HIEM is the first collaborative international Emergency Medicine (EM) training developed in the UK, in which trainees will go through 4 years of training (1st and 4th year in Nepal and 2nd and 3rd year training in the UK). Trainees will follow Royal College of Emergency Medicine (RCEM) curriculum and Fellowship in Quality improvement (FQim) modules as part of the training. At the end of the training process, trainees will sit Member of Royal College of Emergency Medicine MRCEM exam, will receive two qualifications (MRCEM and FQim). The degree of MRCEM will be awarded by Royal College of Emergency Medicine. The degree of FQim will be awarded by International Academy of Medical Leadership (IAML). HIEM training is recognised by Nepal Medical Council (NMC) and RCEM-UK, and trainees on successful completion of the process will be able to work as specialists in Nepal. Subsequent to selection of the candidates in HIEM Training, the candidates will be designated as International training Residents (ITR).
Trainees will be recruited through Quality improvement Medical Education Training centres (QiMET) worldwide. In Nepal, Chitwan Medical College (CMC) has been recognised as QiMET centre. Trainees will come to the UK for training through Medical Training Initiative (MTI) national scheme 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 not need to sit the PLAB exam.