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.

Clinical Teaching Course
(for Supervisors)
& Help

The Emergency Medicine Certificate (EMC) is a six month competency-based training program that is conducted in the workplace.

Candidates are required to be working within an emergency department under the supervision of an approved ACEM Supervisor who has completed the Clinical Teaching Course.

The EMC course consists of six components:
  • completion of online learning modules which include ongoing self-assessments
  • Workplace-based assessments
  • completion of two workshops: ALS and BLS
  • submission of ten written reflections of ED cases via the ACEM e-portfolio
  • online EMC MCQ exam
  • end of course report submitted by the supervisor.
Course requirements
Candidates are required to complete all online learning materials that include ongoing assessments. The online learning materials consist of three units:
  • Undertaking initial assessment and management
  • Managing common emergency presentations
  • Participating in clinical support activities and administration.
Candidates are required to complete a number of Workplace-based Assessments including:
  • 5 x Mini-CEX encounters (Mini Clinical Exercise)
  • 6 x DOPS encounters (Direct Observation of Procedural Skills)
  • 2 x CbD (Case Based Discussion)
  • Procedural Checklist.
Other requirements include the successful completion of:
  • Basic Life Support (BLS)
  • Advanced Life Support (ALS)
  • Ten written reflections on separate emergency department cases. Reflections will be submitted online through the ACEM e-portfolio.
  • A final online MCQ examination and an End of Course Report by the supervisor conclude the assessment for this course.
The EMC course is a six month (Full time) training program. Six months is considered the minimum time required to demonstrate the required level of competence in the identified units. Candidates are required to complete the EMC by the end of a two-year timeframe.

Online Learning outcomes
The online learning units are designed to promote self-directed learning enabling candidates to work through at their own pace. Candidates are required to complete all online learning modules as the EMC exam will be constructed using questions from within the learning modules. The online learning outcomes consist of the following:

UNIT 1: To be able to undertake initial assessment and management of:

  • Prioritisation, history taking and examination
  • Infection Control
  • Patent Airway
  • Breathing Difficulties
  • Circulation Difficulties
  • Seizure or ALOC
  • Pain Relief
  • Trauma
  • Psychiatric Emergencies
  • Elderly Patients

UNIT 2: To be able to manage common emergency presentations in:

  • Altered Level Of Consciousness (ALOC) / Confusion
  • Chest Pain
  • Dyspnoea
  • Collapse/Syncope
  • Febrile Child
  • Child with Breathing Difficulty
  • Paediatric Trauma
  • Children with Vomiting
  • Orthopaedic Trauma
  • Skin and Soft Tissue Injury
  • Pregnancy – Bleeding and Pain
  • Headache
  • Toxicological Emergencies
  • Vomiting
  • Abdominal/Pelvic Pain

UNIT 3: To be able to participate in clinical support activities and administration of:

  • Legal Issues
  • Clinical Risk Management
  • Disaster Management
  • Public Health
  • Pre-hospital Care and Retrieval
  • Admission, Transfer and Discharge
  • Team Work
  • Personal Health and Well-being
  • Communication
The Emergency Medicine Certificate Brochure provides a summary of the course and FAQs

Enrolment form and course fees

Download an EMC enrolment form and send the completed application by post, fax or email to ACEM.

Mail: 34 Jeffcott St, West Melbourne, VIC, 3003.
Fax: (03) 9320 0400
Email: EMCEMD@acem.org.au

For further enquiries please contact the College on +61 3 9320 0444 or EMCEMD@acem.org.au

The cost of the EMC course is AUD $2,250 for applicants in Australia and AUD $2,045 for applicants in New Zealand.

Current candidates can log in here

Hospitals with approved EMC Supervisors

Download the approved hospitals list. Please contact the College at EMCEMD@acem.org.au if a hospital name is not included on the list.

It is possible for candidates to complete the Certificate at a Non-approved site provided certain conditions are met. Please refer to the course Handbook.

