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[ Home ](https://mdster.com) 2. [ Emergency Medicine ](https://mdster.com/speciality/emergency-medicine) 3. CFPC CFPC Exam Preparation ======================= College of Family Physicians of Canada The College of Family Physicians of Canada Canada The CFPC’s Examination of Added Competence in Emergency Medicine is the national assessment leading to the CCFP(EM) designation for eligible family physicians. The exam includes written Short-Answer Management Problems (SAMPs) and a structured oral component, and candidates must pass both to receive the Certificate of Added Competence. The CFPC has announced a phased change to the SAMP case format starting April 2026, transitioning toward MCQs and short-menu questions. 5,368+ Questions 3,254+ Flashcards 68+ Podcasts About the CFPC Exam --------------------- The CFPC Examination of Added Competence in Emergency Medicine is a national assessment leading to the CCFP(EM) designation for eligible Canadian family physicians. It evaluates the clinical competence required to practice emergency medicine at an advanced level. Candidates must successfully complete both a written component and a structured oral examination to receive the Certificate of Added Competence. ### Eligibility Candidates must be active members of the CFPC and hold the Certification in Family Medicine (CCFP). Eligibility requires either the successful completion of a CFPC-accredited Category 1 (PGY3) enhanced skills residency program in Emergency Medicine, or approval through the Practice-Eligible Route (PER) based on extensive clinical experience in emergency practice. ### Exam Format The examination consists of two main components: a written examination utilizing Short-Answer Management Problems (SAMPs) and a Structured Oral Examination (SOE). Starting in April 2026, the CFPC is implementing a phased transition for the written component, shifting from write-in SAMPs toward multiple-choice questions (MCQs) and short-menu questions. ### Duration The exam is typically conducted over two days. The written component usually takes about 3 to 4 hours, while the Structured Oral Examination (SOE) involves several clinical scenarios that take approximately 1 to 2 hours in total testing time. ### Passing Criteria Candidates must independently pass both the written component and the structured oral examination. Scoring is determined using rigorous standard-setting methodologies, such as the modified Angoff method, to ensure a baseline of competence rather than grading on a curve. ### Exam Fees Examination fees typically range between $2,300 and $2,800 CAD, depending on the candidate's application route (Residency vs. Practice-Eligible). Candidates should consult the official CFPC website for the exact fee structure for their specific sitting. ### Exam Frequency The examination is traditionally held once a year, typically in the fall (September or October), though dates can occasionally vary. ### Registration Process Registration is completed online through the CFPC member portal. Candidates must first verify their eligibility (either via their residency program director or the PER process), submit the required documentation, and pay the examination fees prior to the strict registration deadline. CFPC Key Syllabus Topics -------------------------- Core topics and subject areas covered in the CFPC examination ### Resuscitation and Shock Management of the critically ill patient, including ACLS, ATLS, and PALS protocols, airway management, and hemodynamic support. ~15-20% ### Cardiovascular Emergencies Diagnosis and treatment of acute coronary syndromes, dysrhythmias, heart failure, and aortic dissections. ~10-15% ### Trauma Evaluation and management of blunt and penetrating trauma, head injuries, spinal trauma, and multitrauma resuscitations. ~10-15% ### Respiratory Emergencies Management of acute respiratory distress, asthma, COPD exacerbations, pulmonary embolism, and pneumothorax. ~10-12% ### Pediatric Emergencies Care of the acutely ill child, including pediatric fever, respiratory distress, pediatric trauma, and non-accidental trauma. ~10-12% ### Toxicology and Environmental Identification of toxidromes, management of poisonings, hypothermia, hyperthermia, burns, and envenomations. ~8-10% ### Neurological Emergencies Acute stroke management, status epilepticus, altered mental status, and intracranial hemorrhage. ~8-10% ### Orthopedic and Rheumatologic Emergencies Fracture reductions, joint