Jump to content

Royal College of Emergency Medicine: Difference between revisions

From Wikipedia, the free encyclopedia
Browse history interactively
← Previous edit
Content deleted Content added
VisualWikitext
Tags: Mobile edit Mobile app edit Android app edit
Rescuing 8 sources and tagging 0 as dead.) #IABot (v2.0.9.5
 
(24 intermediate revisions by 17 users not shown)
Line 5: Line 5:
| image = Royal College of Emergency Medicine arms.jpg
| image = Royal College of Emergency Medicine arms.jpg
| image_size =
| image_size =
| caption = Arms of the College
| caption = Arms of the College
| logo = Royal College of Emergency Medicine logo.svg
| logo = Royal College of Emergency Medicine logo.svg
| abbreviation =
| abbreviation =
| formation = ''Association:'' {{start date and age|1967|10|12|df=yes}}<br/>''Faculty:'' {{start date and age|1993|11|02|df=yes}}<br/>''College:'' {{start date and age|2008|02|29|df=yes}}
| formation = ''Association:'' {{start date and age|1967|10|12|df=yes}}<br />''Faculty:'' {{start date and age|1993|11|02|df=yes}}<br />''College:'' {{start date and age|2008|02|29|df=yes}}
| merger = British Association for Emergency Medicine,<br/>Faculty of Accident and Emergency Medicine
| merger = British Association for Emergency Medicine,<br />Faculty of Accident and Emergency Medicine
| type = [[Medical royal college]]
| type = [[Medical royal college]]
| motto = ''Semper succurimus aegris'' (Latin for "We always help the sick")
| status = <!-- Organization's legal status and/or description (company, charity, foundation, etc) -->
| status = <!-- Organization's legal status and/or description (company, charity, foundation, etc) -->
| purpose = <!-- or: | focus = --> <!--(humanitarian, activism, peacekeeping, etc)-->
| purpose = <!-- or: | focus = --> <!--(humanitarian, activism, peacekeeping, etc)-->
| headquarters = [[Chancery Lane]], [[London]], England
| headquarters = [[Chancery Lane]], [[London]], England
| region_served = [[United Kingdom]]
| region_served = [[United Kingdom]]
| services =
| services =
| leader_title = President
| leader_title = President
| leader_name = Katherine Henderson
| leader_name = [[Adrian Boyle]]
| key_people =
| key_people =
| publication = [[Emergency Medicine Journal]]
| publication = [[Emergency Medicine Journal]]
| affiliations = {{Plainlist|
| affiliations = {{Plainlist|
Line 25: Line 24:
* [[International Federation for Emergency Medicine]]
* [[International Federation for Emergency Medicine]]
}}
}}
| budget =
| budget =
| budget_year =
| budget_year =
| staff = <!-- Numbers and/or types of staff -->
| staff = <!-- Numbers and/or types of staff -->
| staff_year = <!-- Year to which staff numbers/data apply -->
| staff_year = <!-- Year to which staff numbers/data apply -->
Line 32: Line 31:
}}
}}


The '''Royal College of Emergency Medicine''' ('''RCEM''') is an independent [[professional association]] of [[emergency physician]]s in the [[United Kingdom]] which sets standards of training and administers examinations for [[emergency medicine]]. The patron is [[The Princess Royal]].
The '''Royal College of Emergency Medicine''' ('''RCEM''') is an independent [[professional association]] of [[emergency physician]]s in the [[United Kingdom]] which sets standards of training and administers examinations for [[emergency medicine]]. The patron is the [[Anne, Princess Royal|Princess Royal]].


