degree of FQim will be awarded by the World Academy of Medical Leadership (WAML). The candidates will be designated as International Training Registrar (ITR), after selection in the HIEM training entrance exam.



A 600 hour Masters level programme equivalent to a PgCert is integrated within the HIEM programme. This programme consists of four modules to be completed over four years: Quality Improvement and Operations Management (Module 1); Teams and Team Working (Module 2); Medical Leadership (Module 3) & Change and Transformation (Module 4). A Quality / Health System Improvement project will be written up in year four with a 12,000 word Thesis. A Project proposal and ethics application will be completed in year 1 and a summary of this will be made available for doctors Annual Review of Competence Practice (ARCP) in year 1.



HIEM training/ITR has been recognised by RCEM as Associate Membership (AOST) - Associate Member (Approved Overseas Training). Currently, this category is for Iceland, Republic of Ireland Emergency Medicine trainees and HIEM trainees only.


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 notneed to sit the PLAB exam.




Once trainees have completed their four years training (including UK training), candidates will apply to NMC for specialist registration to work as specialist in Emergency Medicine in Nepal.


Trainees will be recruited through Quality improvement Medical Education Training centres (QiMET) worldwide. In Nepal, QiMET National Centre, Nepal is based in Chitwan Medical College.

    1. Eligibility criteria of HIEM entrance exam

      MBBS degree with one-year internship registered in Nepal Medical Council.

    2. Eligibility criteria of applying MTI application to continue HIEM UK training (2nd year and 3rd year training):
      1. Have completed at least 3 years postgraduate experience, including an internship and minimum one-year RCEM recognised Emergency Medicine training programme (HIEM training 1st year), thus completing three years of post-graduate experience.

      2. If 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.

      3. Be certified in at least one life support course - ALS (or RCEM recognised equivalence).

      4. 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.  Or

        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 HIEM training at Chitwan Medical College.

      5. End of every year of training, trainees must be successful in their Annual Review of Competence Progression (ARCP) outcome which will be conducted by a panel of Consultants from RCEM/NHS/CMC. End of Nepal first year HIEM training, trainees must be successful in their ARCP, before enter MTI UK training.


        Letter from WAML confirming that, appropriate topic has been identified in the field of Emergency Medicine and adequate progression has been achieved in their thesis work.


    3. Have an institutional sponsor specifying the post they will return to Chitwan Medical College.


      Drop-in sessions have been arranged on Monday 23rd September 2019 from 1200 hrs-1400 hrs and on 25th September 2019 (after MCQ exam) from 1400 hrs. at Chitwan Medical College. If you need any clarification on this programme please meet us in the Drop-In Session. If you wish to, please bring your parents with you. UK Consultants and  Programme lead will be available to clarify your questions in the Drop-In session.


    25th September 2019

    • MCQ- 100 MCQ true or false Emergency Medicine questions(MCQ Questions will be asked from Oxford Handbook of Emergency Medicine)
    • Selected first sixteen candidates will appear for OSCE
    • Exam will be conducted by ICEM (International Centre for Emergency Medicine-UK)


    26th and 27th September 2019(Only for selected 16 candidates):

    • English test (Only for selected candidates)- 500 words essay
    • OSCE 4 stations –
    • Clinical Questions
    • Practical OSCE
    • Leadership and management
    • General Questions

    28th September 2019: Chitwan, International Emergency Medicine Conference


    Exam venue: QiMET National centre, Chitwan Medical College, Chitwan, Nepal

    Application charge: NRS. 5000

    Application Form: Please log in to:

    Application submission deadline: 20th September, 2019


    At the end of four years of HIEM training, trainees to travel to India to give their MRCEM exam ascompletion of this training.


    Admission fee: 1 lakh NPR

    Tuition fee:  22 Lakhs NPR

    Deposit: 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 &3rdyear): £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.

    Every year for the training development, NHS, UK is spending £35,000 (Nepali Rupees 5,250,000) for this programme. In this manner, our HIEM programme commenced from 15th Nov 2018, the fund for this programme was allocated and used to provide training and promote Emergency Medicine training for four trainees every year in Nepal, which will continue in the future as well.

    if you need any clarification on this programme, please contact the under mentioned:


    Prof Prakash Subedi

    Consultant Emergency Medicine, UK
    Doncaster and Bassetlaw NHS Foundation Trust, UK
    CEO, QiMET international

    Tel/ whatapp  +447795410448

    Dr Naushad Khan 
    Associate Professor,

    Consultant Emergency Medicine, UK

    Doncaster and Bassetlaw NHS Foundation Trust,UK
    QiMET, HIEM Programme Director

    Tel/ whatsapp  +447738444132


    Dr Jill Aylott

    CEO & Head of Programmes

    World Academy of Medical Leadership

    71 Green Lane


    Derbyshire, S18 2LP

    Tel/whatsapp  +447801430840

    Dr Dayaram Lamsal


    National QiMET Centre, Nepal

    Bharatpur-10, Nepal

    Tel/whatsapp: 00977-9802955185

    Dr Niki Shrestha

    Deputy Director

    National QiMET Centre, Nepal

    Bharatpur-10, Nepal

    Tel/whatsapp: 00977-9851202040