dislocations, compartment syndrome, and septic arthritis. ~5-8% ### Gastrointestinal and Genitourinary Emergencies Management of acute abdomen, GI bleeding, renal colic, ectopic pregnancy, and testicular torsion. ~5-8% ### Pre-hospital Care and Administration EMS protocols, disaster management, triage principles, and emergency department administration. ~2-5% **10** key topics covered Start Your CFPC Preparation Today ----------------------------------- Comprehensive study materials designed to help you pass the CFPC with confidence [ Get Started Free ](https://mdster.com/user/dashboard) No credit card required • 5-day free trial Everything You Need to Pass the CFPC -------------------------------------- A complete preparation platform with tools designed for Emergency Medicine professionals ### Practice Questions 5,368+ questions across MCQ, SAQ, SOE formats with detailed explanations and references ### Flashcards 3,254+ flashcards for active recall — mark known and unknown cards to focus on weak areas ### Audio Podcasts 68+ audio episodes — learn on the go during commutes, workouts, or ward breaks ### Timed Mock Exams Simulate real exam conditions with timed sessions, customisable question counts, and topic filters ### AI-Powered Q&A Ask follow-up questions on any topic and get instant, contextual answers with references ### Performance Analytics Track your progress, identify weak areas, and monitor your exam readiness with detailed analytics How to Prepare for the CFPC ----------------------------- A practical guide to help you plan your CFPC preparation effectively ### Recommended Timeline 6 to 9 months of structured, consistent study, culminating in intensive oral exam practice during the final 2 months. ### Study Tips - Form a study group specifically to practice the Structured Oral Examination (SOE) scenarios out loud. - Practice strict time management for the written component, allocating time proportional to the marks available. - Familiarize yourself with the upcoming MCQ and short-menu written formats launching in April 2026. - Review Canadian-specific clinical guidelines (e.g., CAEP, Canadian Thoracic Society), as the exam tests Canadian standards of practice. - When answering traditional SAMPs, provide only the number of answers requested to avoid penalties for 'shotgunning'. - Focus your reading on high-yield, life-threatening conditions rather than esoteric diagnoses. ### High-Yield Topics - Advanced airway management and difficult airway algorithms - Acute Coronary Syndromes and ECG interpretation - Pediatric resuscitation and weight-based dosing - Toxicology (toxidromes and specific antidotes) - Trauma resuscitation (ATLS principles) - Anaphylaxis and acute severe asthma ### Common Pitfalls - Providing more answers than requested on written questions (the CFPC penalizes 'shotgunning' or list-making). - Failing to articulate thought processes during the SOE (examiners cannot grade what they do not hear). - Overlooking Canadian guidelines in favor of American resources. - Running out of time on the written component due to over-explaining simple answers. - Neglecting to study administrative, pre-hospital, or ethics topics, which frequently appear. ### Recommended Resources - Rosen's Emergency Medicine: Concepts and Clinical Practice - Tintinalli's Emergency Medicine: A Comprehensive Study Guide - Canadian Association of Emergency Physicians (CAEP) Guidelines - Crack the Cast (for orthopedic emergencies) - ECG in Emergency Medicine and Acute Care (Mattu) - CFPC Practice Examinations and past SOE case examples Study Pathways ---------------- Choose the pathway that matches your CFPC preparation stage ### Emergency Medicine Core Pathway Core pathway for Emergency Medicine covering foundational exams and initial certification steps. #### What's Included 2,345 MCQ Questions 1,143 SAQ Questions 2,343 Flashcards 35 Podcasts 5,866 total study resources [ Start Learning ](https://mdster.com/user/dashboard) ### Emergency Medicine Advanced Pathway Advanced pathway for Emergency Medicine covering final exams, oral assessments, and advanced clinical evaluations. #### What's Included 997 MCQ Questions 769 SAQ Questions 114 SOE Questions 911 Flashcards 33 Podcasts 2,824 total study resources #### Exam Coverage CFPC Examination of Added Competence in Emergency Medicine [ Start Learning ](https://mdster.com/user/dashboard) Last refreshed: April 2026 Flexible Pricing Plans ------------------------ Choose the plan that fits your CFPC study schedule ### Try Risk-Free