The fee for the 2027 Examination of Added Competence in Emergency Medicine (EM) for residency-eligible candidates is $6,514 and the fee for practice-eligible candidates is $7,916.

When determining the amount, the CFPC Board approved a strategy and mathematical formula to calculate the cost of the emergency medicine exam annually. This is to make sure we deliver a high-quality exam and be transparent of the method used to determine the fee. The fee now includes all costs, including the centralized and shared services needed to design, develop, and deliver the exam as well as critical services needed to support the full spectrum of exam operations.

View the detailed mathematical formula.

Note: Candidates who withdraw from the examination more than 60 days before the examination date will be refunded their examination fee less $500. Candidates who cancel 60 days or less before the exam will be charged a fee based on when their application was withdrawn. See our Cancellation Policy for more information.

Providing a high-quality exam is important to the CFPC. However, to continue administering and optimizing an exam that is valued by the emergency community and adapts to evolving education standards, periodic fee adjustments are necessary based on the mathematical formula approved by the Board of Directors.

Using the mathematical formula, the fee reflects all costs including the centralized and shared services needed to design, develop, and deliver the exam as well as critical services needed to support the full spectrum of exam operations. This will enable us to continue delivering the exam and improve on key areas such as:

• Continuous member service for candidates before, during, and after the exam. We are always here to help.
• High-quality, cutting-edge technology to improve the user experience, minimizing unnecessary stress on exam day
• Upgrades to privacy and security systems to continue keeping candidates’ information safe
• High levels of quality assurance, making sure exam content responds to and reflects the changing and more complex needs of patients in all our communities

Candidates who take the examination will continue to receive a tax-deductible receipt.

An in-person model versus a virtual delivery format requires different resources, which come with different expenses. The digital platforms used exceed the costs of securing facilities for in-person exams but result in minimizing travel expenses for examiners and candidates.

Previously, all candidates and examiners had to travel to Toronto to be examined. The costs of travel, accommodation, and food were indirect costs to candidates before, but no longer need to be accounted for.

Understanding the importance of keeping fees down, the CFPC’s Board of Directors  is committed to keeping exam fee increases limited to the Consumer Price Index (CPI) annually.

The fee increase will help the CFPC sustain its commitment to supporting candidates and administering a high-quality, reliable exam. The strategy and mathematical formula will be reviewed annually by staff to make certain it is meeting its goals, and every three years by the Finance and Audit Committee and the Board of Directors, which may result in a change to the fee. At a minimum the exam fee may be adjusted for inflation forecasts annually.