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FRCEM / MRCEM Exam Structure – FCEM Curriculum

Introduction – FRCEM / MRCEM [MCEM]

The college introduced the current exams in August 2016. This was a change in exam structure from the old style MRCEM exams to the new FRCEM exams. It consists of 3 sections:

  • The primary exam
  • The intermediate exam of which there are 2 parts: a short answer question (SAQ) paper and a situational judgment paper (SJP)
  • The final exam of which there are 4 parts: a clinical short answer question (SAQ) paper, a critical appraisal paper, a quality improvement paper and an OSCE.

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 OSCE (previously called “part C”)

will be eligible for Membership of the Royal College of Emergency Medicine (MRCEM) by examination as before.

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.

Students getting mcem b exams frcem exam preparation and curriculum information
 
 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.

MRCEM OSCE

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.

MRCEM Exam

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.

FRCEM Finals

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.

Useful Links

RCEM Exams

RCEM Emergency Medicine Training Curriculum (2015)

Basic Sciences Curriculum (2010)

RCEM Exam Regulations and Information Packs (all)