== History ==
==History==
The College in its current form was incorporated by [[royal charter]] in 2008.<ref name=background>{{cite web|title=Landmarks in the development of the specialty|url=http://www.collemergencymed.ac.uk/College/Background%20to%20the%20College/Landmarks%20in%20the%20development%20of%20the%20specialty|archive-url=https://web.archive.org/web/20101222185459/http://www.collemergencymed.ac.uk/College/Background%20to%20the%20College/Landmarks%20in%20the%20development%20of%20the%20specialty/|url-status=dead|archive-date=22 December 2010|website=The Royal College of Emergency Medicine|publisher=The Royal College of Emergency Medicine|access-date=5 February 2015}}</ref> However, the history of its preceding organisations, the Faculty of Accident and Emergency Medicine and the British Association for Emergency Medicine, date back to 1993 and 1967 respectively.
The College in its current form was incorporated by [[royal charter]] in 2008.<ref name=background>{{cite web|title=Landmarks in the development of the specialty|url=http://www.collemergencymed.ac.uk/College/Background%20to%20the%20College/Landmarks%20in%20the%20development%20of%20the%20specialty|archive-url=https://web.archive.org/web/20101222185459/http://www.collemergencymed.ac.uk/College/Background%20to%20the%20College/Landmarks%20in%20the%20development%20of%20the%20specialty/|url-status=dead|archive-date=22 December 2010|website=The Royal College of Emergency Medicine|access-date=5 February 2015}}</ref> However, the history of its preceding organisations, the Faculty of Accident and Emergency Medicine and the British Association for Emergency Medicine, date back to 1993 and 1967 respectively.{{citation needed|date=December 2022}}


===1st association in the UK===
===1st association in the UK===
Traditionally in British hospital practice, "casualty departments" were staffed and led mainly by non-[[Consultant (medicine)|consultant]] doctors with surgical backgrounds. The first UK doctor to be designated as a "Consultant Surgeon in Charge of the Casualty Department and Receiving Room" was [[Maurice Ellis]], who was appointed at [[Leeds General Infirmary]] in 1952.<ref name=EMJ-RCEM-royal>{{cite journal|last1=Mann|first1=Clifford|title=...now the Royal College of Emergency Medicine|journal=Emergency Medicine Journal|date=19 May 2015|volume=32|issue=6|pages=425–425|doi=10.1136/emermed-2015-204861|url=http://emj.bmj.com/content/32/6/425.full|access-date=20 May 2015}}</ref> Another 15 years passed before a distinct professional body came into being; Ellis became the head of the '''Casualty Surgeons Association''' ('''CSA''') which first met on 12 October 1967 at [[BMA House]] (a year before the equivalent [[American College of Emergency Physicians]] in the United States).<ref name=EMJ-RCEM-royal /> The field developed over the years, with the first UK specialty exam in emergency medicine held in 1983 under the auspices of the CSA. The CSA adopted the British Accident & Emergency Medicine Journal and Archives of Emergency Medicine as its journals in 1985. The CSA changed its name to the '''British Association for Accident and Emergency Medicine''' ('''BAEM''') in 1990. It helped found the [[International Federation for Emergency Medicine]] in 1991 along with the [[American College of Emergency Physicians|American]], [[Canadian Association of Emergency Physicians|Canadian]] and [[Australasian College for Emergency Medicine|Australasian]] colleges. The BAEM was renamed once more in 2004 to the '''British Association for Emergency Medicine''', retaining the same initials.
Traditionally in British hospital practice, "casualty departments" were staffed and led mainly by non-[[Consultant (medicine)|consultant]] doctors with surgical backgrounds. The first UK doctor to be designated as a "Consultant Surgeon in Charge of the Casualty Department and Receiving Room" was [[Maurice Ellis]], who was appointed at [[Leeds General Infirmary]] in 1952.<ref name=EMJ-RCEM-royal>{{cite journal|last1=Mann|first1=Clifford|title=...now the Royal College of Emergency Medicine|journal=Emergency Medicine Journal|date=19 May 2015|volume=32|issue=6|pages=425|doi=10.1136/emermed-2015-204861|pmid=25991772|s2cid=45238837|url=http://emj.bmj.com/content/32/6/425.full|access-date=20 May 2015|archive-date=5 March 2016|archive-url=https://web.archive.org/web/20160305033428/http://emj.bmj.com/content/32/6/425.full|url-status=live}}</ref> Another 15 years passed before a distinct professional body came into being; Ellis became the head of the '''Casualty Surgeons Association''' ('''CSA''') which first met on 12 October 1967 at [[BMA House]] (a year before the equivalent [[American College of Emergency Physicians]] in the United States).<ref name=EMJ-RCEM-royal /> The field developed over the years, with the first UK specialty exam in emergency medicine held in 1983 under the auspices of the CSA. The CSA adopted the ''British Accident & Emergency Medicine Journal'' and ''Archives of Emergency Medicine'' as its journals in 1985. The CSA changed its name to the '''British Association for Accident and Emergency Medicine''' ('''BAEM''') in 1990. It helped found the [[International Federation for Emergency Medicine]] in 1991 along with the [[American College of Emergency Physicians|American]], [[Canadian Association of Emergency Physicians|Canadian]] and [[Australasian College for Emergency Medicine|Australasian]] colleges. The BAEM was renamed once more in 2004 to the '''British Association for Emergency Medicine''', retaining the same initials.{{citation needed|date=December 2022}}


