Official Partner The Royal Society of Medicine



There is currently no FFICM Primary examination. In lieu of this, a pass in the Primary examinations of any other relevant college is considered an acceptable entry requirement for ICM training, including the


The Final FFICM examination may be sat at any point after passing the primary examination in one of the relevant colleges. The Final examination includes the

The OSCE and SOE must be taken together on the candidate’s first attempt.

When applying online, candidates should provide evidence of qualification, such as ICM Stage 1 certificates, MTI supervisor’s reports, or NHS appraisals as required.


The MCQ section of the Final FFCIM tests the candidate’s knowledge of the science applied to clinical practice. This includes resuscitation, management of the acutely ill, diagnosis, monitoring, data management, and investigations. Candidates will also be tested on their knowledge of disease management, therapeutic interventions and organ support, perioperative care, comfort and recovery, paediatric care, transport, patient safety, and health systems management.

The MCQ section of the paper contains 30 single best answer questions, and 60 multiple true false questions.

The next FFICM Final MCQ examination is 10th July 2018.

From the 1st January 2019, the FFICM Final MCQ will consist of 50 MTFs and 50 SBAs to be answered over three hours.

The pass mark for the MCQ exam is set using the Angoff reference method and adjustments are made for the borderline candidate using methods approved by the GMC.


The objective structured clinical examination tests the skills essential for safe practice in ICM, and consists of 13 seven-minute stations, with one minute’s reading time before each. One of the stations is a test station used for validating new questions, and candidates will not be informed of which station it is. The OSCE will feature questions relating to the four following areas:

Each station has a maximum mark of 20, with the pass mark for each station being determined by the Examiners using the Angoff Referencing method. The Angoff scores for each of the 12 live stations are combined for a single overall mark.

Candidates must pass the MCQ before applying for the OSCE or SOE, which must be taken together. If a candidate fails one of the components, then they only have to retake the failed exam. If the candidate fails both, then both components must be retaken together.


The structured oral examination tests candidates’ knowledge of clinical science as applied to the practice of ICM, usually through clinical problems. There will be four 14-minute stations, with each station featuring two questions. The stations will be separated by a two-minute waiting period. The two examiners on each station will use a three-point grading system of two points for a pass, one point for borderline, and no points for a fail, for a maximum of 32 marks across the whole SOE. The pass mark is usually between 80-85%.


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