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ACEM Research Requirement-Is It Worth the Effort or the Money?
1Emergency Trauma Centre, Royal Brisbane Women's Hospital, Brisbane, Queensland, Australia.
Emergency Medicine Australasia : EMA
|October 9, 2025
Summary
The Australasian College for Emergency Medicine (ACEM) research requirement (RR) for trainees is often a bureaucratic hurdle, failing to foster lasting clinical behavior changes. Evolution is needed to ensure trainees develop skills for applying evidence in practice.
Area of Science:
- Medical Education
- Emergency Medicine Training
- Research Methodology
Background:
- The Fellowship Clinical Examination requires ACEM trainees to complete a research requirement (RR).
- Current RR pathways, dominated by coursework, are often perceived as bureaucratic and lack evidence of translating into improved clinical behavior.
- Structural barriers limit access to original research, while coursework is costly with modest impact.
Purpose of the Study:
- To evaluate the effectiveness of the current ACEM research requirement.
- To explore the impact of research requirements on trainees' clinical behavior and inquiry habits.
- To consider future directions for the RR in light of evolving research and AI technologies.
Main Methods:
- The study critically analyzes the existing ACEM research requirement structure and its implementation.
- It reviews the perceived effectiveness and outcomes of different RR pathways (coursework, original research, thesis).
- It considers the implications of artificial intelligence on research and learning within medical education.
Main Results:
- The research requirement (RR) is frequently experienced as a bureaucratic task rather than an educational tool.
- There is limited evidence that current RR approaches lead to sustained changes in clinical practice.
- Original research is largely inaccessible due to structural barriers, and coursework has a modest impact at a significant cost.
Conclusions:
- The ACEM research requirement needs significant evolution to effectively embed inquiry habits and evidence application skills.
- Future strategies may include refining authorship rules, offering critical appraisal modules, or integrating evidence-based medicine into workplace practice.
- The ultimate goal is to equip trainees with the curiosity and capability to meaningfully apply evidence in clinical care.
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