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Exam Information

Exam Information

The introduction of the new curriculum in August 2021 brings with it a number of changes to the suite of EM examinations.

Curriculum Changes – August 2021

The introduction of the new curriculum in August 2021 brings with it a number of changes to the suite of EM examinations. These changes are the culmination of over three years of consultation, development and refinement and they are designed to offer significant improvements to both content, delivery and process.

Key changes from August 2021:

  • Reduction in number of exam components
  • FRCEM Critical Appraisal and QIP removed as distinct examination component (QI and research will be assessed by portfolio evidence for UK trainees)
  • Written exam format changing to Single Best Answer questions (SBAQ)
  • Reintroduction of MRCEM OSCE into the GMC approved suite of exams
  • From 1 August 2021, MRCEM achieved after 1 August 2012 is valid for entry to HST and FRCEM examinations

Examination requirements for award of MRCEM after August 2021

  • MRCEM Primary SBA or FRCEM Primary or MRCEM A between August 2012 – August 2016
  • MRCEM SBA or FRCEM Intermediate SAQ or MRCEM B between August 2012 – August 2016
  • MRCEM OSCE after August 2012

Examination requirements for award of FRCEM from August 2021

  • MRCEM Primary SBA or FRCEM Primary or MRCEM A between August 2012 – August 2016
  • MRCEM SBA or FRCEM Intermediate SAQ or MRCEM B between August 2012 – August 2016
  • MRCEM OSCE or FRCEM Intermediate SJP
  • FRCEM SBA or FRCEM Final SAQ between August 2016 August 2021
  • FRCEM Final OSCE

Examinations for award of FRCEM BEFORE August 2021

  • FRCEM Primary or MRCEM A between August 2012 – August 2016
  • FRCEM Intermediate SAQ or MRCEM B between August 2012 – August 2016
  • FRCEM Intermediate SJP or MRCEM OSCE between August 2014 and July 2018
  • FRCEM Final Critical Appraisal
  • FRCEM Final QIP
  • FRCEM Final SAQ
  • FRCEM Final OSCE

For further information regarding each individual examination component, please refer to the relevant section on the Exam Information page.

If you have any queries regarding the College examinations please email exams@rcem.ac.uk or call +44 (0) 20 7067 1268.

Exam information

+ Apply

How to apply for examinations

Online applications for all examinations will open at approximately 10am (GMT time) on the application opening date listed on the Exam Information page, Dates and Fees section and close automatically at 5.00pm (GMT time) on the listed closing date. Applications must be completed before 5.00pm on the closing date, late applications will not be accepted.

All applications must be submitted online. The College does not accept paper applications, payment by cheque or card payments by telephone.

The application process takes some time to complete, so please apply well in advance of the given deadlines.

Please ensure that you fully complete all parts of the application, otherwise this will delay the processing of your application and late applications will not be accepted.

Update to applications Spring 2019

Following Council approval, Head of School and Supervisor approval is no longer part of the examination application form. Candidates are still required to discuss and agree their examination plans with their Supervisors in advance of applying. Heads of School will be sent a list of trainees in their region who have registered for an examination.

Application Links

The link to all application forms will be made available here on the given day the application/s are due to open. Examination applications currently open are as follows:

UK Training Programmes
+ Regulations & info pack

Regulations & Info Pack

The MRCEM Primary examination is the new name for the FRCEM Primary examination from August 2021.

The MRCEM Primary examination is mapped to the RCEM Basic Sciences Curriculum (June 2010) and 2021 Emergency Medicine curriculum. All applicants for the MRCEM Primary examination are strongly advised to familiarise themselves with the Basic Sciences Curriculum in preparation for sitting the examination.

The MRCEM Primary examination consists of a three hour, multiple choice question (MCQ) paper of 180, single best answer questions (SBAQ).

Please see the MRCEM Primary information pack (July 2021) for detailed information for this examination component.

