The current RCEM MRCEM and FRCEM exam structure will change from August 2021 with the new curriculum.
The RCEM examinations are an integral part of RCEM’s programme of assessment. They provide trainees with the opportunity to demonstrate, at critical progression points, the required outcomes of their training programme. The RCEM exams comprise a programme of summative assessments in two parts: Membership of the Royal College of Emergency Medicine (MRCEM) and Fellowship of the Royal College of Emergency Medicine (FRCEM) examinations. Each part uses validated assessment methods to test a broad-spectrum of knowledge, understanding, skills, behaviours and attitudes, as defined by the RCEM curriculum.
The MRCEM examination consists of three components: Two Single Best Answer (SBA) multiple-choice papers and an Objective Structured Clinical Examination (OSCE). All MRCEM components are blueprinted to the RCEM curriculum – focussing on SLOs 1-7 and 9. Questions used in each component are tagged to the RCEM basic science and clinical syllabi. The SLOs and the capabilities relevant to each SLO are set out in the assessment blueprint. Successful completion of all three Primary exam components is required to complete intermediate training as part of a programme of assessment designed to ensure readiness for Higher Training.
The FRCEM examination consists of two components: A Single Best Answer (SBA) test of knowledge, and a Multi Station Oral (MSO) exam. The examinations used in the FRCEM are blueprinted to SLOs 1-12. The questions used in the FRCEM examinations are also tagged to the RCEM Clinical Syllabus. The SLO and the relevant capabilities are set out in the assessment blueprint. Successful completion of the FRCEM examination is the part of the Programme of Assessment that signifies readiness for independent practice at completion of training.
MRCEM Primary (Previously FRCEM Primary) – Single Best Answer paper.
This examination samples the basic science syllabus, ensuring a sound background knowledge in the basic science underpinning EM care. It can be undertaken at any point post registration as a medical practitioner. It comprises 180 questions to be answered in three hours.
MRCEM Intermediate SBA – previously FRCEM Intermediate SAQ (short answer question)
The FRCEM Intermediate short answer question paper will become the MRCEM SBA (single best answer question).
This exam will sample the RCEM Clinical Syllabus and will test a sound understanding of the full range of conditions and presentations that may present to the ED. It samples how the trainee synthesises and interprets data and clinical findings to make decisions and inform management plans. The exam will have 180 questions which will be answered in four hours, presented as two 90 question papers with two hours per paper sat on the same day.