Eligibility and Application

Residency-Eligible Candidates

  1. Candidates who are or will be eligible to receive their certificate of added competence in emergency medicine from the College of Family Physicians of Canada (CFPC) must hold certification in family medicine and must be registered with the Office of Postgraduate Education at the medical school at which they completed their training.
  2. Residents must be recommended to the CFPC by the dean for postgraduate medical education and the postgraduate emergency medicine program director of the Department of Family Medicine. 
  3. The program must consist of 36 months of training in family medicine and emergency medicine.
  4. Residents in family medicine/emergency medicine should successfully complete 12 months of additional training in family medicine/emergency medicine. For reasons of health, parental leave, labour actions or other personal reasons, residents may be granted leaves of absence of up to one month during the 12 months and still maintain their eligibility to sit the examination of added competence in emergency medicine. The program director, who will ensure that the resident completes all core rotations and achieves the program's educational objectives, will approve such leaves.
  5. Residents may sit the examination, with the recommendations outlined in item 2 above, if they have completed at least 9 of the 12 months of additional training in family medicine/emergency medicine, or they have no more than 3 months of training to complete at the time they sit the examination.
  6. Candidates must be active members of the CFPC at the time they sit the examination.
  7. The postgraduate dean and the postgraduate emergency medicine program director of the Department of Family Medicine must confirm successful completion of the educational requirements for the Certificate of Added Competency in Emergency Medicine as defined by the CFPC before a Certificate of Competence in Emergency Medicine will be awarded.

Practice-Eligible Candidates

1. All practice-eligible candidates must hold certification in the College of Family Physicians of Canada (CCFP) and remain a member in good standing with the CFPC.

2. The candidate must be engaged in emergency practice in Canada at a rate of 400 hours per year for the four-year period immediately prior to the date of application.*

For purposes of exam eligibility, emergency practice is defined as responsibility for emergency care on-site in a busy clinical emergency care setting that:
  • Provides care to a broad exposure of all manner of emergencies from the community, including children and adults;
  • Receives all prehospital ambulances from the community (except where provincial / health authority stroke, trauma, or STEMI site protocols exist);
  • Is situated on the same site / campus as an in-patient facility;
  • Has access to on-site laboratory, x-ray, and advanced imaging (such as formal ultrasound, CT and/or MRI);
  • Treats patients with conditions requiring sedation, central venous lines, casting and endotracheal intubation on a regular basis.

3. Candidates must have competencies in procedural skills related to emergency medicine, including cardiac and trauma life support, and have this documented by the director of their hospital emergency department or their medical staff superior.

*For those candidates that obtained Certification through the Recognized Training and Certification outside Canada pathway, the most recent two years of emergency practice must have taken place in Canada. The remainder of the four-year practice requirement may be gained in the jurisdiction in which they have Recognized Certification i.e. Australia, Ireland, United Kingdom or United States.

Limits on Eligibility

Residency Eligible Candidates

Residency eligibility expires after three years or three attempts from the date of completion of training whichever comes first. If a candidate's residency eligibility expires, he/she can re-apply to sit the examination as a practice eligible candidate and must meet all practice eligible criteria in place at the time of application in order to qualify.

Practice Eligible Candidates

After gaining approval to sit the examination, a candidate maintains practice eligibility for three years or three attempts (whichever comes first). If a candidate's eligibility expires, he/she can re-apply to sit the examination and will be expected to meet the practice eligible criteria in place at the time of application. Once ruled eligible, candidates for the Examination of Added Competence in Emergency Medicine must maintain a full, unrestricted license to practice family/emergency medicine and they must remain engaged in emergency practice consistent with their category of eligibility in order to remain exam eligible.

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