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The first examination for the MRCEM was in 2003 as the Membership of the Faculty of A&E Medicine (MFAEM).Their titles were updated in 2015 when the college gained the "Royal" title.Examinations of knowledge are one of several summative assessment methods used within the programme, e.g.the MRCP Part 1 Examination for Acute Internal Medicine, the FRCA Primary MCQ Examination for Anaesthesia and MCEM for Emergency Medicine.The College sets standards of training and administers examinations for emergency physicians.
In addition, trainees will be expected to complete the three life support courses – ALS, ATLS, and APLS before ST4.
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 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.
To address the problem Council has agreed to allow any registered trainee to apply to sit the Primary FRCA MCQ Examination as soon as they start an approved training post in Anaesthesia or ACCS.
This replaces the previous regulation that a trainee must have passed the IAC before applying to sit the MCQ Examination.