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FRCEM / MRCEM Exam Structure – FCEM Curriculum
Introduction – FRCEM / MRCEM [MCEM]
From August 2016, the Royal College of Emergency Medicine is changing the examination structure of both the MRCEM exam and FRCEM exam. These changes will involve changes to examination titles, changes to the examination blueprint and also to the question number and styles. The changes will be introduced in phases between August 2016 and August 2018. In summary,
- From August 2016 the MRCEM exam Part A will be replaced by the FRCEM Primary Examination and the MRCEM Part B will be replaced by the FRCEM Intermediate SAQ Paper
- In autumn 2017 a new FRCEM Intermediate Situational Judgement Paper (SJP) will be introduced to replace the MRCEM exam Part C for UK trainees. From this point UK trainees will have the option of taking the Intermediate SJP or the MRCEM exam Part C in order to progress to FRCEM Final examinations.
- From 2018, all UK trainees must pass the Intermediate SJP paper in order to progress to FRCEM Final Examinations.
- The MRCEM exam Part C will continue after 2018 for non-trainees (UK and international) and those interested UK trainees who wish to obtain MRCEM and become Members of the College of Emergency Medicine. It will be renamed the MRCEM OSCE.
The primary source of curriculum information for all exams will remain the RCEM Emergency Medicine Curriculum (last updated August 2015) and in addition for the FRCEM Primary, the Basic Sciences Curriculum (last updated June 2010). These curricula can be downloaded from the RCEM website here.
The FRCEM Primary Exam
The FRCEM Primary examination is a direct replacement for the MRCEM Part A examination and will continue to assess the RCEM Basic Sciences Curriculum. The new Primary exam will consist of a 3 hour paper of 180, single best answer questions (SBAQs) where the candidate must choose one best answer from a choice of five possible answers. The exam will examine all the domains of knowledge in the Basic Sciences Curriculum including Anatomy, Physiology, Pathology, Microbiology, Pharmacology and Evidence Based Medicine. A detailed examination pack explaining the new FRCEM Primary Exam can be downloaded from the RCEM website here.
FRCEM Intermediate Structured Answer Question (SAQ) Paper
The FRCEM Intermediate SAQ is a direct replacement for the MRCEM B exam prep Part B examination. The College states that ‘content will continue to be mapped to the competencies of Year 1-3 of the Emergency Medicine 2015 Curriculum’. The exam will consist of a single 3 hour paper of 60, 3 mark structured answer questions (SAQs) testing the candidates application of their Emergency Medicine knowledge. A detailed examination pack describing the new FRCEM Intermediate exam can be downloaded from the RCEM website here.
FRCEM Intermediate Situational Judgement Paper (SJP)
The FRCEM Intermediate SJP will be introduced from Autumn 2017 to replace the MRCEM Part C for UK trainees. The SJP will be a written paper designed to test a candidates ability to understand and respond appropriately to real world clinical situations; it is not so much a test of medical knowledge but more of a candidates integrity, perspectives, team involvement and adaptability. A blueprint of the new Intermediate SJP exam can be found in the FRCEM Intermediate examination pack, which can be downloaded form the RCEM website here.
The MRCEM exam Part C will continue after August 2018 as the MRCEM OSCE. It will continue to examine the competencies of Year 1-3 of the Emergency Medicine 2015 Curriculum in the same format as the current Part C – a circuit of mock clinical scenarios or OSCEs.
Candidates (trainee or non-trainee, UK or international) who have passed the following:
- the MRCEM Exam Part A before August 2016 or the FRCEM Primary after August 2016 and
- the MRCEM Exam Part B before August 2016 or the FRCEM Intermediate SAQ after August 2016 and
- the MRCEM Exam Part C/OSCE
will be eligible for Membership of the Royal College of Emergency Medicine (MRCEM) by examination as before.
UK Emergency Medicine trainees who have passed the following:
- the MRCEM exam Part A before August 2016 or the FRCEM Primary after August 2016 and
- the MRCEM exam Part B before August 2016 or the FRCEM Intermediate SAQ after August 2016 and
- the MRCEM exam Part C/OSCE before August 2018 or the FRCEM Intermediate SJP after Autumn 2017
will be eligible to progress to sit FRCEM Finals.