===Intercollegiate faculty===
===Intercollegiate faculty===
The intercollegiate '''Faculty of Accident and Emergency Medicine''' ('''FAEM''') was inaugurated on 2 November 1993 with six parent colleges: the [[Royal College of Surgeons]], the [[Royal College of Physicians]], the [[Royal College of Physicians of Edinburgh]], [[Royal College of Surgeons of Edinburgh]], the [[Royal College of Physicians and Surgeons of Glasgow]], and the [[Royal College of Anaesthetists]]. It was tasked with developing academic and training issues, whilst the BAEM had responsibility for professional and clinical matters.
The intercollegiate '''Faculty of Accident and Emergency Medicine''' ('''FAEM''') was inaugurated on 2 November 1993 with six parent colleges: the [[Royal College of Surgeons]], the [[Royal College of Physicians]], the [[Royal College of Physicians of Edinburgh]], [[Royal College of Surgeons of Edinburgh]], the [[Royal College of Physicians and Surgeons of Glasgow]], and the [[Royal College of Anaesthetists]]. It was tasked with developing academic and training issues, whilst the BAEM had responsibility for professional and clinical matters.{{citation needed|date=December 2022}}


===Merger===
===Merger===
In late 2005, FAEM reached agreement with BAEM for the two organizations to merge to form a new medical royal college. The faculty was renamed the '''College of Emergency Medicine''' ('''CEM''') as of 1 January 2006, becoming independent of its parent colleges. It relocated to Churchill House in [[London]] (the headquarters of the Royal College of Anaesthetists, where BAEM was also based) on 29 August 2006. CEM and BAEM formally merged in February 2008, with the new organisation continuing under the name of "College of Emergency Medicine", but incorporated by a [[royal charter]] giving it its own legal status. In February 2012 the College moved to newly purchased headquarters at 7-9 Bream's Buildings in London.
In late 2005, FAEM reached agreement with BAEM for the two organizations to merge to form a new medical royal college. The faculty was renamed the '''College of Emergency Medicine''' ('''CEM''') as of 1 January 2006, becoming independent of its parent colleges. It relocated to Churchill House in [[London]] (the headquarters of the Royal College of Anaesthetists, where BAEM was also based) on 29 August 2006. CEM and BAEM formally merged in February 2008, with the new organisation continuing under the name of "College of Emergency Medicine", but incorporated by a [[royal charter]] giving it its own legal status. In February 2012 the College moved to newly purchased headquarters at 7-9 Bream's Buildings in London.


Dr [[Clifford Mann]] was appointed president of the College in 2013, and has been an outspoken critic of the [[Cameron–Clegg coalition|Coalition government]]'s [[Health and Social Care Act 2012]] which he blames both for causing "decision-making paralysis" and leaving the country short of around 375 emergency doctors.<ref name=charlie/>
Dr [[Clifford Mann]] was president of the College 2013–2016, and was an outspoken critic of the [[Cameron–Clegg coalition|Coalition government]]'s [[Health and Social Care Act 2012]] which he blamed both for causing "decision-making paralysis" and leaving the country short of around 375 emergency doctors.<ref name=charlie/>