COVID-19 temporary derogation to the counting of attempts (updated 3 March 2021)

Glossary of terms used in RCEM examinations (August 2021)

The MRCEM Intermediate SBA examination replaces to the FRCEM Intermediate SAQ examination from 1 August 2021.

The MRCEM Intermediate SBA examination is mapped to the 2021 Emergency Medicine curriculum. All applicants for the MRCEM Intermediate SBA examination are strongly advised to familiarise themselves with the 2021 curriculum, paying particular attention to the SLOs assessed in this examination.

The MRCEM Intermediate SBA consists of 180 single best answer (SBA) questions delivered in two 120 minute papers with 90 questions per paper.

Please see the MRCEM Intermediate SBA information pack (July 2021) for detailed information on this examination.

Applicable until 31 July 2021

The FRCEM Intermediate Certificate examinations are mapped to the competences of Year 1-3 of the Emergency Medicine 2015 Curriculum (ACCS Plus) which is available on the 2015 Curriculum page of our website. All applicants for the FRCEM Intermediate Certificate examinations are strongly advised to familiarise themselves with the Year 1-3 competences in preparation for sitting the FRCEM Intermediate Certificate examinations.

The FRCEM Intermediate Certificate consists of the following components:

  • FRCEM Intermediate Short Answer Question (SAQ) Paper comprising of a 3 hour paper of 60, 3 mark questions
  • FRCEM Intermediate Situational Judgement Paper (SJP) comprising of a 2 hour paper of 120 single best answer questions (SBAQ)

Please see the FRCEM Intermediate Certificate Information Pack (updated November 2018) for detailed information for these examination component.

COVID-19 temporary derogation to the counting of attempts (updated 3 March 2021)

Glossary of terms used in RCEM examinations (August 2021)

Temporary changes to the FRCEM Final OSCE 22 July 2020

Notice of adjustment to FRCEM QIP marking 1 June 2020

From 1 August 2021, FRCEM consists of the following components:

  • FRCEM SBA, consisting of 180 single best answer (SBA) questions delivered in two 120 minute papers with 90 questions per paper
  • FRCEM OSCE, consisting of 16, 8 minute stations. An additional one minute of reading time is provided for candidates between each OSCE station.

The FRCEM Critical Appraisal and FRCEM QIP have been withdrawn as formal examination components contributing to the award of Fellowship. The skills and knowledge tested in each of these components will be assessed within the wider programme of assessment as defined in the 2021 curriculum. Candidates who have passed the FRCEM Final SAQ (after August 2016) and FRCEM Final OSCE within seven a seven year window (and meet other eligibility requirements) but have not passed either the FRCEM QIP or Critical Appraisal, will be awarded Fellowship in September 2021.

Please see the FRCEM Information Pack (July 2021) for detailed information for these examination components.

Applicable until 31 July 2021

The FRCEM Final examinations are mapped to the Emergency Medicine 2015 Curriculum, in its entirety, which is available on the 2015 Curriculum page of our website. All applicants for the FRCEM Final examinations are strongly advised to familiarise themselves with the 2015 Curriculum in preparation for sitting the FRCEM Final examinations.

From 1 August 2018, the FRCEM Final consists of the following components:

  • FRCEM Final Examination:
  • FRCEM Critical Appraisal (Short Answer Question Paper)
  • FRCEM Quality Improvement Project (QIP) completed during ST4-6
  • FRCEM Final Clinical Short Answer Question Paper comprising of a 3 hour paper of 60, 3 mark questions
  • FRCEM OSCE consisting of 16, 8 minute stations. An additional one minute of reading time is provided for candidates between each OSCE station.

The CTR has been replaced by the Quality Improvement Project (QIP) from 1 August 2018. Candidates who have not been awarded Fellowship by Examination (FRCEM) by 31 July 2018, and remain eligible to sit the FRCEM Final examinations after 1 August 2018, will be required to pass the new FRCEM QIP component, irrespective of a previous pass (or exemption) in the FRCEM CTR.

