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The Examination of Added Competence in Emergency Medicine (EM) is open to members of the College of Family Physicians of Canada (CFPC), who hold Certification in the College of Family Physicians of Canada (CCFP) status in good standing and who have either:

  • Successfully completed an approved residency training program in emergency medicine, or
  • Met the criteria for practice-eligible candidates as determined by the National Board as set out in the regulations

Candidates who successfully complete the examination receive a certificate and will be able to use the CCFP (EM) designation. They will be honoured at convocation. To maintain the CCFP (EM) designation, members who hold this certificate must fulfill the requirements of ongoing Active membership in the College and maintaining their certification in family medicine.

Exam information

Find out more about the recent exam administration

CFPC Update on Emergency Medicine Exam (September 13, 2021)

Information concerning the 2021 Examination

CFPC Examinations Quick Links

The Examination of Added Competence in Emergency Medicine is available in both official languages and candidates can choose to sit part or all of the examination in either English or French.

End of access to English translations.

At present there is only one examination centre (in Toronto) for all candidates. The examination is usually held in September on the weekend after Labour Day.

Eligible to sit the Examination of Added Competence in Emergency Medicine? 

Find eligibility requirements for residents and practising physicians  

The candidate guide provides general information about the examination, candidate code of conduct, cancellation and late arrival policies, appeal process, and a list of emergency medicine residency programs.

Candidate guide to the examination

Candidate Guide to the Examination of Added  Competence in Emergency Medicine

Resources for Emergency Medicine Examination preparation

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  • Dates, Fees and Deadlines

    Examination of Added Competence in Emergency Medicine

    Exam dates:


    September 7 & 8, 2022

    Structured Orals
    September 10 & 11, 2022
    Exam fee: $3,270 CAD*
    Application date / deadline
    April 15 – June 15, 2022
  • Exam centres


  • Test Accommodation

    The College of Family Physicians (CFPC) is committed to providing all examination candidates an equitable opportunity to demonstrate their knowledge, skills, and abilities in the examination setting. The aim of this policy is to remove barriers to testing, based on protected characteristics under applicable human rights legislation. This policy applies to candidates wishing to sit the Certification Examination in Family Medicine (CCFP) or the Examination of Added Competence in Emergency Medicine (EM).

    All requests for a test accommodation must be made at the time of application for the examination. This allows the CFPC staff to identify and allocate the required, but potentially limited, resources as equitably as possible, and to assign candidates to appropriate examination locations equipped to meet stated needs.

  • Requests to resit the exam

    For repeat candidates who are still eligible, the deadline date to register to resit the emergency medicine examination is June 15th.

  • Cancellation policy

    Due to the significant expenses generated in the eight weeks prior to the exam, examination fee refunds depend on the date of receipt of a written, signed withdrawal/refund request:

    • Candidates who withdraw 60 days before the examination will be subject to a penalty of $500
    • Candidates who withdraw within 30 to 60 days of the examination will be subject to a penalty of one half of the examination fee
    • Candidates who withdraw 30 days or less before the examination will not receive a refund

    Candidates must withdraw and reapply if they want to take the examination at a later date. Fees paid for a previous attempt are not transferable to a later session.

    Fees are approved by the Board of Directors in the fall of the previous year.

  • Exam accommodation for special needs and impediments

    Candidates requiring special arrangements at the examination site should advise the Education Department at the time of examination application. Candidates are responsible for providing detailed documentation to permit the College to make suitable arrangements. 

    View the CFPC’s Exam Accommodation for Special Needs and Impediments

    Find out how to appeal your Examination of Added Competence in Emergency Medicine Results

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