===Royal College===
===Royal College===
The college was granted permission to use the "Royal" title in January 2015, giving rise to its current name.<ref>{{cite web|title=Royal Title for the Royal College of Emergency Medicine|url=http://secure.collemergencymed.ac.uk/Public/Latest%20News|publisher=College of Emergency Medicine|access-date=5 February 2015|url-status=dead|archive-url=https://archive.today/20150205110116/http://secure.collemergencymed.ac.uk/Public/Latest%20News|archive-date=5 February 2015|df=dmy-all}}</ref>
The college was granted permission to use the "Royal" title in January 2015, giving rise to its current name.<ref>{{cite web|title=Royal Title for the Royal College of Emergency Medicine|url=http://secure.collemergencymed.ac.uk/Public/Latest%20News|publisher=College of Emergency Medicine|access-date=5 February 2015|url-status=dead|archive-url=https://archive.today/20150205110116/http://secure.collemergencymed.ac.uk/Public/Latest%20News|archive-date=5 February 2015|df=dmy-all}}</ref>


In July 2017 the college produced a report saying that the NHS needed at least 5,000 more beds to achieve safe bed occupancy levels and hit the [[four-hour target in emergency departments]].<ref>{{cite news|title=NHS needs 5,000 more beds, warn leading A&E doctors|url=https://www.hsj.co.uk/quality-and-performance/exclusive-nhs-needs-5000-more-beds-warn-leading-aande-doctors/7019214.article?mkt_tok=eyJpIjoiTkRNeFpUY3lPV0poTlRJNCIsInQiOiJPTUpWVmhPa2tJQldTZWd4WXE4VEhyemdKR1wvYmYyd2FBckl0RjhKNHBPY1wvV0Nzbkk2ckJ2MVpscUx3enFnbEsxSVptR0d3cHQrblhMVDJ2T0NLQkc3eUVXdklBdXJ6Rlk0V1ZncVJTTkZpRkJNaGZFZlNvTFpsMlwvSlhWU1VpNiJ9|access-date=23 August 2017|publisher=Health Service Journal|date=7 July 2017}}</ref>
In July 2017 the college produced a report saying that the NHS needed at least 5,000 more beds to achieve safe bed occupancy levels and hit the [[four-hour target in emergency departments]].<ref>{{cite news|title=NHS needs 5,000 more beds, warn leading A&E doctors|url=https://www.hsj.co.uk/quality-and-performance/exclusive-nhs-needs-5000-more-beds-warn-leading-aande-doctors/7019214.article?mkt_tok=eyJpIjoiTkRNeFpUY3lPV0poTlRJNCIsInQiOiJPTUpWVmhPa2tJQldTZWd4WXE4VEhyemdKR1wvYmYyd2FBckl0RjhKNHBPY1wvV0Nzbkk2ckJ2MVpscUx3enFnbEsxSVptR0d3cHQrblhMVDJ2T0NLQkc3eUVXdklBdXJ6Rlk0V1ZncVJTTkZpRkJNaGZFZlNvTFpsMlwvSlhWU1VpNiJ9|access-date=23 August 2017|publisher=Health Service Journal|date=7 July 2017|archive-date=23 August 2017|archive-url=https://web.archive.org/web/20170823163505/https://www.hsj.co.uk/quality-and-performance/exclusive-nhs-needs-5000-more-beds-warn-leading-aande-doctors/7019214.article?mkt_tok=eyJpIjoiTkRNeFpUY3lPV0poTlRJNCIsInQiOiJPTUpWVmhPa2tJQldTZWd4WXE4VEhyemdKR1wvYmYyd2FBckl0RjhKNHBPY1wvV0Nzbkk2ckJ2MVpscUx3enFnbEsxSVptR0d3cHQrblhMVDJ2T0NLQkc3eUVXdklBdXJ6Rlk0V1ZncVJTTkZpRkJNaGZFZlNvTFpsMlwvSlhWU1VpNiJ9|url-status=live}}</ref>


==Role of the College==
==Role of the College==
The College sets standards of training and administers examinations for emergency physicians. It also organises annual scientific meetings, as well as [[continuing professional development]] meetings for its members.
The College sets standards of training and administers examinations for emergency physicians. It also organises annual scientific meetings, as well as [[continuing professional development]] meetings for its members.