for 5 Days Start your free trial today and get full access to all CFPC features. **No credit card required**. Cancel anytime. No Commitment! Full platform access All study materials Analytics & tracking Cancel anytime ### Emergency Medicine Core Pathway Core pathway for Emergency Medicine covering foundational exams and initial certification steps. #### Monthly Flexible month-to-month $12.00 /month Cancel anytime Immediate access Save 8% #### 3 Months Popular Great for exam cycles $11.00 /month Billed $33.00 every 3 months Save 8% vs monthly Perfect for exam cycles Save 17% #### 6 Months Maximum savings $10.00 /month Billed $60.00 every 6 months Save 17% vs monthly Best value for serious learners ### Emergency Medicine Advanced Pathway Advanced pathway for Emergency Medicine covering final exams, oral assessments, and advanced clinical evaluations. #### Monthly Flexible month-to-month $15.00 /month Cancel anytime Immediate access Save 13% #### 3 Months Popular Great for exam cycles $13.00 /month Billed $39.00 every 3 months Save 13% vs monthly Perfect for exam cycles Save 20% #### 6 Months Maximum savings $12.00 /month Billed $72.00 every 6 months Save 20% vs monthly Best value for serious learners ### Emergency Medicine Bundle (Core + Advanced) Bundle subscription for Emergency Medicine: Core + Advanced pathways with all features included. #### Monthly Flexible month-to-month $20.00 /month Cancel anytime Immediate access Save 15% #### 3 Months Popular Great for exam cycles $17.00 /month Billed $51.00 every 3 months Save 15% vs monthly Perfect for exam cycles Save 25% #### 6 Months Maximum savings $15.00 /month Billed $90.00 every 6 months Save 25% vs monthly Best value for serious learners Latest CFPC Updates --------------------- Recent changes and developments for the CFPC examination April 2026 ### Written Component Format Change The CFPC is beginning a phased transition of the written component, moving from traditional write-in SAMPs toward MCQs and short-menu questions over subsequent sittings. Candidates should verify the exact format of their sitting with the CFPC. 2024-2025 ### Virtual vs. In-Person SOEs Post-pandemic, the CFPC has adapted its approach to Structured Oral Examinations. Candidates should check the official CFPC portal to confirm whether their specific SOE will be delivered virtually or in-person. Recent ### Updates to Canadian Resuscitation Guidelines The exam reflects the most recent updates to standard resuscitation guidelines (ACLS, ATLS, PALS). Candidates must ensure they are studying the most current iterations. Updates are based on publicly available information and may not reflect the very latest changes. Always verify with the official The College of Family Physicians of Canada website. Related Emergency Medicine Exams ---------------------------------- Other examinations in Emergency Medicine you may be interested in [ ### ABEM American Board of Emergency Medicine USA ](https://mdster.com/speciality/emergency-medicine/abem) [ ### AOBEM American Osteopathic Board of Emergency Medicine USA ](https://mdster.com/speciality/emergency-medicine/aobem) [ ### EBEEM European Board Examination in Emergency Medicine Europe ](https://mdster.com/speciality/emergency-medicine/ebeem) [ ### FACEM Fellowship of the Australasian College for Emergency Medicine Australia/New Zealand ](https://mdster.com/speciality/emergency-medicine/facem) [ ### FRCEM Fellowship of the Royal College of Emergency Medicine UK ](https://mdster.com/speciality/emergency-medicine/frcem) [ ### MRCEM Membership of the Royal College of Emergency Medicine UK ](https://mdster.com/speciality/emergency-medicine/mrcem) Frequently Asked Questions ---------------------------- Everything you need to know about CFPC preparation What is the difference between CCFP(EM) and FRCPC in Emergency Medicine? The CCFP(EM) is designed for family physicians who have completed a 1-year enhanced skills training (PGY3) or have significant practice experience, focusing on community and general emergency practice. The FRCPC is a 5-year primary residency program focused entirely on emergency medicine, often leading to academic, tertiary trauma center, and leadership roles. Can I take the exam without completing a PGY3 in Emergency Medicine? Yes, through the Practice-Eligible Route (PER). Family physicians who have accumulated a requisite number of hours working in emergency medicine over several years can apply to challenge the exam without completing the formal PGY3 year, pending CFPC approval. What