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MRCEM Exams

MRCEM Exams

Information covering MRCEM Primary, MRCEM Intermediate SBA & MRCEM OSCE exams.

MRCEM Primary

The MRCEM Primary examination is a theoretical exam mapped to the Emergency Medicine 2021 Curriculum with more detailed information provided in the RCEM Basic Sciences Curriculum (June 2010) which is available on the RCEM website. All applicants for the MRCEM Primary examination are strongly advised to familiarise themselves with the Basic Sciences Curriculum in preparation for sitting the MRCEM Primary examination. The MRCEM Primary exam was previously called the FRCEM Primary from August 2016 – July 2021.

+ Who can sit the exam?

No previous experience in Emergency Medicine is required for the MRCEM Primary exam.
A candidate will be eligible to enter the MRCEM Primary examination provided they hold a medical qualification approved by the General Medical Council (GMC) for the purposes of registration.

The examination is conducted in English and candidates are advised that IELTS Level 7 is the expected standard for completion of MRCEM and FRCEM examinations.

+ When does the exam take place?

Please see the Exam Calendar

+ How do I book the exam?

Candidates must apply for the exam online, during the published application window.

Applications will open at 10.00am on the morning of the application opening date listed on the Exam Calendar and close automatically at 5.00pm (UK time) on the listed closing date. Applications must be completed before 5.00pm on the closing date, late applications will not be accepted.
See Applications page

+ How much does it cost?

Please refer to the list of examination fees.

+ Where does the exam take place?

RCEM delivers its written examinations worldwide via computer-based testing company, Pearson VUE. You can search for a test centre near you on the Pearson VUE website.

+ What is the structure of the exam?

The MRCEM Primary examination consists of a 3-hour, multiple choice question (MCQ) paper of 180, single best answer questions (SBAQ).

The exam blueprint and sample questions are available in the MRCEM Primary information pack.

Guidance for Candidates with Additional Requirements

The College is committed to supporting candidates by providing fair opportunities
when undertaking examinations. Candidates may submit a request for reasonable
adjustments and should note that the responsibility for requesting adjustments lies
with them. Please see this guidance here.

+ How is the exam marked and standard set?

The MRCEM Primary is machine marked, a correct answer is awarded 1 mark and an incorrect answer is awarded 0, negative marking does not apply. The pass mark for the exam is determined using the Angoff method.

Further Information on the Angoff method.

+ When will my result be available?

Results will be published on a pre-advised day by 17:00, approximately five weeks after the date of the examination. Results will be released to candidates’ College website accounts where results letters can be downloaded on demand. Examination results will not be issued or confirmed by telephone or email.

MRCEM Intermediate SBA

The MRCEM Intermediate SBA is a theoretical exam assessing understanding of the full range of conditions and presentation that may be encountered in the ED. Candidates should familiarise themselves with the Year 1-3 SLOs in preparation for sitting the examination. The MRCEM Intermediate SBA examination replaced the FRCEM Intermediate SAQ from August 2021.

+ Who can sit the exam?

The MRCEM Intermediate SBA is the second exam required for MRCEM and is open to candidates who have passed the MRCEM Primary (or equivalent) exam.  There is no eligibility requirement for experience in EM but candidates will find this beneficial. Applicants are required to hold a medical qualification approved by the General Medical Council (GMC) for the purposes of registration and are required to have completed the UK training programme or equivalent (and submit electronic evidence at the point of application.)

The examination is conducted in English and candidates are advised that IELTS Level 7 is the expected standard for completion of MRCEM and FRCEM examinations.

+ When does the exam take place?

Please see the Exam Calendar

+ How do I book the exam?

Candidates must apply for the exam online, during the published application window.

Applications will open at 10.00am on the morning of the application opening date listed on the Exam Calendar and close automatically at 5.00pm (UK time) on the listed closing date. Applications must be completed before 5.00pm on the closing date, late applications will not be accepted.
See Applications page

+ How much does it cost?

Please refer to the list of examination fees.

+ Where does the exam take place?

RCEM delivers its written examinations worldwide via computer-based testing company, Pearson VUE. You can search for a test centre near you on the Pearson VUE website.

+ What is the structure of the exam?

The MRCEM Intermediate SBA examination consists of 180 SBA questions presented across two papers each lasting two hours. An hour’s break is provided in the middle of the exam.

The exam blueprint and sample questions are available in the MRCEM Intermediate SBA information pack.

Guidance for Candidates with Additional Requirements

The College is committed to supporting candidates by providing fair opportunities
when undertaking examinations. Candidates may submit a request for reasonable
adjustments and should note that the responsibility for requesting adjustments lies
with them. Please see this guidance here.

+ How is the exam marked and standard set?

The MRCEM SBA is machine marked, a correct answer is awarded 1 mark and an incorrect answer is awarded 0, negative marking does not apply.  The cut score for the exam is determined using the Angoff method, +1 Standard Error Measurement is added to create the pass mark.

Further Information on the Angoff method.

+ When will my result be available?

Results will be published on a pre-advised day by 17:00, approximately five weeks after the date of the examination. Results will be released to candidates’ College website accounts where results letters can be downloaded on demand. Examination results will not be issued or confirmed by telephone or email.

MRCEM OSCE

The MRCEM OSCE is the third exam required for Membership of the Royal College of Emergency Medicine and assesses the clinical and communication skills of trainees and ensures that they are those of someone ready for higher training.

+ Who can sit the exam?

The MRCEM OSCE is open to candidates who have passed the Primary and MRCEM Intermediate SBA (or equivalent).  Candidates are also required to have at least 24 months experience post qualification and at least six months experience in EM (post FY1/intern level).

The examination is conducted in English and candidates are advised that IELTS Level 7 is the expected standard for completion of MRCEM and FRCEM examinations.

+ When does the exam take place?

Please see the Exam Calendar

+ How do I book the exam?

Candidates must apply for the exam online, during the published application window.

Applications will open at 10.00am on the morning of the application opening date listed on the Exam Calendar and close automatically at 5.00pm (UK time) on the listed closing date. Applications must be completed before 5.00pm on the closing date, late applications will not be accepted.

See Applications page

+ How much does it cost?

Please refer to the list of examination fees.

+ Where does the exam take place?

The MRCEM OSCE is delivered in London (UK), Kuala Lumpur (Malaysia), Chennai, Hyderabad, Mumbai and Kochi (India).

+ What is the structure of the exam?

The MRCEM OSCE consists of 18 7-minute stations, with one minute reading time between stations. There are also two rest stations in the exam.

The exam blueprint and sample questions are available in the MRCEM OSCE information pack.

Guidance for Candidates with Additional Requirements

The College is committed to supporting candidates by providing fair opportunities
when undertaking examinations. Candidates may submit a request for reasonable
adjustments and should note that the responsibility for requesting adjustments lies
with them. Please see this guidance here.

+ How is the exam marked and standard set?

The MRCEM OSCE is marked according to a checklist. As each station checklist has a different number of marks available, the marks are converted to a score out of 10 (weighted score) so that all stations are equally weighted.

The cut score for this exam is determined using the borderline regression method, +1 Standard Error Measurement is added to create the pass mark.

+ When will my result be available?

Results will be published on a pre-advised day by 17:00, approximately five weeks after the date of the examination. Results will be released to candidates’ College website accounts where results letters can be downloaded on demand. Examination results will not be issued or confirmed by telephone or email.

 

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