Candidates who have passed the QIP, including viva, to fulfil the requirements of the CTR prior to 31 July 2018 will be deemed to have passed an equivalent examination to the FRCEM QIP introduced from 1 August 2018.

Please see the FRCEM Final Information Pack (updated November 2018) for detailed information for these examination components.

COVID-19 temporary derogation to the counting of attempts (updated 01 March 2021)

Candidates preparing for the FRCEM Final Quality Improvement Project (QIP) should review the RCEM Quality Improvement Guide and other resources available on the QI Resources page.

QIP marking scheme – adjusted for COVID-19 (June 2020)

QIP advice for candidates updated for COVID-19 (June 2020)

Additional resources for candidates preparing to sit components of the FRCEM Final examinations:

Critical Appraisal – Autumn 2010 Advice to Candidates

Critical Appraisal – Most Frequently Offered Answers

Glossary of terms used in RCEM examinations (August 2021)

Sample QIPs

The following anonymised QIPs are published with the kind permission of the candidates:

Successful QIP on reducing the referral rates of paediatric patients to plastic surgery (Spring 2017)

Successful QIP on management of fractured neck of femurs in the ED (Spring 2018)

Unsuccessful QIP and subsequent successful QIP with marking commentary.

Membership by Examination is awarded to candidates who pass three required examination components:

  • MRCEM Primary (or have passed FRCEM Primary between 1 August 2016 and 1 August 2021 or MRCEM Part A between 1 August 2012 and 1 August 2016 (or granted exemption))
  • MRCEM Intermediate SBA (or have passed FRCEM Intermediate SAQ between 1 August 2016 and 1 August 2021 or MRCEM Part B between 1 August 2012 and 1 August 2016)
  • MRCEM OSCE (previously called MRCEM Part C, passed after 1 August 2012)

The MRCEM OSCE consists of an Objective Structure Clinical Examination of 18, seven minute stations. An additional one minute of reading time is provided for candidates between each OSCE station.

Please see the MRCEM Information Pack (July 2021) for detailed information on the MRCEM OSCE examination.

From 1 August 2021, MRCEM achieved after 1 August 2012 is recognised for entry to HST and eligibility for FRCEM Final examinations.

Appeals Procedure

A candidate who has attempted examinations of the Royal College of Emergency Medicine may, in the circumstances outlined within the Appeals Procedure, have the right of appeal against the examination outcome. Full details are available in the Appeals Procedure for MRCEM and FRCEM Examinations (updated March 2021).

By virtue of entering an examination candidates are deemed to have understood and agreed to abide by all examination regulations and policies, including the code of conduct for candidates and applicants (applicable from 1 January 2020)

Any allegations of misconduct raised by an invigilator, examiner or fellow candidate will be investigated and acted upon in accordance with the Misconduct Policy for MRCEM and FRCEM Examinations (Updated July 2021).

