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Systematic Training in Acute Illness Recognition and Treatment START

This one-day interactive course is aimed at Foundation Year 1 (FY1) doctors. Members of the surgical care team may also benefit.

You will be faced with acutely unwell patients over the course of your foundation training and this course provides you with a system of assessment for commencing appropriate initial patient management beyond the standard ‘ABCDE’. The programme provides an introduction to managing critically ill or potentially unwell patients on the wards or high dependency unit (HDU) while emphasising the pivotal role played by foundation doctors within their team.

This course has been developed by a working group of surgeons, anaesthetists, physicians, an intensive care nurse and a foundation trainee, ensuring the course is tailored to the curriculum needs of FY1 doctors.

Course attendance and completion of the online feedback entitles you to a certificate that can be linked to your Horus e-portfolio.

RCS England membership entitles you to a 10% discount on this course at partner centres. Find out if you are eligible to join or transfer. 

  • £139.50
  • 1 days
  • 6.00 CPD Points
1 days
6.00 CPD Points


 This course is suitable for FY1 doctors. Physician’s associates, surgical care practitioners and advanced care practitioners may also find it helpful.

Learning Outcomes

By the end of this course you should be able to:

  • Recognise an unwell patient
  • Perform a systematic patient assessment
  • Commence appropriate treatment
  • Escalate care to an appropriate senior
  • Recognise the importance of human factors in the workplace
  • Harness team resources available to you


A mixture of interactive lectures, group discussions and simulation of treatments using skills stations.

Additional Information

Course content

Activities include:

  • critiquing a case;
  • how to use the START algorithm for managing potentially unwell patients;
  • discussion of how human factors affect clinical practice;
  • simulated patient scenarios, allowing you to put the START algorithm into practice;
  • virtual ward handover, to practise prioritisation and management planning. 

Course materials

As part of the course, you will receive:

  • companion handbook with reflective activities;
  • certificate of attendance.

Take a look at a sample START programme

Booking Options

There are currently no dates available for this course

Register your interest

Further information and queries


Phone us

Call 020 7869 6300 to talk with a member of our team. 

We are available to answer calls during our working hours of 8.30am–4:.0pm, Monday–Friday and there is a voicemail outside this time.