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The MRCEM

Doctors who pass three specific Emergency Medicine examinations may earn their Membership of the Royal College of Emergency Medicine. Until August 2016, there were two distinct pathways – one each for the MRCEM and the FRECM (Fellowship of the Royal College of Emergency Medicine). The structure is now much simpler, thanks to a streamlined process leading to the FRCEM.


Required Examinations

After 2016, the RCEM altered their exam structure to ensure that completion of all examinations leads to FRCEM only. However, the MRCEM is still available to those candidates who complete only the

The Membership of the Royal College of Emergency Medicine requires the candidate to successfully pass each of the components.

The FRCEM Primary

The FRCEM Primary examination is a replacement for the Part A, and continues to examine the competences set out by the Royal College of Emergency Medicine’s Basic Sciences Curriculum. The examination itself is a three-hour, multiple choice question (MCQ) paper comprised of 180 single best answer questions, or SBAQs.

The FRCEM Intermediate SAQ

The FRCEM Intermediate SAQ replaces the older Part B examination, but still examines the competences of the first three years of the Emergency Medicine curriculum. Candidates take the Short Answer Question Paper – a three-hour paper comprised of 60 three-mark questions.

The OSCE

The MRCEM Objective Structured Clinical Examination was formerly called the Part C, and examines the competences of the first three years of the ACCS Plus Emergency Medicine curriculum. Applicants for the exam are therefore encouraged to familiarise themselves with the Year 1-3 competences before attending.

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