In Canada, family medicine residents can apply for a one year training program in emergency medicine (bringing their total training time to 3 years (family medicine is only two years in Canada)). This allows them to practice emergency medicine in Canada. However, they do not qualify to write the ABEM exams and thus, cannot become board certified in the US (only residents who go through the five year residency in EM in canada are eligible for ABEM certification). To my knowledge, there is no family med/EM program in the US. There is one EM fellowship for family docs but this does not qualify them to sit for the ABEM's or to practice EM.