The EBEEM examination
The European Board Examination in Emergency Medicine (EBEEM) exam has been developed jointly by the European Union Society for Emergency Medicine (EuSEM) and the European Union of Medical Specialists (UEMS) with the aim of standardising knowledge and competencies among European emergency doctors. The first EBEEM examination was held in 2013. The EuSEM website states that the examination
- assesses the knowledge, skills and behaviours necessary for the clinical practice of emergency medicine at the level of specialist or consultant engaged in independent practice.
- confirms a candidate’s suitability for independent practice as an emergency physician within any country in the European Union
The EBEEM examination is based exclusively on the European Curriculum for Emergency Medicine as approved by EUMS and consists of two parts, Part A and Part B.
The first part of the examination, Part A, is a written test of the knowledge needed for the practice of emergency medicine including basic sciences applied to Emergency Medicine. It is conducted twice each year at several centres across Europe, and lasts 2 ½ hours. The examination is done on a computer using an online system with all candidates across Europe completing the examination at the same time. There are 120 questions. The questions can be of two types: either ‘multiple true/false’ format with five items per question, each of which can be true or false; or ‘single best answer format’ in which five possible answers are offered, and the candidate has to choose the best one.
The EBEEM Part B is a practical exam which assesses a candidates clinical skills, behaviours and knowledge of emergency medicine in both adults and children. The exam consists of a mixture of clinical simulations known as Objective Structured Clinical Examinations (OSCEs) or modified VIVAs. Candidates rotate through a circuit of 10 stations in the Part B exam, 8 examination stations and two rest stations.
Each clinical simulation or OSCE station requires the candidate to read a set of instructions regarding a clinical scenario and then to manage the scenario is if it were a real live clinical encounter in the Emergency Department. The candidate is observed and marked by two examiners at each station. Possible scenarios include direct evaluation of a patient, managing difficult situations with simulated patients and relatives, educating and training more junior staff around a clinical situation or demonstrating leadership in a simulated resuscitation.
The modified VIVAs explore a candidate’s interpretation of clinical data and its use in the management of patients through structured questioning. The candidate is presented with a clinical scenario which they must talk through with the examiner providing key pieces of clinical data at appropriate times and asking questions to direct the discussion.
The Part B examination material may be drawn from any presentation or diagnosis included in the European curriculum and can involve adults or children, hospital or prehospital care. To find out more about the knowledge and skills required to succeed in the EBEEM Part B exam see our series of free articles on our EBEEM blog.
The European Curriculum
Both parts of the EBEEM examination are based on the European curriculum for Emergency Medicine.
Eligibility for EBEEM
Full details about eligibility are available from the EuSEM website.