Once you have cleared MRCEM primary (previously MRCEM Part A or FRCEM primary), the next step is MRCEM intermediate exam. Let’s get to know more about it.
Table of Contents
- Examination fee
- Next dates
- Number of attempts
- Exam structure
- Sample questions
- Scoring and results
A candidate will be eligible to enter the MRCEM Intermediate SBA examination provided they fulfill the following criteria:
- Registration – Hold a medical qualification approved by the General Medical Council (GMC) for the purposes of registration. (If you were allowed to take the Primary exam, that means you have the necessary qualification).
- Foundation year – Completed the UK foundation programme or equivalent. (FY1 is house surgeonship / internship. FY2 is next year of training post)
- Primary – Passed the FRCEM Primary or MRCEM Part A after 1st August 2012 or MRCEM Primary SBA (2021).
DREEM trainee and has been granted exemption from the FRCEM Primary,
MRCEM Part A or MRCEM Primary as a result of obtaining MRCS or MRCSI after 1 January 2012
MRCEM SBA – £335 as on June 28th 2021.
Next MRCEM SBA exam date is 14th September 2021
Check the future dates on RCEM dates and fees page.
Number of attempts
Candidates are permitted a maximum of six attempts. Previous attempts at the FRCEM Intermediate SAQ taken after August 2016 will be counted. In exceptional circumstances candidates may apply for approval for an additional attempts (approval at the discretion of the Dean, whose decision is final).
In case the college changes the exam pattern or decides to void previous PASS status, you’ll be given 24 months of validity for current ‘pass’ status.
The MRCEM Intermediate SBA examination consists of a multiple-choice question (MCQ) paper of 180, single best answer questions (SBAQ).
The examination is delivered as two, two-hour examination papers each containing 90 questions. The two papers are
delivered on the same day with a one-hour break.
RCEM delivers its written examinations electronically via computer-based testing company, Pearson VUE.
The 180 marks have been divided into the following sub categories. So, concentrate on high yield topics to clear the exam.
|Curriculum Category||Syllabus categories/highlighted descriptors||Marks|
|SLO 1 Complex |
SLO1 Key capabilities
|Allergy | Cardiology|
Dermatology | Ear, nose and throat
Elderly care / frailty | Endocrinology
Gastroenterology and hepatology
Haematology | Infectious diseases
Maxillofacial / dental | Mental Health
Nephrology | Neurology
Obstetrics & Gynaecology
Ophthalmology | Pain & sedation
Pharmacology and poisoning
Respiratory | Sexual health
Urology | Vascular
ACCS LO8 organ failure
(Excluding major trauma)
SLO3 Key capabilities
Palliative and end of life care
including other clinical presentations
|SLO4 injured patient |
SLO4 Key capabilities
|Pain and sedation|
including other clinical presentations
|SLO 5 PEM|
SLO5 Key capabilities
|All clinical syllabus categories as applicable to PEM, and additional PEM specific categories:|
Safeguarding and psychosocial emergencies in children
|SLO6 Procedural skills|
ACCS LO7 basic
SLO6 Key capabilities
ACCS LO7 key capabilities
ACCS LO7 Descriptors
|Advanced airway management |
Fracture/ dislocation manipulation
Pain and sedation
Vascular access in emergency- IO, femoral vein
|SLO7 Complex or |
SLO7 Key capabilities
|Legislation and legal framework 10|
Evidence and guidelines
RCEM has provided some sample questions to help you familiarize with the new MRCEM Intermediate SBA exam pattern
Scoring and results
The MRCEM Intermediate SBA 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. (What is angoff method? It uses a group of experts to judge how difficult each question is in an exam to determine the cut-off score). Some questions may be deleted later on.
The results will be published on a pre-advised day by 17:00 (GMT), approximately five weeks later.
How to check RCEM results?