About the FRCEM Primary Exam

What is Fellowship by Examination (FRCEM)?

From August 2018, the Fellowship examination consists of the following components:

  • FRCEM Primary Examination
  • FRCEM Intermediate Certificate:
    • Short Answer Question Paper
    • Situational Judgement Paper
  • FRCEM Final Examination:
    • Critical Appraisal (Short Answer Question Paper)
    • Quality Improvement Project (QIP)
    • Clinical Short Answer Question Paper
    • Objective Structured Clinical Examination (OSCE)

Success in all components leads to the award of Fellowship by Examination (FRCEM).

For further information regarding each individual examination component, please refer to the relevant section on the Regulations and Information Packs page on the Royal College of Emergency Medicine website.

For further queries, please contact the Royal College of Emergency Medicine by email: exams@rcem.ac.uk or phone: +44 (0) 20 7067 1268.

What is Membership by Examination (MRCEM)?

The College continues to offer Membership by Examination (MRCEM) for candidates who have passed all of the following examinations:

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

For further information regarding each individual examination component, please refer to the relevant section on the Regulations and Information Packs page on the Royal College of Emergency Medicine website.

For further queries, please contact the Royal College of Emergency Medicine by email: exams@rcem.ac.uk or phone: +44 (0) 20 7067 1268.

Where can I find the FRCEM Primary exam regulations?

The FRCEM Primary Regulations and Information Pack can be found on the Royal College of Emergency Medicine website.

For more information regarding the FRCEM Primary examination, please refer to the Exams and Training section on the Royal College of Emergency Medicine website.

For further queries, please contact the Royal College of Emergency Medicine by email: exams@rcem.ac.uk or phone: +44 (0) 20 7067 1268.

Who is eligible to sit the FRCEM Primary exam?

A candidate will be eligible to enter the FRCEM Primary examination provided he/she holds 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 the FRCEM examinations.

For more information regarding eligibility, please refer to the FRCEM Primary Regulations and Information Pack on the Royal College of Emergency Medicine website.

For further queries, please contact the Royal College of Emergency Medicine by email: exams@rcem.ac.uk or phone: +44 (0) 20 7067 1268.

What level of english is expected to be able to sit the FRCEM Primary exam?

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

For more information regarding eligibility, please refer to the FRCEM Primary Regulations and Information Pack on the Royal College of Emergency Medicine website.

For further queries, please contact the Royal College of Emergency Medicine by email: exams@rcem.ac.uk or phone: +44 (0) 20 7067 1268.

What is the structure and format of the FRCEM Primary exam?

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

The FRCEM Primary examination is mapped to the RCEM Emergency Medicine 2015 Curriculum with more detailed information provided in the RCEM Basic Sciences Curriculum (June 2010).

The blueprint for the FRCEM Primary Examination is as follows:

  • Anatomy – 60 Questions
  • Physiology – 60 Questions
  • Pharmacology – 27 Questions
  • Microbiology – 18 Questions
  • Pathology – 9 Questions
  • Evidence Based Medicine – 6 Questions

FRCEM Primary Sample Questions are available on the Royal College of Emergency Medicine website.

Plus, try our free FRCEM Primary Revision Course Demo.

Where can I find sample questions for the FRCEM Primary exam?

FRCEM Primary Sample Questions are available on the Royal College of Emergency Medicine website.

Plus, try our free FRCEM Primary Revision Course Demo.

What curriculum should I used to prepare for the FRCEM Primary exam?

The FRCEM Primary examination is mapped to the RCEM Emergency Medicine 2015 Curriculum with more detailed information provided in the RCEM Basic Sciences Curriculum (June 2010).

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.

Our FRCEM Primary Revision Course is mapped to the Royal College of Emergency Medicine curricula, providing access to 3000+ questions with detailed answers and explanations. Learn more.

What resources can I use to prepare for the FRCEM Primary exam?

The FRCEM Primary examination is mapped to the RCEM Emergency Medicine 2015 Curriculum with more detailed information provided in the RCEM Basic Sciences Curriculum (June 2010).

FRCEM Primary Sample Questions are available on the Royal College of Emergency Medicine website.

FRCEM Success is a specialist Emergency Medicine online revision platform that has been developed to guide doctors through their FRCEM exams by providing a comprehensive, time efficient and personalised revision resource. Try our free FRCEM Primary Revision Course Demo.

When can I next sit the FRCEM Primary exam?

Up to date FRCEM Primary Exam Dates are published by the Royal College of Emergency Medicine.

Exam Date Application Dates Results Date
5th December 2019 1st July 2019 – 3rd September 2019 17th January 2020
4th June 2020 6th January 2020 – 20th March 2020 10th July 2020
3rd December 2020 6th July 2020 – 11th September 2020 22nd January 2021

How much does it cost to sit the FRCEM Primary exam?

The FRCEM Primary exam costs £310.00 (UK Centres) or £390 (Iceland, Malaysia and Oman).

The College runs a number of examinations overseas in collaboration with 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).

Up to date FRCEM Primary Exam Fees are published by the Royal College of Emergency Medicine.

How do I apply to sit the FRCEM Primary exam?

Online applications for the examination will open at approximately 10.ooam (GMT time) on the application opening date and close automatically at 5.00pm (GMT time) on the listed closing date. Applications received after this will not be accepted.

The link to the FRCEM Primary Exam Application Form will be made available on the given day the application is due to open.

Exam Date Application Dates Results Date
5th December 2019 1st July 2019 – 3rd September 2019 17th January 2020
4th June 2020 6th January 2020 – 20th March 2020 10th July 2020
3rd December 2020 6th July 2020 – 11th September 2020 22nd January 2021

What is the pass mark for the FRCEM Primary exam?

The FRCEM Primary exam is standard set using the Angoff Method. This means the pass mark varies between exam diets.

The pass mark for the June 2018 FRCEM Primary exam was 56%.

The pass rate (% of users passing the exam) for the June 2018 FRCEM Primary exam was 45.5%.

More detailed FRCEM Primary Examination Reports can be found on the Royal College of Emergency Medicine website.

Where can I find the FRCEM Primary exam results?

The FRCEM Primary Exam Results will be published on a pre-advised day approximately three weeks after the date of the examination.

Result letters and feedback will be posted to candidates within four weeks of the publication of results.

Exam Date Application Dates Results Date
5th December 2019 1st July 2019 – 3rd September 2019 17th January 2020
4th June 2020 6th January 2020 – 20th March 2020 10th July 2020
3rd December 2020 6th July 2020 – 11th September 2020 22nd January 2021

Where can I find more information about the FRCEM Primary exam?

For more information regarding the FRCEM Primary examination, please refer to the Exams and Training section on the Royal College of Emergency Medicine website.

For further queries, please contact the Royal College of Emergency Medicine by email: exams@rcem.ac.uk or phone: +44 (0) 20 7067 1268.

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