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===Canada=== The two routes to emergency medicine certification can be summarized as follows: # A five-year residency leads to the designation of FRCP(EM) through the [[Royal College of Physicians and Surgeons of Canada]] (Emergency Medicine Board Certification β emergency medicine consultant). # A one-year emergency medicine enhanced skills program following a two-year [[family medicine]] residency leading to the designation of CCFP(EM) through the [[College of Family Physicians of Canada]] (Advanced Competency Certification).<ref name=CFPC>{{cite web |url=http://www.cfpc.ca/English/cfpc/education/examinations/emergency%20medicine/default.asp?s=1 |title=Emergency Medicine (EM) |url-status=dead |archive-url=https://web.archive.org/web/20090227222859/http://www.cfpc.ca/English/cfpc/education/examinations/emergency%20medicine/default.asp?s=1 |archive-date=27 February 2009}}</ref> The CFPC also allows those are having worked a minimum of four years at a minimum of 400 hours per year in emergency medicine to challenge the examination of special competence in emergency medicine and thus become specialized.<ref name=CFPC/> CCFP(EM) emergency physicians outnumber FRCP(EM) physicians by a ratio of about 3 to 1, and they tend to work primarily as clinicians with a minor focus on academic activities such as teaching and research. FRCP(EM) Emergency Medicine Board specialists tend to congregate in academic centres and have more academically oriented careers, which emphasize administration, research, critical care, disaster medicine, and teaching. They also tend to sub-specialize in toxicology, critical care, pediatric emergency medicine, and sports medicine. Furthermore, the FRCP(EM) residency length allows more time for formal training in these areas. [[Physician assistants]] are currently practising in the field of emergency medicine in Canada.
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