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Updated: Jul 13, 2026
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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Summary
Canada
Area of Science:
- Medical Education
- Emergency Medicine
- Public Health Policy
Background:
- Canada has a unique dual system for emergency medicine (EM) certification.
- This dual system may fragment resources and hinder optimal emergency care delivery.
- Current certification pathways may not align with the evolving practice needs of emergency physicians.
Purpose of the Study:
- To evaluate the effectiveness and efficiency of Canada's dual emergency medicine certification system.
- To propose reforms for a unified and improved emergency medicine training and certification process in Canada.
- To ensure the highest quality of emergency care for the Canadian public through standardized training.
Main Methods:
- Comparative analysis of the two existing emergency medicine certification pathways.
- Review of residency training lengths and graduate practice patterns.
- Assessment of resource allocation and potential for fragmentation within the current system.
Main Results:
- The current dual certification system may not be serving Canada's needs effectively.
- The Royal College of Physicians and Surgeons of Canada (RCPSC) emergency medicine residencies appear excessively long and lack sufficient numbers.
- The College of Family Physicians of Canada in Emergency Medicine (CCFP(EM)) graduates may increasingly practice solely emergency medicine.
Conclusions:
- A single, standardized, and accredited emergency medicine training and certification program is recommended for Canada.
- Reforming the certification process and potentially shortening residency lengths could enhance physician numbers and training quality.
- Implementing a unified system will optimize emergency care delivery and physician resources nationwide.
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