In March 2003, the recognition of Emergency Medicine as a distinct specialty in South Africa by the Health Professions Council was a significant milestone, leading to the founding of the College of Emergency Medicine of South Africa (CEMSA) in 2004. A fundamental aspect of CEMSA’s mission is to uphold the highest standards in emergency medicine by establishing rigorous training and examination criteria for qualifications such as the Diploma in Primary Emergency Care and the Fellowship in Emergency Medicine. These exams are renowned for their integrity and stringent standards, mirroring the latest in educational and emergency medicine developments. Furthermore, CEMSA places a strong emphasis on the importance of sound assessment methods to ensure patient safety, underlining its dedication to excellence and the well-being of patients in emergency medical situations.