Changes to our Membership structure - December 2017

Changes to RCEM membership structure affecting (1) Physician Associates, nurses and other registered healthcare professionals, and (2) Senior doctors without MRCEM or FRCEM examination.

Dear Colleagues,

I am pleased to announce some significant changes to our membership structure. These changes are designed to improve the inclusivity of RCEM, reflect the makeup and team-based nature of our speciality, and also to further strengthen our brand and position as the representative body for Emergency Medicine in the UK. We are additionally seeking to simplify the membership structure so that it is easier to understand.

  1. RCEM has led the way with our credentialing program for Advanced Clinical Practitioners. In response to ongoing changes in the EM workforce we are also opening Associate Membership of the College to Physician Associates, either in training or fully qualified. This will give PAs access to eportfolio and other RCEM training resources, contributing to our ability to train this valuable group of colleagues. This change comes into force immediately.
  2. We are opening Associate Membership of the college to nurses, paramedics and other registered healthcare professionals living and working in the UK. This further reinforces the fact that we work in teams and not in isolation. This change comes into force immediately.
  3. There is no doubt about the valuable contribution made by senior doctors choosing a long-term career in our speciality, but who do not qualify for membership or fellowship by examination. This should be recognised. At the same time the criteria for Associate Fellowship do not reflect the high standards that many of our colleagues achieve. We are therefore changing the Associate Fellowship requirements for all new applicants from 1st April 2018. Full details will be available on the website shortly. This change will not affect existing Associate Fellows.
  4. As part of the changes to Associate Fellowship senior colleagues with appropriate paediatric qualifications will be eligible. This change is designed to recognise the evolution of Paediatric Emergency Medicine as a speciality.
  5. From 1st April 2018 the only overseas examination recognised as being equivalent to FRCEM will be FACEM. This is relevant to colleagues seeking to join the College via the Fellowship ad Eundem route.
Myself or the membership team will be pleased to answer any questions regarding these changes to the membership structure of your College.

Ian Higginson
Registrar

Membership Categories

The Royal College of Emergency Medicine offers the following types of membership. Click for more information on each.

  • Fellowship by Examination (overseas option is available) - Doctors who have passed their FRCEM exam with the College.
  • Fellowship by Examination (Non EMSR) – Doctors who have passed the FRCEM examination, who are no longer working in EM. They cannot be on the Emergency Medicine Specialist Register.
  • Fellowship by Ad Eundem (overseas option is available) - This membership category is for doctors who have successfully completed an overseas EM examinations regarded as equivalent to FRCEM. From 1st April 2018, this will only be the FACEM. Prior to April 1st 2018 Australasian, North American, Hong Kong and Singapore qualifications are accepted.
  • Honorary Fellows - Recognition of exceptional contribution to Emergency Medicine. Fellows cannot apply to become honorary fellows; they are nominated by a Fellow of the College and one other person who is not a Fellow of the College.
  • Fellowship by Election - This membership category is no longer open
  • Fellowship by Distinction - This membership category is no longer open.
  • Membership by Examination (overseas option is available) - Doctors who have passed their MRCEM examination.
  • Membership by Examination (Training and Eportfolio) - Members by Examination in a recognised EM training program or those seeking to have access to eportfolio for the purposes of meeting training requirements.
  • Membership by Examination (Non EM) - Doctors who have passed their MRCEM but are no longer working in EM – regardless of where they are based.
  • Associate Fellowship (overseas option available) -
  • Until April 1st 2018: Doctors who are either (1) working at Middle Grade in EM or more senior level, and who have an accepted UK post-graduate qualification. Post-graduate qualifications include MRCS, FRCS, and MRGP or (2) Working in a substantive Consultant post and on the UK EM Specialist Register
  • From November 23rd 2017: From Nov 23rd 2017: Doctors working in a substantive post in Emergency Medicine in the United Kingdom or in a country recognised by the College as having a developed specialty of Emergency Medicine and who satisfy one of the following criteria: (1) Have worked as a substantive Middle Grade in EM in the United Kingdom for at least 6 years with United Kingdom postgraduate qualifications MRCGP, FRCS, MRCS, FRCA or MRCPCH
    or
    (2) Have worked as a substantive Middle Grade in EM in the United Kingdom for at least 3 years with a recognised overseas postgraduate qualification in Emergency Medicine, or be on the General Medical Council specialist register for A&E medicine
    or
    (3) Have worked overseas in substantive posts for at least 6 years at a level equivalent to Middle Grade in EM, and hold a recognised overseas postgraduate qualification in Emergency Medicine.
    Note: for Medical Practitioners working less than half-time, the time requirements will be increased by 1 year for each 10% below half-time

    Applicants for Associate Fellowship will need to demonstrate an active contribution above and beyond straightforward service provision.

  • Associate Fellowship (Training and Eportfolio) - Associate Fellows in a recognised EM training program or those seeking to have access to Eportfolio for the purposes of meeting training requirements

  • Associate Membership (overseas option is available) - Non-foundation Doctors.
  • Associate Membership (Training and Eportfolio) - Doctors in a recognised EM training program or those seeking to have access to eportfolio for the purposes of meeting training requirements.
  • Associate Membership (AOST) - Associate Member (Approved Overseas Training). This category is for Iceland and ROI EM trainees only
  • Associate Membership (WLR) - Work, Learn, Return doctors. Generally from Overseas who wish to retrain in Emergency Medicine. Their employment grade may change to reflect a training grade
  • Associate Membership (Foundation) - Foundation Year doctors
  • Associate Membership (ACP) - Advanced Care Practitioners working or in training, in Emergency Medicine. UK and ROI only
  • Associate Membership (PA) - Physicians Associates working, or in training, in Emergency Medicine. UK and ROI only
  • Associate Membership (OHP) - Other Healthcare Practitioners - Registered nurses, paramedics, physiotherapists, operating department practitioners, radiographers or pharmacists. UK and ROI only
  • Associate Membership (Student) - For medical students
  • Affiliate Membership (Overseas option is available - Membership category for any individuals who are interested in the practice of EM but don’t fulfil any other category.
  • Retired Fellows/Members- options available are:
    • Retired Fellow (annual fee)
    • Life Fellowship (one off payment)
    • Retired Associate Fellow (annual fee)
    • Life Associate Fellow (one off payment)
    • Retired Members (annual fee)
  • In order to be considered as Retired, doctors will have to be drawing a pension from the NHS and be neither working nor revalidating.
Membership Category Flow Chart