MRCEM Intermediate Exam

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Exam Structure

The MRCEM Intermediate examination is a Single Best Answer (SBA) paper, replacing the FRCEM Intermediate SAQ. The examination comprises 180 questions to be answered in four hours, presented as two 90 question papers with two hours per paper sat on the same day with a one-hour break. Sample questions are available on the Royal College of Emergency Medicine website. RCEM delivers its written examinations electronically via computer-based testing company, Pearson VUE. The examination is conducted in English and candidates are advised that IELTS Level 7 is the expected standard for completion of MRCEM examinations.

Exam Content

The MRCEM Intermediate examination is mapped to the Specialty Learning Outcomes (SLO) of Year 1-3 of the 2021 Emergency Medicine Curriculum. All applicants for the MRCEM Intermediate examination are strongly advised to familiarise themselves with the 2021 curriculum, paying particular attention to the key capabilities and descriptors for each SLO assessed in this examination. The RCEM Clinical Syllabus will be sampled across the examination and syllabus categories and descriptor highlights are indicated against each SLO as a revision aide. The full MRCEM Intermediate Examination Blueprint can be found on the Royal College of Emergency Medicine website. The basic blueprint is as follows:

  • SLO 1 Complex Stable Patient – 55 questions
  • SLO3 Resuscitate – 40 questions
  • SLO4 Injured Patient – 30 questions
  • SLO5 Paediatric Emergency Medicine – 25 questions
  • SLO6 Procedural Skills – 20 questions
  • SLO7 Complex or Challenging Situations – 10 questions

Exam Dates and Fees

Exam Date Application Dates Results Date
14th September 2021 26th April 2021 – 2nd July 2021 29th October 2021

The MRCEM Intermediate examination fee is £335. Please note that candidates sitting the examination in an overseas centre may be required to pay additional local fees. Up to date MRCEM Intermediate Examination Dates and Fees are published on the Royal College of Emergency Medicine website.

Exam Applications

Online applications for all examinations will open at approximately 10am (GMT time) on the listed application opening date and close automatically at 5pm (GMT time) on the listed application closing date. Applications must be completed before 5pm on the closing date, late applications will not be accepted. The link to the MRCEM Intermediate Examination Application Form will be made available on the Royal College of Emergency Medicine website on the listed application opening day.

Exam Results

The MRCEM Intermediate examination is standard set using a modified Angoff Method. One standard error of measurement (SEM) will be added to the cut score identified using the Angoff method to calculate the required final pass mark for the examination. The MRCEM Intermediate examination results will be published on the 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.

More Information

Please see the MRCEM Intermediate Examination Information Pack (February 2021) for detailed information for this examination component. For further queries please contact the Royal College of Emergency Medicine directly by email: [email protected] or phone: +44 (0) 20 7067 1268.

Learn more about our MRCEM Intermediate Revision Course

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