Emergency Medicine Examinations

 

Post August 2021 exam structure

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Memberships

MRCEM Primary

  • 3 hour exam

  • 180 single best answer questions

  • mapped to RCEM basic sciences curriculum (June 2020)

MRCEM Intermediate SBA

MRCEM OSCE

All three of the above components must be passed to be awarded membership by examination.

For candidates who started on the pre-August 2021 examination structure see RCEM website for details of which exams will count towards membership by examination.

 
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Fellowship

Single Best Answer Exam

  • 2 papers 2 hours each

  • 90 questions per paper

  • Clinical paper

  • Single best answer format

FRCEM OSCE

  • 16 stations

  • 8 minutes each

  • 1 minute reading time

  • Must pass at least one resuscitation station in addition to achieving the pass mark to pass the OSCE

The critical appraisal, management and QIP examinations have been removed from the RCEM examination structure in favour of in-training assessment of these components.

Irish Advanced Specialty Trainees will still have to sit a management exam administered by ICEMT, while the other components will be assessed during training.

For further information on these exams and information regarding eligibility to sit each component please see the examinations section of the Royal College of Emergency Medicine’s website.

Pre-August 2021 examination structure

Below is the current exam structure for the Royal College of Emergency Medicine examinations. A new curriculum is currently being designed and introduced and along with this will be changes to this exam structure. The current sitting is the final sitting under the below structure.

Check back regularly for up to date information on emergency medicine examinations and keep on eye on RCEM’s examinations page for the most up to date information regarding exams.

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FRCEM Primary Exam

Candidates are eligible to sit this exam once registered with the Irish Medical Council (IMC). You can choose to sit this exam in intern year but at least, you should aim to complete this exam by the end of your first year of core specialty training.

3 hour exam

180 single best answer MCQ’s

Mapped to

  • RCEM 2015 Emergency Medicine Curriculum

  • RCEM 2010 Basic Sciences Curriculum

More information

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FRCEM Intermediate Certificate

Candidates are eligible to sit these exams if they meet the following criteria

  • Hold a primary medical degree approved by the medical council for purposes of registration and

  • Have completed their intern year (or UK foundation programme) and

  • Have passed the FRCEM primary examination.

The intermediate certificate consists of two separate examinations

  • Short answer question paper (SAQ)

    • 3 hours

    • 60 questions, 3 parts each

  • Situational Judgement Paper (SJP)

    • 2 hours paper

    • 120 single best answer questions

More information

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FRCEM Final Fellowship Examinations

The current final fellowship examinations consist of 4 elements

  • Critical appraisal paper

  • Quality improvement project

  • Clinical short answer question paper (SAQ)

    • 3 hour paper

    • 60 questions, 3 parts each

  • Objective Structured Clinical Examination (OSCE)

    • 16 stations

    • 8 minutes each

    • 2 resus / trauma stations allocated double time (16 minutes)

    • 1 minute reading time between each station

Candidates are eligible to sit these exams once they have passed the FRCEM primary and intermediate exams and the following element specific criteria;

  • Critical appraisal - no additional criteria

  • QIP - must be completed during ASTEM (for trainees) or during EM posts above SHO level (for non trainees)

  • SAQ & OSCE - must have completed 24 months of ASTEM or for non trainees, must have completed 7 years of training post qualification, 4 years of which must be in emergency medicine, 2 of which must be at registrar level.

More information

Below is a list of useful resources to help with exam preparation