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!

MRCEM Taken After Today No Longer Valid for FRCEM Final

Congratulations to the batch who passed their MRCEM OSCEs held in June 2018! You are the last batch who are eligible for FRCEM Final without sitting for SJP.

Beyond this, the FRCEM Intermediate Certificate (SAQ + SJP) becomes the standard criteria for all to be eligible for Final examinations.

There will continue to be a MRCEM OSCE for those interested in obtaining the title, but it is no longer a compulsory exam.

What does this mean for us? Well, PGMSS insists that we need to have MRCEM to register with them for eligibility into the FRCEM structured training programme, unless you somehow already have an active GMC Registration (then you only need Int Cert). This is possible if you were previously a UK medical student who converted your student registration to doctor. I am not sure if you can reactivate it now if you didn’t back then, so better ask the GMC and let me know so I can include it here.

Anyway, I think the OSCE will still be hosted regularly, at least in India, as it is necessary for GMC Registration. With the MTI programme still in place, Indian and Pakistani trainees still need to register with the GMC in order to do their attachment in UK, and for now, only MRCEM is recognised for that. It is unlikely that FRCEM Int Cert will be recognised for registration, as the GMC mandates a clinical skills exam component. Otherwise people will flock to do FRCEM instead of PLAB just to get into UK.

Oh yes, one last note on FRCEM Final eligibility, you must have minimum 7 years experience (including HO) to apply. I apologise if I mislead anyone into thinking you can become an EP within 6 years after medical school if you take this route.