In November 2021 it produced a report showing that pressures from the [[COVID-19 pandemic in the United Kingdom]] had produced more than 4,500 excess deaths in 2020-21 as a result of crowding or 12-hour stays in emergency departments.<ref>{{cite news |title=RCEM Acute Insight Series: Crowding and its Consequences |url=https://res.cloudinary.com/studio-republic/images/v1637155630/RCEM_Why_Emergency_Department_Crowding_Matters/RCEM_Why_Emergency_Department_Crowding_Matters.pdf? |access-date=28 December 2021 |publisher=Royal College of Emergency Medicine |date=November 2021}}</ref>
In November 2021 it produced a report showing that pressures from the [[COVID-19 pandemic in the United Kingdom]] had produced more than 4,500 excess deaths in 2020-21 as a result of crowding or 12-hour stays in emergency departments.<ref>{{cite news |title=RCEM Acute Insight Series: Crowding and its Consequences |url=https://res.cloudinary.com/studio-republic/images/v1637155630/RCEM_Why_Emergency_Department_Crowding_Matters/RCEM_Why_Emergency_Department_Crowding_Matters.pdf? |access-date=28 December 2021 |publisher=Royal College of Emergency Medicine |date=November 2021 |archive-date=19 November 2021 |archive-url=https://web.archive.org/web/20211119123132/https://res.cloudinary.com/studio-republic/images/v1637155630/RCEM_Why_Emergency_Department_Crowding_Matters/RCEM_Why_Emergency_Department_Crowding_Matters.pdf |url-status=live }}</ref>


==Examinations==
==Examinations==
The College sets the qualification awarded by [[Educational assessment|examination]] that lead to a [[Certificate of Completion of Training]] in [[emergency medicine]] training in the United Kingdom - the [[Fellowship of the Royal College of Emergency Medicine]] (FRCEM). Doctors who complete this training program may sit the FCEM examination, and on completion become a Fellow of the College and may be recommended by the College for a [[Certificate of Completion of Training]] in emergency medicine.<ref name=charlie>{{cite news|url=https://www.independent.co.uk/news/uk/politics/exclusive-it-was-no-accident--government-blamed-for-ae-crisis-9032119.html|title=Exclusive: ‘It was no accident’ - Government blamed for A&E crisis|first=Charlie |last=Cooper|work=[[The Independent]]|date=31 December 2013|access-date=1 January 2014}}</ref>
The College sets the qualification awarded by [[Educational assessment|examination]] that lead to a [[Certificate of Completion of Training]] in [[emergency medicine]] training in the United Kingdom - the [[Fellowship of the Royal College of Emergency Medicine]] (FRCEM). Doctors who complete this training program may sit the FCEM examination, and on completion become a Fellow of the College and may be recommended by the College for a [[Certificate of Completion of Training]] in emergency medicine.<ref name=charlie>{{cite news|url=https://www.independent.co.uk/news/uk/politics/exclusive-it-was-no-accident--government-blamed-for-ae-crisis-9032119.html|title=Exclusive: 'It was no accident' - Government blamed for A&E crisis|first=Charlie|last=Cooper|work=[[The Independent]]|date=31 December 2013|access-date=1 January 2014|archive-date=25 September 2015|archive-url=https://web.archive.org/web/20150925170204/http://www.independent.co.uk/news/uk/politics/exclusive-it-was-no-accident--government-blamed-for-ae-crisis-9032119.html|url-status=live}}</ref>


===History of the examinations===
===History of the examinations===
Line 66: Line 65:
Both examinations were renamed in 2006, as part of the creation of the College, as ''Fellowship of the College of Emergency Medicine'' (FCEM) and ''Membership of the College of Emergency Medicine'' (MCEM) respectively.<ref name="BMJ Careers 2007" /> Their titles were further updated in 2015 when the college gained the "Royal" title, as the ''Membership of the Royal College of Emergency Medicine'' (MRCEM), and the higher ''Fellowship of the Royal College of Emergency Medicine'' (FRCEM).
Both examinations were renamed in 2006, as part of the creation of the College, as ''Fellowship of the College of Emergency Medicine'' (FCEM) and ''Membership of the College of Emergency Medicine'' (MCEM) respectively.<ref name="BMJ Careers 2007" /> Their titles were further updated in 2015 when the college gained the "Royal" title, as the ''Membership of the Royal College of Emergency Medicine'' (MRCEM), and the higher ''Fellowship of the Royal College of Emergency Medicine'' (FRCEM).