happens if I fail one component of the exam? Because candidates must pass both the written and the oral components to receive the CCFP(EM) designation, failing one component usually means the candidate must retake that specific component or the entire examination in a future sitting. Candidates should verify the current retake policy directly with the CFPC. How will the April 2026 written exam changes affect my preparation? Starting April 2026, the exam will phase in MCQs and short-menu questions to replace traditional write-in SAMPs. While the core medical knowledge remains the same, candidates should practice recognizing correct management options from lists rather than solely generating answers from scratch. How are the Structured Oral Examinations (SOEs) scored? SOEs are scored using standardized checklists and global rating scales. Examiners assess not only clinical knowledge but also communication, organization, patient safety, and the ability to adapt to changing clinical information within the scenario. Are there penalties for guessing on the written exam? For traditional SAMPs, there is a penalty for 'shotgunning'—providing more answers than requested in hopes of hitting the right one. Candidates should provide only the exact number of responses requested. For the new MCQ formats, standard scoring rules apply, and candidates should confirm guessing policies with the CFPC. How long is the CCFP(EM) certification valid? Once obtained, the CCFP(EM) designation is maintained through ongoing continuous professional development (CPD) and by remaining a member in good standing with the CFPC. There is currently no mandatory recertification exam, provided CPD requirements are met. Is American study material sufficient for the CCFP(EM)? While foundational textbooks like Rosen's and Tintinalli's are standard, relying solely on American materials is risky. The CFPC exam tests Canadian standards of care, medication names, and national guidelines (such as CAEP), which can differ significantly from US practices. Specialty reading hub Related Emergency Medicine Articles ------------------------------------- Reinforce your CFPC preparation with specialty-specific guides, exam strategy articles, and clinical revision insights from the MDster blog. [ Browse all Emergency Medicine articles ](https://mdster.com/blog?speciality=emergency-medicine) [ ![Neonatal Septic Shock in the ED: A High-Yield Case Discussion](https://mdster.com/storage/blog/images/neonatal-septic-shock-in-the-ed-a-high-yield-case-discussion.jpg) Case Discussion / 6 min read ### Neonatal Septic Shock in the ED: A High-Yield Case Discussion An ill 18-day-old with fever, lethargy, shock, and hypoglycemia demands parallel resuscitation and sepsis management. This case reviews ED priorities, LP timing, antibiotics, HSV coverage, and board pearls. Apr 05, 2026 Read article ](https://mdster.com/blog/neonatal-septic-shock-in-the-ed-a-high-yield-case-discussion) [ ![Sedation and Neuro Exam Balance in Emergency Stroke Care](https://mdster.com/storage/blog/images/sedation-and-neuro-exam-balance-in-emergency-stroke-care.jpg) Medical Education / 6 min read ### Sedation and Neuro Exam Balance in Emergency Stroke Care A focused Emergency Medicine guide to analgesia-first, minimal sedation in stroke and neurocritical patients—so you preserve the exam and document change correctly. Apr 02, 2026 Read article ](https://mdster.com/blog/sedation-and-neuro-exam-balance-in-emergency-stroke-care) [ ![Fellowship of the Royal College of Emergency Medicine (FRCEM SBA): Study Tips That Actually Work](https://mdster.com/storage/blog/images/fellowship-of-the-royal-college-of-emergency-medicine-frcem-sba-study-tips-that-actually-w.jpg) Study Tips / 7 min read ### Fellowship of the Royal College of Emergency Medicine (FRCEM SBA): Study Tips That Actually Work Preparing for the FRCEM SBA? Use this practical, exam-specific guide to build a revision plan, target the blueprint, and handle 180 SBA questions with confidence. Mar 29, 2026 Read article ](https://mdster.com/blog/fellowship-of-the-royal-college-of-emergency-medicine-frcem-sba-study-tips-that-actually-w) Ready to Pass the CFPC? ------------------------- Join medical professionals who are preparing for the College of Family Physicians of Canada with MDster [ Get Started Free ](https://mdster.com/user/dashboard) No credit card required • Cancel anytime [ ](/) Master your medical exams with evidence-based learning. 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