+ Dates & fees

Dates & Fees

2021 examination dates

Examination Date Centres Application open date Application closing date Results released
FRCEM Primary 24 June 2021 Online invigilation or computer test centre 22 February 2021 16 April 2021 13 August 2021
(by 17:00)
MRCEM Primary 1 December 2021 Online invigilation or computer test centre 26 July 2021 17 September 2021 13 January 2022
(by 17:00)
FRCEM Intermediate SAQ 9 March 2021 Online invigilation or computer test centre 16 November 2020 8 January 2021 30 April 2021
FRCEM Intermediate SJP 10 March 2021 Online invigilation or computer test centre 16 November 2020 8 January 2021 9 April 2021
MRCEM SBA 14 September 2021 Online invigilation or computer test centre 26 April 2021 2 July 2021 29 October 2021
(by 17:00)
MRCEM OSCE 8-17 March 2021 Online and London OR Hyderabad CANCELLED CANCELLED CANCELLED
MRCEM OSCE Online component: 7 – 11 June 2021 – Face to Face component: 16 – 18 June 2021 London, Chennai, Hyderabad 11 January 2021 Window closed 16 July 2021
(by 17:00)
MRCEM OSCE – Hybrid Online component: 5-8 July 2021 – Face to Face component: 12 – 14 July 2021 London, Chennai, Hyderabad 29 March 2021 Window closed 20 August 2021
(by 17:00)
MRCEM OSCE 11-15 October 2021 Hyderabad 2 July 2021 30 July 2021 10 December 2021
(by 17:00)
MRCEM OSCE 22-30 November 2021 London 3 August 2021 27 August 2021 14 January 2022
(by 17:00)
FRCEM Final SAQ 30 March 2021 Online invigilation or computer test centre 16 November 2020 15 January 2021 14 May 2021
FRCEM Final CA 31 March 2021 Online invigilation or computer test centre 16 November 2020 15 January 2021 14 May 2021
FRCEM SBA 28 September 2021 Online invigilation or computer test centre 14 May 2021 19 July 2021 12 November 2021
(by 17:00)
FRCEM Final OSCE 17-28 May 2021 Online 21 December 2020 1 March 2021 2 July 2021
FRCEM Final OSCE 1-10 November 2021 London 21 June 2021 6 August 2021 17 December 2021
(by 17:00)
FRCEM Final QIP (1)* APPLICATION WINDOW N/A 4 January 2021 15 January 2021 5 March 2021
FRCEM Final QIP (1) SUBMISSION WINDOW N/A 25 January 2021 29 January 2021 N/A
FRCEM Final QIP (2)* APPLICATION WINDOW N/A 1 March 2021 12 March 2021 30 April 2021
FRCEM Final QIP (2) SUBMISSION WINDOW N/A 23 March 2021 27 March 2021 N/A
FRCEM Final QIP (3)* APPLICATION WINDOW N/A 24 May 2021 4 June 2021 9 July 2021
FRCEM Final QIP (3) SUBMISSION WINDOW N/A 14 June 2021 18 June 2021 N/A

*All diets of the FRCEM QIP will be open to all eligible candidates, 2/12/2020.


2022 examination dates

Exam and Date Centres Application Open Date Application Closing Date Results Date
MRCEM Primary

23 June 2022

Online remote invigilation or computer test centre 21 February 2022 15 April 2022 22 July 2022
MRCEM Primary

24 November 2022

Online remote invigilation or computer test centre 18 July 2022 19 September 2022 23 December 2022
MRCEM SBA

15 February 2022

Online remote invigilation or computer test centre 18 October 2021 21 December 2021 18 March 2022
MRCEM SBA

6 September 2022

Online remote invigilation or computer test centre 3 May 2022 25 July 2022 7 October 2022
MRCEM OSCE

19 – 28 January 2022

London 2 September 2021 21 October 2021 25 February 2022
MRCEM OSCE

30 March – 8 April 2022

London 15 November 2021 21 January 2022 6 May 2022
MRCEM OSCE

13 – 22 June 2022

London 28 February 2022 29 April 2022 29 July 2022
MRCEM OSCE

28 November – 7 December 2022

London 18 July 2022 24 September 2022 20 January 2023
MRCEM OSCE

4 – 8 July 2022

India (TBC)  28 January 2022 4 March 2022 12 August 2022
MRCEM OSCE
31 October – 4 November 2022
India (TBC) 6 May 2022  10 June 2022 2 December 2022
MRCEM OSCE

 

Malaysia (TBC)
FRCEM SBA

15 March 2022

Online remote invigilation or computer test centre 15 November 2021 14 January 2022 15 April 2022
FRCEM SBA

29 September 2022

Online remote invigilation or computer test centre 23 May 2022 29 July 2022 28 October 2022
FRCEM Final OSCE

9 – 18 May 2022

London 4 January 2022 1 March 2022 1 July 2022
FRCEM Final OSCE

7 – 16 November 2022

London 31 May 2022 30 July 2022 16 December 2022

Fully completed application forms must be submitted no later than 5pm (GMT) on the stated closing date.
Applications received after this will not be accepted.

