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MRCEM Taken After Today No Longer Valid for FRCEM Final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.

Taklimat FRCEM Parallel Pathway Programme in Malaysia – 2/6/2018

It’s official! The FRCEM parallel programme is in motion. A lot was announced and discussed at the briefing in Hospital Sungai Buloh today, but the bottomline is that MYCEP and RCEM have reached a partnership that will be formalised at EMAS.

1. As of June, Singapore will cease to be a centre for FRCEM Primary. Instead, Kuala Lumpur will host its first FRCEM Primary in December 2018. Subsequents exams will then be imported in stages, as early as March next year for Intermediate SAQ.

2. Those who have already acquired the full MRCEM award need to register themselves with the local Post Graduate Medical Specialist & Subspecialisation (PGMSS) to be recognised as an alternative pathway trainee. PGMSS will then send you a training manual and transfer you to a recognised training centre (TBA) to be supervised for at least 36 months. You will then be eligible for FRCEM Final exam (in UK, if they have not brought it into Malaysia by then). Pass the rotations and the FRCEM Final, gazette for 1-2 years and finally be registered to NSR as an Emergency Physician.

3. FRCEM obtained in Malaysia cannot be brought to the UK. In the UK, you need a CCT/CESR on top of your FRCEM to practice as an EP, which requires a minimum number of years spent in the NHS and a list of competencies verified by their consultants. Likewise, FRCEM obtained in UK cannot be brought back to Malaysia. You still need to be reviewed by the NSR, and may be placed into any rotations lacking.

4. The eligibility criteria for each FRCEM exam component remains the same as stated in RCEM website.

Will post more details later.

MRCEM is coming to Malaysia!

After months of silence about bringing MRCEM to Malaysia, it looks like this is really going to happen. This will mean lower costs and less time off needed to take the exam.

However, I don’t think it will be a true parallel pathway like MRCP or MRCPCH. It will probably be more similar to MRCS, where it becomes an entrance exam into the Masters in ED programme. The curriculum required to pass MRCEM is simply too basic compared to MMed or FRCEM Final, so it cannot possibly be considered a specialist qualification.

I also don’t think they will bring FRCEM Final into Malaysia because nowhere else in the world has, even though Singapore, Oman, and India have been hosting them for years. They would need to adapt the Critical Appraisal and QIP papers into the local system; they would need examiners familiar with the curriculum… in other words, actual FRCEM graduates. Last I checked, there are none in Malaysia.