In August 2016 further changes to the curriculum led to the merging of the examinations into a new FRCEM exam, split into three parts: the FRCEM Primary Examination, FRCEM Intermediate Certificate, and the FRCEM Final Examination.<ref name="RCEM-exams">{{cite web|title=Examinations|url=http://www.rcem.ac.uk/RCEM/Exams_Training/Exams/RCEM/Exams_Training/Exams/Examinations.aspx|website=Royal College of Emergency Medicine|access-date=27 February 2018}}</ref>
In August 2016 further changes to the curriculum led to the merging of the examinations into a new FRCEM exam, split into three parts: the FRCEM Primary Examination, FRCEM Intermediate Certificate, and the FRCEM Final Examination.<ref name="RCEM-exams">{{cite web|title=Examinations|url=http://www.rcem.ac.uk/RCEM/Exams_Training/Exams/RCEM/Exams_Training/Exams/Examinations.aspx|website=Royal College of Emergency Medicine|access-date=27 February 2018|archive-date=27 February 2018|archive-url=https://web.archive.org/web/20180227214448/http://www.rcem.ac.uk/RCEM/Exams_Training/Exams/RCEM/Exams_Training/Exams/Examinations.aspx|url-status=live}}</ref>

Further revisions in July 2021 saw the exams being separated out again; the FRCEM Primary and FRCEM Intermediate qualifications were depreciated and replaced with the MRCEM primary and MRCEM intermediate SBA examinations (which in the interim had continued as a qualification for doctors not in formal training programmes).<ref>{{cite web |title=Exams 2021 |url=https://rcemcurriculum.co.uk/wp-content/uploads/2021/03/RCEM-Curriculum-Exams-Transition-Advice-v1.1.pdf |access-date=12 July 2024 |archive-date=1 February 2023 |archive-url=https://web.archive.org/web/20230201185606/https://rcemcurriculum.co.uk/wp-content/uploads/2021/03/RCEM-Curriculum-Exams-Transition-Advice-v1.1.pdf |url-status=live }}</ref><ref>{{cite web |url=https://www.frcemtutor.com/MRCEM-primary-info.php |title=FRCEM Tutor &#124; Online Revision for the MRCEM & FRCEM Examinations |access-date=2 March 2024 |archive-date=2 March 2024 |archive-url=https://web.archive.org/web/20240302212211/https://www.frcemtutor.com/MRCEM-primary-info.php |url-status=live }}</ref><ref>{{cite web |url=https://www.frcemtutor.com/MRCEM-intermediate-SBA-info.php |title=FRCEM Tutor &#124; Online Revision for the MRCEM & FRCEM Examinations |access-date=2 March 2024 |archive-date=2 March 2024 |archive-url=https://web.archive.org/web/20240302212210/https://www.frcemtutor.com/MRCEM-intermediate-SBA-info.php |url-status=live }}</ref>


==See also==
==See also==
* [[Emergency Medicine Journal]]
* [[Emergency Medicine Journal]]
* [[Katherine Henderson (physician)]]
* [[Clifford Mann]]
* [[Adrian Boyle (physician)]]


==References==
==References==
{{reflist}}
{{reflist}}


== External links ==
==External links==
* {{Official website}}
* {{Official website}}


Line 84: Line 88:
[[Category:1967 establishments in the United Kingdom]]
[[Category:1967 establishments in the United Kingdom]]
[[Category:1993 establishments in the United Kingdom]]
[[Category:1993 establishments in the United Kingdom]]
[[Category:Emergency medicine organisations]]
[[Category:Emergency medicine education]]
[[Category:Emergency medicine professional associations]]
[[Category:Learned societies of the United Kingdom]]
[[Category:Learned societies of the United Kingdom]]
[[Category:Medical associations based in the United Kingdom]]
[[Category:Medical associations based in the United Kingdom]]
[[Category:Medical education organisations based in the United Kingdom]]
[[Category:Professional associations based in the United Kingdom]]
[[Category:Professional associations based in the United Kingdom]]
[[Category:Organisations based in London with royal patronage]]
[[Category:Organisations based in London with royal patronage]]

