The European Training Requirement curriculum for anaesthesia was updated in 2018 to state that the knowledge, clinical skills and specific attitudes of pre-hospital emergency medicine form part of the core domain of critical emergency medicine and, as such, should form part of postgraduate training for doctors specialising in anaesthesia.

Trainees are expected to complete the DIMC and FIMC exams from the Royal College of Surgeons of Edinburgh.

Once a doctor has completed their training, opportunities include working for an Ambulance Service Trust as a Medical Emergency Response Incident Team (MERIT) doctor or in another major incident medical role, volunteering for a local British Association for Immediate Care (BASICS) scheme, or working for an Air Ambulance service, often working alongside Advanced Paramedics with training in Critical Care.

[8] Indeed in the United Kingdom, the speciality of pre-hospital emergency medicine was in essence created and pioneered by general practitioners.

[9][10][11] In Switzerland, PHEM has been recognized as a subspecialty of Emergency Medicine since 2002 by the postgraduate council of the Swiss Medical Association (FMH).

Currently optional, this board-certification will eventually become mandatory for all physicians aiming to work in both Emergency Departments and PHEM (though this is subject to considerable vetoing pressure from other specialist boards).