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Argentina__ In Argentina, the SAE (Sociedad Argentina de Emergencias) is the main organization of Emergency Medicine. There are a lot of residency programs. Also is possible to reach the certification with a two-year postgraduate university course after a few years of ED background. Australia and New Zealand__ In Australia and New Zealand, specialist training in Emergency Medicine is overseen by the Australasian College for Emergency Medicine (ACEM). The ACEM also offers formal qualifications and continuing professional education for non-specialists who have Emergency Medicine responsibilities. India__ In India, many private hospitals and institutes have been providing Emergency Medicine training for doctors, nurses & paramedics since 1994. The certification programs varied from 6 months to 3 years. Emergency Medicine was recognized as a separate specialty by Medical Council of India (MCI) only from July 2009. After this, many medical colleges are about to start postgraduate training, i.e., MD in Emergency Medicine. It will be at least a few years until the specialty gets streamlined in India.[citation needed]. Colleges such as Sri Ramachandra Medical College, Chennai, Vinayaka Missions University, Salem and Christian Medical College, Vellore were among the first to establish and empower Emergency Medicine and a structured Post Graduate program. 3 year Emergency medicine residency is also provided by Apollo hospitals at various sites (Hyderabad, chennai, delhi, bangalore)making the candodates eligible to appear for MCEM examinations. National board of examinations has announced that DNB emergency medicine would be started from the next academic session at various accredited hospitals/colleges in India. Emergency medicine is an upcoming branch in India, which is growing at a rapid pace. Saudi Arabia__ In Saudi Arabia, Certification of Emergency Medicine is done by taking the 5-year program Saudi Board of Emergency Medicine (SBEM), which is accredited by Saudi Council for Health Specialties (SCFHS). It requires passing the two-part exam: first part and final part (written and oral) to obtain the SBEM certificate, which is equivalent to Doctorate Degree. http://saudiemergencymedicine.com/welcome/index.php Saudi Society of Emergency Medicine SASEM is an organization that encompasses all emergency doctors in Saudi Arabia. Canada__ In Canada, there are two routes to certification in Emergency Medicine. The vast majority of full-time practicing ED physicians in Canada are certified via one of these routes. Most busy urban, sub-urban and larger rural hospitals are staffed primarily by full-time, certified career emergency physicians. Smaller rural and community hospitals may still be staffed by family physicians who work in the emergency department on a part-time rotating basis. Basic experience in Emergency Medicine is a core component of family medicine training in Canada. The general trend in Canadian emergency departments over the last decade has been the gradual replacement of part-time, non-certified physicians (mostly family physicians) by full-time certified Emergency Physicians. This trend was first noted in larger academic centers but has gradually evolved to include most busy emergency departments. The two routes to ED certification can be summarized as follows: Route 1: A five-year residency leading to the designation of FRCP(EM) through the Royal College of Physicians and Surgeons of Canada (Emergency Medicine Board Certification- Emergency Medicine Consultant). Route 2: A 1-year Emergency Medicine fellowship after a two-year family medicine residency leading to the designation of CCFP(EM) through the College of Family Physicians of Canada (Competency Certification) CCFP(EM) ED physicians outnumber FRCP(EM) physicians by about 3 to 1, and tend to work primarily as clinicians with a smaller focus on academic activities such as teaching and research mostly run urgent care units. FRCP(EM) ED Emergency Medicine Board specialists tend to congregate in academic centers and tend to have more academically oriented careers, which emphasize administration, research, critical care, disaster medicine, teaching and tend to go for subspecialty in toxicology, Critical Care, pediatrics, and sport medicine . Furthermore the length of the FRCP(EM) residency allows more time for formal training in these areas. As a consequence of the above, most Canadian medical students wishing to pursue an academic Emergency Medicine career, and/or work primarily in a major academic center, choose the FRCP route of certification. On the other hand, those wishing to function primarily as clinical ED physicians choose the CCFP route of certification. Although many in the Emergency Medicine community in Canada feel that a unified training process would be beneficial to the current 2-stream schism, this has yet to happen for a variety of complex reasons. China__ There are only two academic societies in EM in China, Chinese Association of EM (CAEM) and Chinese College of Emergency Physicians (CCEP, equivalent to ACEP in US). CAEM was established in 1986, under the management of the China Medical Society (CMS). However, CCEP was organized by the Ministry of Public Health in 2009. Their primary missions and tasks are not yet clearly defined. As a matter of fact, there are some overlaps in terms of organization administrators and academic activities. Malaysia__ There are three universities (Universiti Sains