Latest revision as of 20:28, 12 July 2024

Royal College of Emergency Medicine
FormationAssociation: 12 October 1967; 57 years ago (1967-10-12)
Faculty: 2 November 1993; 31 years ago (1993-11-02)
College: 29 February 2008; 16 years ago (2008-02-29)
Merger ofBritish Association for Emergency Medicine,
Faculty of Accident and Emergency Medicine
TypeMedical royal college
HeadquartersChancery Lane, London, England
Region served
United Kingdom
President
Adrian Boyle
Publication
Emergency Medicine Journal
Affiliations
Websitewww.rcem.ac.uk Edit this at Wikidata

The Royal College of Emergency Medicine (RCEM) is an independent professional association of emergency physicians in the United Kingdom which sets standards of training and administers examinations for emergency medicine. The patron is the Princess Royal.

History

[edit]

The College in its current form was incorporated by royal charter in 2008.[1] However, the history of its preceding organisations, the Faculty of Accident and Emergency Medicine and the British Association for Emergency Medicine, date back to 1993 and 1967 respectively.[citation needed]

1st association in the UK

[edit]

Traditionally in British hospital practice, "casualty departments" were staffed and led mainly by non-consultant doctors with surgical backgrounds. The first UK doctor to be designated as a "Consultant Surgeon in Charge of the Casualty Department and Receiving Room" was Maurice Ellis, who was appointed at Leeds General Infirmary in 1952.[2] Another 15 years passed before a distinct professional body came into being; Ellis became the head of the Casualty Surgeons Association (CSA) which first met on 12 October 1967 at BMA House (a year before the equivalent American College of Emergency Physicians in the United States).[2] The field developed over the years, with the first UK specialty exam in emergency medicine held in 1983 under the auspices of the CSA. The CSA adopted the British Accident & Emergency Medicine Journal and Archives of Emergency Medicine as its journals in 1985. The CSA changed its name to the British Association for Accident and Emergency Medicine (BAEM) in 1990. It helped found the International Federation for Emergency Medicine in 1991 along with the American, Canadian and Australasian colleges. The BAEM was renamed once more in 2004 to the British Association for Emergency Medicine, retaining the same initials.[citation needed]

Intercollegiate faculty

[edit]

The intercollegiate Faculty of Accident and Emergency Medicine (FAEM) was inaugurated on 2 November 1993 with six parent colleges: the Royal College of Surgeons, the Royal College of Physicians, the Royal College of Physicians of Edinburgh, Royal College of Surgeons of Edinburgh, the Royal College of Physicians and Surgeons of Glasgow, and the Royal College of Anaesthetists. It was tasked with developing academic and training issues, whilst the BAEM had responsibility for professional and clinical matters.[citation needed]

Merger

[edit]

In late 2005, FAEM reached agreement with BAEM for the two organizations to merge to form a new medical royal college. The faculty was renamed the College of Emergency Medicine (CEM) as of 1 January 2006, becoming independent of its parent colleges. It relocated to Churchill House in London (the headquarters of the Royal College of Anaesthetists, where BAEM was also based) on 29 August 2006. CEM and BAEM formally merged in February 2008, with the new organisation continuing under the name of "College of Emergency Medicine", but incorporated by a royal charter giving it its own legal status. In February 2012 the College moved to newly purchased headquarters at 7-9 Bream's Buildings in London.

Dr Clifford Mann was president of the College 2013–2016, and was an outspoken critic of the Coalition government's Health and Social Care Act 2012 which he blamed both for causing "decision-making paralysis" and leaving the country short of around 375 emergency doctors.[3]

Royal College

[edit]

The college was granted permission to use the "Royal" title in January 2015, giving rise to its current name.[4]

In July 2017 the college produced a report saying that the NHS needed at least 5,000 more beds to achieve safe bed occupancy levels and hit the four-hour target in emergency departments.[5]

Role of the College

[edit]

The College sets standards of training and administers examinations for emergency physicians. It also organises annual scientific meetings, as well as continuing professional development meetings for its members.

