Fellowship of the College of Emergency Medicine
Encyclopedia
The Fellowship of the College of Emergency Medicine (FCEM) is the exit examination taken by specialists in Emergency Medicine
Emergency medicine
Emergency medicine is a medical specialty in which physicians care for patients with acute illnesses or injuries which require immediate medical attention. While not usually providing long-term or continuing care, emergency medicine physicians diagnose a variety of illnesses and undertake acute...

 (formerly Accident and Emergency Medicine) in the United Kingdom
United Kingdom
The United Kingdom of Great Britain and Northern IrelandIn the United Kingdom and Dependencies, other languages have been officially recognised as legitimate autochthonous languages under the European Charter for Regional or Minority Languages...

 and Ireland
Ireland
Ireland is an island to the northwest of continental Europe. It is the third-largest island in Europe and the twentieth-largest island on Earth...

. The examination was previously known as the Fellowship of the Faculty of Accident and Emergency Medicine (FFAEM). In order to be eligible to take the examination, candidates are normally required to have completed four years out of a five year specialist registrar
Specialist registrar
A Specialist Registrar or SpR is a doctor in the United Kingdom and Republic of Ireland who is receiving advanced training in a specialist field of medicine in order eventually to become a consultant...

 rotation in Emergency Medicine.

There are four elements in the examination. The clinical component makes up 50% of the marks and is divided between a Short Answer Question (SAQ) paper and an Objective Structured Clinical Examination
Objective Structured Clinical Examination
An Objective Structured Clinical Examination is a modern type of examination often used in health sciences...

 (OSCE). Both clinical components must be passed at the same diet. The management component makes up 25% of the marks, and an academic component the remaining 25% (divided equally between a Clinical Topic Review (CTR) and a Critical Appraisal of a paper from the current medical literature (usually a Randomised controlled trial
Randomized controlled trial
A randomized controlled trial is a type of scientific experiment - a form of clinical trial - most commonly used in testing the safety and efficacy or effectiveness of healthcare services or health technologies A randomized controlled trial (RCT) is a type of scientific experiment - a form of...

, a Systematic review
Systematic review
A systematic review is a literature review focused on a research question that tries to identify, appraise, select and synthesize all high quality research evidence relevant to that question. Systematic reviews of high-quality randomized controlled trials are crucial to evidence-based medicine...

 or a diagnostic paper).
The examination is held twice a year and the SAQ is held one month before the rest of the examination.

Those passing the examination become Fellows of the College of Emergency Medicine
College of Emergency Medicine
The College of Emergency Medicine is an organization of emergency physicians in the United Kingdom which sets standards of training and administers examinations for emergency physicians in the United Kingdom and Ireland.-Entrance criteria:...

and are entitled to use the letters FCEM.
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