Malaysia [USM], Universiti Kebangsaan Malaysia [UKM], & Universiti Malaya [UM] that offer Masters in Emergency Medicine. These post-graduate trainings consists of 4 years of various clinical trainings in the field relevant to Emergency Medicine (EM) practices. The certifications consists of clinical posting evaluations, year 1 and year 4 examinations and research projects (dissertation) with satisfactory completion is mandatory. The 1st batch of Emergency Physician (EP) trained locally had graduated in 2002. The EM field in Malaysia has developed tremendously over the past 10 years. The College of Emergency Physician (CEP) was formed under the Academy of Medicine Malaysia (AMM) recently that strengthen further this fraternity. United Kingdom and Ireland__ In the United Kingdom and Ireland, the College of Emergency Medicine sets the examinations that trainees in Emergency Medicine take in order to become consultants (fully trained Emergency Physicians). Physicians that have passed the fellowship examination of the college of Emergency Medicine are awarded the post nominals 'FCEM'. United States__ In the United States, there are many member organizations for emergency clinicians: The American Academy of Emergency Medicine (AAEM) restricts its membership to board certified specialists in Emergency Medicine, and as of 2009 has over 6000 members. It promotes the independence of Emergency Physicians and seeks to limit the interference of corporations and other outside groups in the doctor-patient relationship. The American College of Emergency Physicians (ACEP) is the oldest and largest professional organization. Originally founded in 1968, it now has over 25,000 members, although some became members before board certification in Emergency Medicine was required.[8][9] The American College of Osteopathic Emergency Physicians (ACOEP) was founded in 1975[10] and is open only to D.O. emergency physicians. The Association of Emergency Physicians (AEP) offers membership to any practicing Emergency Physician regardless of training.[11] The Emergency Department Practice Management Association (EDPMA) is a trade association that offers membership to Emergency Medicine Physician groups and their practice business partners, including billing companies and emergency department supporting organizations like EMR firms, consultants, and scribe companies. Founded in 1997, EDPMA's members make it their business to deliver quality care in the emergency department. The Emergency Medicine Residents' Association (EMRA) is an organization that offers membership to Emergency Medicine Physicians in training (residents and medical students) and graduates of ACGME and AOA Emergency Medicine residency training programs. Originally founded in 1972, EMRA represents the interests of Emergency Medicine physicians-in-training. As of 2014 EMRA has nearly 12,000 members. In the United States and Canada, there are five ways to become Board Certified in Emergency Medicine: The American Board of Emergency Medicine (ABEM) is for MDs and DOs. The ABEM is under the authority of the American Board of Medical Specialties. The American Osteopathic Board of Emergency Medicine (AOBEM) certifies only Emergency Physicians with a D.O. degree. It is under the authority of the American Osteopathic Association Bureau of Osteopathic Specialists. The Royal College of Physicians and Surgeons of Canada. The College of Family Physicians of Canada - Emergency Medicine Certification Examination The Board of Certification in Emergency Medicine (BCEM) is the fifth designation - outside of the ABEM, AOBEM, RCPSC, or CFPC-EMCE exams. The BCEM is the only organization in the United States that will grant board certification in Emergency Medicine to a physician who has not completed an Emergency Medicine residency but have experience in another field. (http://www.abms.org/who_we_help/physicians/specialties.aspx). BCEM allows physicians who were not initially residency-trained in Emergency Medicine, but that have completed a residency in other fields (internists, family practitioners, pediatricians, general surgeons, and anesthesiologists), to become board-certified in Emergency Medicine. BCEM requires five years of full-time Emergency Medicine experience, preparation of case reports for review by the board, and passing both written and oral examinations before allowing a candidate to become board-certified in Emergency Medicine. Recertification is required every 8 years. BCEM is under the control of the American Association of Physician Specialists (AAPS) - an organization that allows both M.D.s and D.O.s to become members. Turkey__ In Turkey there are two associations for Emergency Physicians: Emergency Medicine Association of Turkey (EMAT) is the oldest professional organization.[12] Emergency Physicians' Association of Turkey (EPAT) is the second organization and refers to Emergency Medicine Specialists.[13] Iran__ In Iran, Iranian Society of Emergency Medicine (ISEM) was developed in 2002. ISEM holds congress on Emergency Medicine annually. All Emergency Medicine specialists are members of this society in Iran.[14] Pakistan__ In Pakistan, Society of Emergency Physicians Pakistan (SEPP) was established in 2009. SEPP is relatively new society and is in the phase of growing, as the numbers of trainees are slowing increasing. South Korea__ In South Korea(Republic of Korea), Korean Society of Emergency Medicine(KSEM) was established in 1989. |
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