Regulations & Information Packs

The FRCEM Primary examination is mapped to the Emergency Medicine 2015 Curriculum with more detailed information provided in the RCEM Basic Sciences Curriculum (June 2010) which is available on the 2015 Curriculum page of our website.  All applicants for the FRCEM Primary examination are strongly advised to familiarise themselves with the Basic Sciences Curriculum in preparation for sitting the FRCEM Primary examination.

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

Please see the FRCEM Primary Information Pack (applicable from 1 August 2016) for detailed information for this examination component. 

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).

The SJP will be introduced from Autumn 2017. Please see the FRCEM Intermediate Certificate Information Pack (applicable from 1 August 2016) for detailed information for these examination component.

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.
Changes to the FRCEM Final examination components will be introduced in two stages over a two year period.

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

  • FRCEM Critical Appraisal Short Answer Question (SAQ) Paper
  • FRCEM Clinical Topic Review (CTR)/Quality Improvement Project (QIP), completed during ST4-6, and accompanying Viva
  • FRCEM Management Viva 
  • FRCEM Final Short Answer Question (SAQ) 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.

Please see the FRCEM Final Information Pack (applicable from 1 August 2016) for detailed information for these examination components. 

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.

Additional resources for candidates preparing to sit components of the FRCEM Final examinations are:
Critical Appraisal - Autumn 2010 Advice to Candidates
Critical Appraisal - Most Frequently Offered Answers
Clinical Topic Review (CTR) Guidance
Management Viva - Sample In-Tray Exercise
Management Viva - Sample Marksheets with guide to Sample In-Tray Exercise
Membership by Examination is awarded to candidates who pass three required examination components.  Until August 2016, the College’s examination has been divided into two distinct examination structures: the MRCEM and the FRCEM.  After August 2016, the College’s examination structure is being redefined to reflect that success in the entire suite of examinations leads to the award of Fellowship by Examination (FRCEM).  However, the College continues to offer Membership by Examination (MRCEM) for candidates who have passed all of the following examinations:

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

Required Examinations for the Award of Membership by Examination (MRCEM)

FRCEM Primary
The FRCEM Primary examination is a direct replacement for the MRCEM Part A examination and continues to assess the RCEM Basic Sciences Curriculum.  The examination will consist of a 3 hour, multiple choice question (MCQ) paper of 180, single best answer questions (SBAQ).  Please see the above section for the FRCEM Primary for further information.

FRCEM Intermediate SAQ
The FRCEM Intermediate SAQ is a direct replacement for the MRCEM Part B examination and continues to be 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.  The Short Answer Question Paper comprises of a 3 hour paper of 60, 3 mark questions.  For further details on the FRCEM Intermediate SAQ paper, including format and blueprint, please see the above section for the FRCEM Intermediate Certificate.

MRCEM OSCE (formerly MRCEM Part C)
The MRCEM Objective Structure Clinical Examination (OSCE) is 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 MRCEM are strongly advised to familiarise themselves with the Year 1-3 competences in preparation for sitting this examination.  Success in the MRCEM OSCE alone does not confer Membership (MRCEM).  It is a requirement to pass the three required components listed above.  

Please see the MRCEM Information Pack (applicable from 1 August 2016) for detailed information for this examination component.
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 (applicable from 21 April 2016).
By virtue of entering an examination candidates are deemed to have understood and agreed to abide by all examination regulations and policies.  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 (applicable from 21 April 2016).