In November 2021 it produced a report showing that pressures from the COVID-19 pandemic in the United Kingdom had produced more than 4,500 excess deaths in 2020-21 as a result of crowding or 12-hour stays in emergency departments.[6]

Examinations

[edit]

The College sets the qualification awarded by examination that lead to a Certificate of Completion of Training in emergency medicine training in the United Kingdom - the Fellowship of the Royal College of Emergency Medicine (FRCEM). Doctors who complete this training program may sit the FCEM examination, and on completion become a Fellow of the College and may be recommended by the College for a Certificate of Completion of Training in emergency medicine.[3]

History of the examinations

[edit]

The first sitting of the College's examination was the Fellowship of the Faculty of Accident and Emergency Medicine (FFAEM) examination, equivalent to the current Final FRCEM, was in October 1996. In 2003 the College introduced an introductory examination, now the preferred route of entry to specialist registrar training, the Membership of the Faculty of A&E Medicine (MFAEM).[7]

Both examinations were renamed in 2006, as part of the creation of the College, as Fellowship of the College of Emergency Medicine (FCEM) and Membership of the College of Emergency Medicine (MCEM) respectively.[7] Their titles were further updated in 2015 when the college gained the "Royal" title, as the Membership of the Royal College of Emergency Medicine (MRCEM), and the higher Fellowship of the Royal College of Emergency Medicine (FRCEM).

In August 2016 further changes to the curriculum led to the merging of the examinations into a new FRCEM exam, split into three parts: the FRCEM Primary Examination, FRCEM Intermediate Certificate, and the FRCEM Final Examination.[8]

Further revisions in July 2021 saw the exams being separated out again; the FRCEM Primary and FRCEM Intermediate qualifications were depreciated and replaced with the MRCEM primary and MRCEM intermediate SBA examinations (which in the interim had continued as a qualification for doctors not in formal training programmes).[9][10][11]

See also

[edit]

References

[edit]
  1. ^ "Landmarks in the development of the specialty". The Royal College of Emergency Medicine. Archived from the original on 22 December 2010. Retrieved 5 February 2015.
  2. ^ a b Mann, Clifford (19 May 2015). "...now the Royal College of Emergency Medicine". Emergency Medicine Journal. 32 (6): 425. doi:10.1136/emermed-2015-204861. PMID 25991772. S2CID 45238837. Archived from the original on 5 March 2016. Retrieved 20 May 2015.
  3. ^ a b Cooper, Charlie (31 December 2013). "Exclusive: 'It was no accident' - Government blamed for A&E crisis". The Independent. Archived from the original on 25 September 2015. Retrieved 1 January 2014.
  4. ^ "Royal Title for the Royal College of Emergency Medicine". College of Emergency Medicine. Archived from the original on 5 February 2015. Retrieved 5 February 2015.
  5. ^ "NHS needs 5,000 more beds, warn leading A&E doctors". Health Service Journal. 7 July 2017. Archived from the original on 23 August 2017. Retrieved 23 August 2017.
  6. ^ "RCEM Acute Insight Series: Crowding and its Consequences" (PDF). Royal College of Emergency Medicine. November 2021. Archived (PDF) from the original on 19 November 2021. Retrieved 28 December 2021.
  7. ^ a b Sabharwal, Atika (17 February 2007). "Membership of the College of Emergency Medicine". BMJ Careers. Archived from the original on 2 April 2015. Retrieved 16 March 2015.
  8. ^ "Examinations". Royal College of Emergency Medicine. Archived from the original on 27 February 2018. Retrieved 27 February 2018.
  9. ^ "Exams 2021" (PDF). Archived (PDF) from the original on 1 February 2023. Retrieved 12 July 2024.
  10. ^ "FRCEM Tutor | Online Revision for the MRCEM & FRCEM Examinations". Archived from the original on 2 March 2024. Retrieved 2 March 2024.
  11. ^ "FRCEM Tutor | Online Revision for the MRCEM & FRCEM Examinations". Archived from the original on 2 March 2024. Retrieved 2 March 2024.
[edit]
Retrieved from "https://en.wikipedia.org/enwiki/w/index.php?title=Royal_College_of_Emergency_Medicine&oldid=1234145619"