
The Royal College of Emergency Medicine (RCEM) Specialty Learning Outcome 5 (SLO 5) defines the required competence for Emergency Medicine trainees in Paediatric Emergency Medicine (PEM). This outcome is comprehensive, demanding expertise in the care of children of all ages, across all stages of development, and explicitly including those with complex medical and social needs.[1] Achieving SLO 5 is not simply about clinical proficiency but requires integration across professional domains: evaluation, investigation, decision-making, safeguarding, resuscitation, and empathetic care for families and loved ones attending the Emergency Department (ED) [1].