New MRCEM Exams Overview

The current FRCEM examination structure will finish in Spring/Summer 2021 and the new MRCEM examination structure will be introduced from August 2021. The proposed exam structure is as follows:

  • MRCEM Primary Single Best Answer (SBA)
  • MRCEM Intermediate Single Best Answer (SBA)
  • MRCEM Objective Structured Clinical Examination (OSCE)

MRCEM Primary SBA

The new MRCEM Single Best Answer (SBA) paper will replace the FRCEM Primary SBA. The first sitting is on 1st December 2021.

  • Single best answer paper assessing basic science underpinning EM care 
  • Blueprinted to basic sciences curriculum 
  • Same format as FRCEM Primary 
  • No restriction in the currency of a pass in FRCEM Primary 
  • Existing pass in MRCEM Part A between August 2012 – August 2016 remain valid 
  • Prior unsuccessful attempts at the FRCEM Primary will be counted 

MRCEM Intermediate SBA

The new MRCEM Single Best Answer (SBA) paper will replace the FRCEM Intermediate SAQ. The first sitting of the MRCEM Intermediate is on 14th September 2021.

  • Single best answer paper assessing understanding of the full range of conditions and presentation that may be encountered in the ED 
  • 180 questions, presented as two 90 question papers with two hours per paper 
  • Will replace the FRCEM Intermediate SAQ and MRCEM Part B (which have a similar syllabus though a different format) 
  • Existing passes in MRCEM B (after 2012) and FRCEM Intermediate SAQ remain valid 
  • Prior unsuccessful attempts at the Intermediate SAQ will be counted 

MRCEM OSCE

The new MRCEM OSCE will replace the FRCEM Intermediate SJP. The first sitting of the MRCEM OSCE will be in November 2021.

  • Objectively samples the clinical and communication skills of trainees and ensures that they are those of someone ready for higher training
  • Will replace the existing Intermediate SJP exam (NB. a prior pass in the Intermediate SJP will count for eligibility to undertake FRCEM Final examination and will be accepted for progression to ST4)
  • A pass in the SJP will have currency for seven years for entry to higher specialty training
  • Existing MRCEM OSCE passes achieved between August 2014 and before end of July 2018 will be valid for FRCEM eligibility and entry to higher training
  • From August 2021, all existing MRCEM OSCE passes achieved between August 2014 and July 2021 will be accepted for FRCEM eligibility and entry to higher training (this was approved by the GMC as part of the 2021 curriculum submission)
  • Prior unsuccessful attempts at MRCEM OSCE will be counted
  • Prior unsuccessful attempts at the SJP will not be counted

For more information not the new MRCEM examinations please visit the RCEM website.