Starting is the beginningStarting is the beginningEvolution of an old specialty of EMEvolution of an old specialty of EM

in the UKin the UK

From a Faculty to a CollegeFrom a Faculty to a College

Gautam G. Bodiwala, Gautam G. Bodiwala, CBE, DLCBE, DL

DSc (Hon), MS, FRCS, FRCP, FCEM, FIFEMDSc (Hon), MS, FRCS, FRCP, FCEM, FIFEM

PresidentPresident

International Federation for Emergency MedicineInternational Federation for Emergency Medicine

500 YEARS AGO500 YEARS AGO

PRACTICE OF MEDICINE IN THE PRACTICE OF MEDICINE IN THE ‘‘UKUK’’

WAS CARRIED OUT BYWAS CARRIED OUT BY

PHYSICIANSPHYSICIANS

SURGEONSSURGEONS

APOTHECARIESAPOTHECARIES

QUACKSQUACKS

First Casualty Department Opened in 1869

at St Bartholomew’s Hospital

Casualty Surgeons AssociationCasualty Surgeons Association

The Senior Medical Officers working in The Senior Medical Officers working in

Casualty Department were so incensed Casualty Department were so incensed

that they established the Casualty that they established the Casualty

Surgeons Association on 12Surgeons Association on 12thth October October

1967.1967.

OBJECTS:OBJECTS:

‘‘To promote for the public, high standards in To promote for the public, high standards in

Science and art of Casualty Medicine and Science and art of Casualty Medicine and

SurgerySurgery’’

FROM CAS TO A&E TO EM

•1967 Casualty Surgeons Association (CSA)

•1972 First ‘experimental’ consultants appointed

•1975 SAC in Accident and Emergency Medicine

•1977 First Senior Registrar appointed

•1983 FRCSEd (A&E) started

•1986 First International Conference on Emergency

Medicine, London

•1990 First Professorial Appointment

•1990 CSA became British Association for Accident

and Emergency Medicine (BAEM)

•1991 International Federation for Emergency Medicine

•1993 Faculty of Accident and Emergency Medicine

FROM CAS TO A&E TO EM (Contd.)

•1996 FFAEM (Exit Examination) Started

•2003 MFAEM (Entry Examination) started

•2005 Name changed to ‘Emergency Medicine’

•2005 British Association for Emergency Medicine

•2006 International examinations started

•2006 Faculty of Accident and Emergency Medicine

became College of Emergency Medicine(CEM)

•2006 Merger Board established to create a merged

College of CEM and BAEM

•2008 The College of Emergency Medicine

BAEM and FAEMBAEM and FAEM

�� BAEM BAEM –– clinical services and clinical services and

membership benefitsmembership benefits

�� FAEM FAEM –– Training, Examinations and Training, Examinations and

ResearchResearch

BAEM and FAEMBAEM and FAEM

Recognised the need for a singleRecognised the need for a single

Body to represent the specialty ofBody to represent the specialty of

EM in the UKEM in the UK

College of the Faculty of Medicine 1518The Royal College of Physicians, London

Barber and Surgeons Company 1540Company of surgeons 1745Royal College of surgeons, England

Royal College of Surgeons of Edinburgh 1745

Society of Apothecaries 1748Royal College of General Practitioners 1950

Currently 17 Colleges and 4 Faculties

�� Majority favoured a move to Majority favoured a move to

establishing a College by merging establishing a College by merging

two organisations in a survey of two organisations in a survey of

Members of BAEM and FAEM Members of BAEM and FAEM –– 20022002

�� Change the name of Faculty to the Change the name of Faculty to the

‘‘College of Emergency Medicine College of Emergency Medicine ––

Sept 2005Sept 2005

ProgressProgress

�� Merger Board established to create a Merger Board established to create a College Early 2006College Early 2006

�� Moved to a new accommodation Aug Moved to a new accommodation Aug 20062006

�� Merger Board met 25 timesMerger Board met 25 times

�� 13 drafts of Bylaws, Ordinances and 13 drafts of Bylaws, Ordinances and Charter Charter

�� Royal Charter granted to establish Royal Charter granted to establish the College Feb 2008the College Feb 2008

The College of Emergency MedicineThe College of Emergency Medicine

Established 20 February 2008

The College of Emergency MedicineThe College of Emergency Medicine

�� Shadow Board Mar 08 to Sept 08Shadow Board Mar 08 to Sept 08

�� First College Council Sept 08First College Council Sept 08

�� Formal Inauguration of the College Formal Inauguration of the College

and presentation of the Royal and presentation of the Royal

Charter on 1 October by HRH Charter on 1 October by HRH

Princess RoyalPrincess Royal

�� HRH Princess Royal became the HRH Princess Royal became the

Royal Patron of the CollegeRoyal Patron of the College

The Next StepThe Next Step

Royal AppellationRoyal Appellation

Application to become Application to become

The The ‘‘RoyalRoyal’’ College of Emergency MedicineCollege of Emergency Medicine

in July 2009in July 2009

Journey of a thousand miles

begins with a simple step

A Chinese proverb