Statement from the Dean of the College regarding examination closing dates (19 December 2018)

Examination fees 2021

FRCEM Intermediate and MRCEM exams

  • MRCEM Primary – £330
  • MRCEM (OSCE) Objective Structured Clinical Examination – £450 (UK and India Centres)
  • MRCEM SBA – £335
  • FRCEM SBA – £345
  • FRCEM OSCE – £465

MRCEM Examinations – Overseas Centres

Any candidate who wishes to sit the examination in an overseas centre will be required to contact the local administrator to pay the local fee. Full details will be sent to all candidates allocated a place.

Overseas Examinations

The College runs a number of examinations overseas (Iceland, India, Oman and Malaysia) in collaboration with our overseas Emergency Medicine Colleges and organisations. Candidates wishing to sit examinations at an overseas centre should apply online during the specified application window. Once entry is confirmed, candidates are required to contact the overseas centre to pay any additional local fees (not applicable for Oman, Iceland and Malaysia, local fee collected at time of online application).

Tax Relief on Examination Fees for UK trainees

The Emergency Medicine Trainees’ Association (EMTA) has collated detailed advice for trainees, ‘Claiming Back the Costs of Training’, which available to download via the EMTA website.

+ Examiners

Examiners

The role of being a College Examiner is a privilege that carries with it the responsibility of maintaining the highest standards, as expected by patients, candidates and Members and Fellows.

The College welcomes applications from all members of the College who meet the eligibility criteria. There are four grades of examiner:

  • FRCEM Examiner
  • MRCEM Examiner (UK)
  • MRCEM Examiner (International)
  • Question Writer

Full details of the roles and responsibilities of each grade of examiner, the person specifications and application form are available in the Examiner Regulations Pack .

Upcoming Examiner workshops

All new examiners are required to attend a training workshop prior to examining, and current examiners who have not attended a workshop since August 2016 also need to be retrained to ensure they are up to date with the current examination structure.

Upcoming Examiner workshops

All new examiners are required to attend a training workshop prior to examining and current examiners who have not attended a workshop since August 2016 also need to be retrained to ensure they are up to date with the current examination structure.

Friday 14 January 2022 – Glasgow

If you require any further information on examiner roles, please contact exams@rcem.ac.uk

+ Examination reports

Examination Reports

As part of the Examinations sub-committee’s aim to provide more information to candidates and increase transparency, the Education and Examinations Committees agreed in October 2018 to produce abridged reports on the performance of FRCEM Examinations. The abridged reports will be published on the College website once the full reports have been reviewed by the Education and Examinations Committees, which meet three times a year.

This is the first report to be published and includes information on the standard setting and pass rates. More detailed analysis is planned in future iterations as we develop our reporting capabilities.

2018 abridged FRCEM examination report

2019 abridged FRCEM examination report

+ Exam Results

Exam Results

Candidates’ results are available in their College account, no lists will be published.

Delay to release of the March 2021 FRCEM Intermediate SAQ results – 29 April 2021

An issue with the College’s third-party software used to mark SAQ examinations and the high number of candidates has necessitated the remarking of a small number of questions. The Lead Examiner and College Team have been working hard to complete this work before the scheduled release of results but some activity remains outstanding.

The matter was discussed by the Executive Committee of the College at its meeting on 29 April 2021 and it was agreed that in order to allow for proper quality assurance checks after the remarking the release of these results should, regrettably, be delayed.

We apologise for this delay and can confirm that the results for the March 2021 FRCEM Intermediate SAQ will be released on Friday 7 May 2021. All candidates have been notified directly by email.

29 April 2021



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