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.
e-portfolio Reflection on ED cases 10 x Reflective Journal Entries. Used throughout training program as evidence of achievement of learning outcomes and to enable candidates to reflect on their clinical practice.
Case Based Discussion (CbD) Discussion of case which includes 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.
End of Course Report 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 for the EMC course candidates must:
  • hold a basic medical degree and be registered to practise medicine in a state or territory of Australia or New Zealand or another country deemed to be appropriate by Non Specialist Training Committee (NSTC)
  • be in PGY 2 or above with a minimum of 10 weeks experience (at 1 FTE) in an emergency department.
  • be under the supervision of an Approved ACEM Supervisor (i.e. a FACEM, or EM Diploma graduate, who has completed the Clinical Teaching Course)
  • be working in an emergency department which is an “Approved” or “Non-approved” training site, provided certain conditions are met (see below)
What is an “Approved” training site?
An “Approved” training site is an emergency department with one full time equivalent FACEM.

Is it possible to complete the certificate at a “Non-approved site”?
Yes, it is possible for candidates to complete the Certificate at a Non-approved site provided certain conditions are met. Applicants must complete additional documentation to show how they will receive at least 30% direct ACEM approved supervision at the non-approved site and how they will spend a minimum of 80 hours working or observing at an approved site. For further information please contact ACEM at EMCEMD@acem.org.au

Can I have any of my previous time working in the emergency department recognised for the certificate?
No. 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 the six months rotation must be completed under the supervision of an approved ACEM supervisor.

What are the course fees?
The cost of undertaking the EMC course 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.

How do I enrol?
Download or print an EMC enrolment form 
For further enquiries please contact the College on +61 3 9320 0444 or EMCEMD@acem.org.au

Can I apply if I am working part time?
It is a requirement that a candidate be working at least 0.5 in an emergency department to be eligible to apply. Part time candidates will be required to complete the ED time requirement pro-rata. For example, a candidate working 0.5 will be required to spend 12 months in the program. All candidates will be required to complete the EMC by the end of a two year timeframe.

Who is an approved ACEM supervisor?
An approved ACEM supervisor is a FACEM, or EM Diploma graduate, who has completed the ACEM Clinical Teaching Course. 

Who can supervise me?
A minimum of 30% of the candidate’s workplace practice must be under the direct supervision of an approved ACEM supervisor. Candidates are required to identify a willing supervisor before enrolling in the EMC course.

How do I access the online learning materials?
Once payment of the course fee has been received, candidates will be issued with login details and instructions on how to access the ACEM e-Learning site and the online EMC Course.

What is an e-portfolio?
The ACEM e-portfolio is an online area which provides candidates with a personal space to write reflective journal entries about cases encountered during the EMC course. Supervisors will view candidate's entries and comment where necessary.

When can I sit the EMC exam?
Candidates can take the EMC exam after the successful completion of four to six months supervised practice, providing all the online assessments, Workplace-based Assessments, and BLS and ALS have been completed. Candidates need to achieve 80% or above to pass the EMC exam. The exam must be sat on the day scheduled by the College and under supervision.

Can anyone else assess my performance in the workplace?
Any approved ACEM supervisor may undertake the Workplace-based Assessment of a candidate with approval from the primary supervisor. The end of course report and reflective journal entries however must be assessed by the primary supervisor. The Mini-CEX and DOPS can be assessed by a FACEM who is not an approved ACEM supervisor provided the hard copy of each assessment is handed to the primary supervisor for approval prior to upload. With approval from the primary supervisor, the procedural checklist can be signed off by any approved ACEM supervisor, any other FACEM, or any specialist from a relevant area.

Can I apply for RPL?
Recognition of Prior Learning (RPL) is available for the emergency skills workshops i.e. ALS and BLS, if they are current or have been successfully completed within the last five years of enrolling in the Certificate course.

Do I have to pass all the assessment tasks?
Candidates are expected to achieve competence in all the areas listed within the curriculum.

What if I fail the final EMC examination?
Candidates who are unsuccessful in the EMC examination will receive an EMC examination report outlining areas in need of improvement. Unsuccessful EMC exam candidates will be required to register for the next scheduled EMC examination and pay an administration fee of AUD $500.

Is support available?
Yes. Telephone and email support is available. Please contact us on +61 3 9320 0444 or EMCEMD@acem.org.au

The Clinical Teaching Course is a requirement for those wanting to become an Approved ACEM 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.

Please contact the College on +61 3 9320 0444 or EMCEMD@acem.org.au

Current candidates can log in here