Intended for healthcare professionals

Career Focus

How do you become a GP who also works part time in A&E as a middle grade? Do you have to do the new A&E exams?

BMJ 2004; 329 doi: (Published 04 September 2004) Cite this as: BMJ 2004;329:s92
  1. Andy Lockey, consultant in emergency medicine
  1. Calderdale & Huddersfield NHS Trust


Got a career or related problem that needs answering? Can't find the right person to point you in the right direction? Log on to the Advice Zone ( for reliable medical careers advice. You can post a question or see if one of our 300 advisers has already answered a similar question. Here is a selection of questions and answers posted on the site.

It is not necessary to take the new exams to do this. General practitioners (GPs) normally fill clinical assistant slots, although levels of responsibility are at the discretion of the employing department. Essentially, a minimum of six months' A&E experience in accident and emergency (A&E) is generally required prior to doing sessions. The remainder of the GP VTS (vocational training scheme) confers a good spectrum of specialty background posts. A provider certificate on ATS, ATLS, or EPLS (advanced life support,/advanced trauma life support, or/European paediatric life support) is desirable although not essential. There is a current shortage of middle grade doctors in A&E so I would advise that you discuss this with your favoured department in order to see what they can facilitate.


  • More about the Advice Zone

  • Almost 2000 doctors and medical students have already posted their queries on the Advice Zone ( on everything from exams and career choices to maternity leave or bullying bosses. Read what our advisers have suggested, or submit your own question to the panel.

  • What's your advice?

  • If you have anything helpful to add—perhaps you've been in a similar situation yourself—then you can post your own comments on the Advice Zone by going to the relevant section, then select the question and simply click on the “Reply to Question” button. Alternatively, you can send a rapid response to any of the questions and answers on the page.

View Abstract