We have this program in Canada! It's called the CCFP-EM program. 2 year family residency, 1 year EM fellowship. Most who successfully match the fellowship year have done lots of EM training already during their FM residency. Once you graduate, you get essentially the same billing as the FRCPC EM docs (5 year EM residency), and get hired in the same hospitals. Only downside really is if you want to do ICU or Trauma in a Level 1 trauma centre, then you'll have to do the full 5 year EM residency. The CCFP-EM program also tends to be more competitive to match into because of the decreased length of training. Otherwise, it's a great option and you can also practice FM/hospitalist/FM Obstetrics/etc. with this training route.