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Frequently Asked Questions

  • What is the fee for the 2022 Certification Examination in Family Medicine?

    In 2020 the CFPC Board approved the fees for the 2022 spring and fall exam to be $3,270. In recognition of the hardships imposed by COVID-19 on members, the Board of Directors decided to maintain fees at the same rates as 2020–2021. Note that the fee for a single component of the exam ($1,635) is half of the full fee.

    Fee Schedule for the Certification Examination in Family Medicine:
    Spring 2018 Fall 2018 Spring 2019 Fall 2019 Spring 2020 Fall 2020 Spring 2021 Fall 2021 Spring 2022 Fall 2022 Spring 2023 Fall 2023
    $2,960 $2,960 $3,110 $3,110 N/A $1,635 SAMP only $1,635 SAMP only $3,270 $3,270 $3,270 $3,335
    Proposed
    (+2%)
    $3,335
    Proposed
    (+2%)
    Single component
    $1,480 $1,480 $1,555 $1,555 N/A N/A N/A $1,635 $1,635 $1,635 $1,668 $1,668
  • What is the fee for the 2022 Examination of Added Competence in Emergency Medicine?

    In 2020, the CFPC Board approved the fees for the 2022 spring and fall exam to be $3,270. In recognition of the hardships imposed by COVID-19 on members, the Board of Directors decided to maintain fees at the same rates as 2021.

    Fee Schedule for the Examination of Added Competence in Emergency Medicine:
    2018 2019 2020 2021 2022 2023
    $3,110 $3,270 $1,635
    (SAMP only)
    $3,270  $3,270 $3,597
    Proposed (+10%)
    Single component
    N/A N/A N/A N/A N/A N/A
  • How are the exam fees determined?

    The exams cost the CFPC more to run than what we receive in exam fees. The CFPC subsidizes the exams from member fees to cover direct and indirect expenses. As an example, in 2020–2021, when just the short-answer management problem (SAMP) component of the family medicine exam was delivered virtually, the exam fee per candidate was $1,635 and cost the CFPC $1,804 per candidate. Currently, the family medicine exam’s budgeted subsidy is approximately 28.5 per cent and the emergency medicine exam’s subsidy is approximately 57.3 per cent. We are a unique professional organization where members financially support the core credentialing of its new graduates to the profession. Our exam fees are also on par with, or lower than, other similar national testing organizations such as the Royal College of Physicians and Surgeons of Canada (Royal College).

  • How do the family medicine and emergency medicine exam fees compare to exam fees for other medical specialties?

    The Royal Colleges’ specialty exam fees for 2021 are $6,615 for resident candidates and $10,625 for practice eligible candidates, compared to the CFPC’s $3,270 for each of the family medicine and emergency medicine exams. The CFPC applies the same fee for residents and practice eligible candidates and does not have an added fee for candidates to qualify via the practice eligible route. The 2021 fee schedule comparison is as follows:

    CFPC family medicine exam fees:
    • Total fee for both exam components – $3,270
    • Single component fee for simulated office oral (SOO) – $1,635
    • Single component fee for short-answer management problem (SAMP) – $1,635
    CFPC emergency medicine exam fee:
    • Total fee for both exam components (structured orals and SAMP) – $3,270
    Royal College specialties exam fees:
    • Total fee for both exam components – $6,615
    • Single component fee for written exam – $2,200
    • Single component fee for comprehensive objective exam – $4,415
    • Practice eligible route for those who have worked in Canada for two years – additional $4,010
  • Why have family medicine exam fees increased while member fees have been unchanged since June 2017?

    In 2022 we are not increasing the exam fee. In 2023 it is proposed the fee should increase by the cost of inflation. Membership fees are set to cover core CFPC programs and services. You can learn more about what the member fee supports by reviewing our strategic plan and checking out our Annual Report.

  • Why is the CFPC subsidizing the family medicine exam but phasing out the subsidy for the emergency medicine exam?

    The emergency medicine exam subsidy is the greater of the two and the CFPC Board of Directors has decided to phase out this subsidy over the next five years, with any single year increase being capped at 10 per cent. Performance on the Certification Examination in Family Medicine influences licensure decisions of provincial and territorial colleges of physicians and surgeons. The Examination of Added Competence in Emergency Medicine is an optional exam only needed by those members who have decided to work mainly in emergency medicine.

  • Will virtual simulated office orals (SOO) result in cost savings that will allow the exam fee to drop?

    Significant resources are currently being invested in designing, building, and delivering exams via modernized and virtual formats. The work and related expenses are not less, they are just different. By the end of 2022 we will have been through a full cycle delivering both the SAMP and SOO/oral components of the family medicine and emergency medicine exams in virtual formats and will be validating our costing structure. We need to be through our development phase to be able to do this. Currently, we do not expect a reduction in exam fees.

  • Why is Prometric still the SAMP delivery vendor for 2022? Will this be the same in 2023?

    The SAMP portion of the examination, in its current format, has specific platform requirements that few other vendors can support. We are learning and adjusting in this unprecedented environment. Prometric has been collaborative, responsive, and has taken responsibility for the delivery challenges that have occurred, where appropriate. We are working closely with them to debrief each exam delivery, identify all needed improvements, and monitor those changes to ensure they are made. There has been an overall improvement in examination delivery, with a reduction of critical incidents, yet we know that there is still work to do. Our current contract with Prometric for the SAMP delivery is until the end of 2023, and we are committed to reviewing this relationship going forward.


Updated: October 21, 2021

Find out everything you need to know about the family medicine and emergency medicine examinations, virtual and remote delivery, and news and updates. www.cfpc.ca/exams.

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