The FRCEM Parallel Pathway in Malaysia.

The schematics for the FRCEM pathway has been unveiled. It is a 5 year pathway in total, designed similarly to the UK DRE-EM pathway.

There are 2 phases:

‘Core’ phase:

  • Minimum 12 months in ED, 4 months in Medicine, 4 months in Paeds, 2 months in Anaesth and 2 months in ICU. (Math says that totals up to 24 months)
  • Pass FRCEM Primary, Intermediate Cert, and MRCEM OSCE.

‘Advanced’ phase:

  • 36 months in EM, including an option to train in the UK for 12 months.
  • Pass FRCEM Finals

You may arrange for your rotations via your head of department and hospital director. Upon successful completion of the required rotations, exams and logbook, hooray, you can be recognised as an emergency physician!

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Previously served in a West Malaysian ED, I became an MRCEM diploma holder in 2018. I started this blog to help those interested in pursuing the exam, whether to aid in their Malaysian Masters in EM application or the new FRCEM Parallel Pathway. Feel free to ask questions under the relevant posts.

6 thoughts on “The FRCEM Parallel Pathway in Malaysia.”

  1. Interesting about the progress of EM training / certification in Malaysia.
    I’m interested in seeing what I can assist in future. Any pointers in who to contact ?. I’m the last person on the website link

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  2. Hi, would you have any idea for the pathway to go through if the person taking the exam is no longer in government service? Meaning to get registered to be recognised as a specialist.
    Thanks!

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    1. I’m afraid not. Theoretically you would need a supervisor (probably multiple) willing to comment and sign off your competencies which include topics from medicine, anaesth, icu, paeds, ortho, and of course, EM, as well as research and Quality Improvement Projects, so that you may qualify for the final exams.

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  3. Hi doctor. Thank you very much for your blog, very informative. This is Hong here. Would like to ask for your opinion. I personally fancy towards emergency surgical procedures, prehospital care and disaster management. However, I’m still struggling in deciding to further pursue from Surgery or Emergency Medicine. Would appreciate if you could also provide your valuable experience as an Emergency Physician. Also would like to ask if damage control surgeries can be done by a EP if needed ? Say for example, if I were an EP and have attended courses for damage control surgeries, can I practise it in real life?
    Looking forwards for your replies. Thank you.

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    1. I am not sure what you envision as emergency surgery. EPs do not progress to trauma surgeons as they require largely different skillsets. You would need abilities as a general surgeon to be able to perform many emergency surgeries. EPs do get involved in simple emergency procedures like wound repair or lifesaving procedures like pericardiocentesis, chest tubes, ankle reductions, or temporising procedures like certain fracture/joint reductions. We perform damage control resuscitation so the patient makes it to theatre for damage control surgery, but EPs do not perform the surgery themselves. The closest EPs know to DCS is an emergency thoracotomy, known as a high acuity low occurence (HALO) skill, which means it’s likely we will encounter it once or never in our career, but should be prepared to perform it alongside procedures like perimortem C-section, lateral cantholysis, and escharotomy.

      If you like prehospital care, disaster management, etc, emergency medicine is definitely the better option. They are subspecialties of EM, although it’s often that ED MOs do not deal with it much because a lot of it is state or national level and involve administrative tasks. You can speak to your EPs to get an idea of how to get into the field.

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