Emergency Medicine Certificate

The Emergency Medicine Certificate (EMC) is aimed at providing doctors working in Emergency Departments with adequate knowledge and sufficient clinical experience to be safe, efficient practitioners. The course benefits Career Medical Officers, Junior Medical Officers and Visiting Medical Officers/General Practitioners.

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The Emergency Medicine Certificate (EMC) is a six month competency-based training program conducted in the workplace under the supervision of an approved EMCD Supervisor.


EMC trainees are required to complete the following six program components:


 
  • EMC online learning units:
    • Undertake initial assessment and management
    • Manage common emergency presentations
    • Participate in clinical support activities and administration
  • Workplace-based assessments:
    • 5 x Mini-Clinical Exercises (Mini-CEXs)
    • 6 x Direct Observation of Procedural Skills (DOPS)
    • 2 x Case Based Discussions (CbDs)
    • Procedural Checklist.
  • Advanced Life Support (ALS) and Basic Life Support (BLS)
  • 10 x written ED case reflections
  • Statement of attainment submitted by the supervisor
  • Online EMC MCQ exam.
The EMC online learning units enable trainees to work at their own pace and include:
UNIT 1: Undertake initial assessment and management.
  • Prioritisation, history taking and examination
  • Infection control
  • Patent airway
  • Breathing difficulties
  • Circulation difficulties
  • Seizure or altered level of consciousness/confusion
  • Relieve pain
  • Trauma
  • Psychiatric emergencies
  • Elderly patients

UNIT 2: Manage common emergency presentations.

  • Altered level of consciousness/confusion
  • Chest pain
  • Dyspnoea
  • Collapse/syncope
  • Febrile child
  • Child with breathing difficulty
  • Paediatric trauma
  • Children with vomiting
  • Orthopaedic trauma
  • Skin and soft tissue injury
  • Early pregnancy bleeding/pain
  • Pregnancy bleeding/pain greater than 20 weeks
  • Headache
  • Toxicological emergencies
  • Vomiting
  • Abdominal/pelvic pain
  • Ophthalmological emergencies

UNIT 3: Participate in clinical support activities and administration.

  • Legal issues
  • Clinical risk management
  • Pre-hospital care and retrieval
  • Admission, transfer and discharge
  • Team work
  • Personal health and well-being
  • Communication

EMC Assessment

The Curriculum Document includes information about the EMC assessments.

The following table gives a snapshot of the tools, methodology and assessment used in the EMC.
 
Tool What is assessed Methodology
Mini-CEX (Mini-Clinical Evaluation Exercise) History taking, examination, diagnosis and management 5 x 15-20 minute Mini-Clinical evaluation exercises observed by supervisor
Procedural Checklist
Direct Observation of Procedural Skills (DOPS)
Ability to safely and appropriately carry out procedures Supervisor to complete checklist of procedures observed. 
6 x DOPS forms to be completed for highlighted procedures.
ePortfolio Written ED case reflections 10 x written ED case reflections. Used throughout training program as evidence of achievement of learning outcomes and to enable trainees to reflect on their clinical practice.
Case Based Discussion (CbD) Discussion of case including a written report of no more than 1200 words 2 x CbD with supervisor (including 1200 word written report)
On-line assessment Knowledge of key topic areas On-line quizzes applied at the end of each online module.  Self-assessment formative.
Statement of attainment Overall competence in the clinical setting Report to be completed by Primary supervisor to confirm candidates overall results and readiness to sit the MCQ exam.
MCQ Examination Knowledge of key topic areas 1 hour online MCQ under supervision
 
The EMC Program is governed by Regulation D1.
Are there any prerequisites?
To be eligible to enrol in the Emergency Medicine Certificate (EMC) program prospective trainees must:
  • Hold a medical degree and be registered to practise medicine in a state or territory of Australia or New Zealand, or another country deemed appropriate by the Non-Specialist Training Committee (NSTC)
  • Be in post graduate year two or above with a minimum of 10 weeks experience (at 1 FTE) in an emergency department
  • Be working under the supervision of an approved EMCD Supervisor
  • Be working at least 0.5 FTE in an emergency department at an approved training site.
Who is an approved EMCD supervisor?
An approved EMCD supervisor is:
  • a Fellow of the Australasian College for Emergency Medicine (FACEM); or
  • a currently certified Diplomate of the Australasian College for Emergency Medicine (Dip EM (ACEM))
who has satisfactorily completed the ACEM Clinical Teaching Course.

What is an approved training site?
An approved training site is an emergency department with one full time equivalent FACEM, at least one of whom is an approved EMCD supervisor.
The list of approved training sites can be found on our website. Please contact the College at [email protected] if a hospital name is not included on the list.

What are the program fees?
The cost of undertaking the EMC program is AUD $2,250 for applicants in Australia and AUD $2,045 for applicants in New Zealand.
Please note: fees are subject to change. Please refer to the enrolment form for the current fee.

Who can supervise me?
A minimum of 30% of the candidate’s workplace practice must be under the direct supervision of an approved EMCD supervisor(s) and/or FACEM.
An approved EMCD supervisor must sign the EMC enrolment form as the primary EMC supervisor.

How do I enrol?
Download or print an EMC enrolment form 
For further enquiries please contact the College on +61 3 9320 0444 or [email protected]

Can I apply if I am working part time?
It is a requirement that a trainee is working at least 0.5 FTE in an emergency department to be eligible to apply. Part time trainees are required to complete the ED time requirement pro-rata. For example, a trainee working 0.5 FTE is required to spend 12 months in the program.

How long do I have to complete the EMC?
All trainees are required to complete the EMC within a two year timeframe.

Can I complete the time in separate ED terms?
With the prior approval of the College, training may be undertaken in blocks of not less than six (6) FTE weeks.

Can I have any of my previous time working in the emergency department recognised for the certificate?
Previous time spent working in the emergency department cannot be recognised for the EMC.
The EMC is a workplace-based qualification that assesses current competency, therefore six months must be completed in the emergency department from the date of enrolment in the program.

Emergency skills workshops for BLS and ALS which have been completed and are still current on the date of enrolment will be accepted.

Is support available?
Telephone and email support is available. Please contact us on +61 3 9320 0444 or [email protected]

The Clinical Teaching Course is a requirement for FACEMs and ACEM Diplomates to become an approved EMCD Supervisor for the Emergency Medicine Certificate and Diploma.
 

The course has two components:
  • Clinical Teaching Workshop a one day face-to-face workshop.
  • Clinical Teaching Online Modules an online course.
The course information brochure including upcoming workshop dates is available here.