All you need to know about FRCEM – Top 2021 useful updates

Table of Contents

If you want to get certified in FRCEM, here’s all you need to know about FRCEM

Components of FRCEM

FRCEM full form is Fellowship of the Royal College of Emergency Medicine and it has the following components.

Aug 2018 (Old)

From August 2018, the Fellowship examination had the following components (prior to 2021 changes):

  • FRCEM Primary Examination (Previously MRCEM Part A)
  • FRCEM Intermediate Certificate:
    • Short Answer Question Paper (Previously MRCEM Part B)
    • 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)

Upon finishing all the above exams, you’ll be awarded an FRCEM degree. You will not get any degree after completion of FRCEM Intermediate.

2021 changes


Now this is all going to change in 2021. The first 3 exams will have a name of MRCEM and you’ll be awarded an MRCEM degree upon completion of those. Once you complete the last 2 exams, you shall be awarded FRCEM degree.

MRCEM and FRCEM degrees, as per RCEM

RCEM has announced 2021 changes as follows.

Current nameUpdated name
FRCEM primary SBAMRCEM Primary SBA
FRCEM Intermediate SAQ / MRCEM Part BMRCEM Intermediate SBA
FRCEM Intermediate SJPMRCEM OSCE
FRCEM Final SAQFRCEM SBA
FRCEM OSCEFRCEM OSCE
Name changes in upcoming RCEM 2021 examinations.

Max attempts allowed

The number maximum allowed attempts are going to remain the same as follows, irrespective of the name change. For example, if you took 2 attempts at FRCEM Primary SBA before name change, you’ll have 4 more attempts to clear MRCEM Primary SBA as the max attempts allowed are 6. If you have cleared FRCEM intermediate SJP, it’s valid for 7 years, within which you should enter higher specialty training to attempt FRCEM exams (Final SBA and OSCE).

Maximum allowed attempts.

FRCEM /MRCEM Primary SBA- 6 attempts

FRCEM Intermediate SAQ / MRCEM Part B / MRCEM Intermediate – 6 attempts

FRCEM Final SAQ and OSCE- 4 each

under exceptional circumstances, RCEM may allow you to sit 1 additional attempt at DEAN’s discretion.
All you need to know about FRCEM

How to get MRCEM certification?

From 2021 onwards, clear the first 3 exams from the table given above.

Before 2021, the following 2 options are available .

Option 1 – Clear the MRCEM Part A and part B [1st Aug 2012 to 1st Aug 2016]
AND
clear the MRCEM OSCE (“part C”) after 1st Aug 2012.

OR

Option 2 – Clear FRCEM Primary, FRCEM Intermediate, and MRCEM OSCE (after Aug 2016)


FRCEM/MRCEM Primary SBA

FRCEM Primary / MRCEM Primary SBA (2021)

Assesses the RCEM Basic Sciences Curriculum.  The examination will consist of a 3 hour, multiple choice question (MCQ) paper of 180, single best answer questions (SBA). Please check the curriculum from RCEM linked below. (Version 1.4.4, current as of Aug 2020)

Eligibility : Must have valid / current Medical registration approved by GMC.


FRCEM/MRCEM Intermediate SAQ

FRCEM Intermediate SAQ / MRCEM Intermediate SBA 2021

Mapped to the competences of Year 1-3 of the Emergency Medicine 2015 Curriculum (ACCS Plus) which is available on the 2015 Curriculum page of RCEM website.  The Short Answer Question Paper comprises of a 3 hour paper, with 60 questions of 3 marks each.

Eligibility : 1. Must have valid / current Medical registration approved by GMC.
2. Completed the UK foundation programme or equivalent. (FY1 and FY2) (FY1 is house surgeonship / internship. FY2 is next year of training post)
3. Cleared MRCEM Part A after 1st Aug 2012 or FRCEM Primary after 1st Aug 2016 (MRCS / MRCSI awardees after 1st Jan 2012 can have exemption from Primary)

More info about FRCEM IntermediateHow to apply for FRCEM IntermediateFRCEM 2015 EM Curriculum

MRCEM OSCE

MRCEM OSCE (2021) / Part C

The MRCEM Objective Structure Clinical Examination (OSCE) is mapped to the competences of Year 1-3 of the Emergency Medicine 2015 Curriculum (ACCS Plus). If you have not cleared FRCEM Intermediate SAQ before Aug 2016, you cannot attempt MRCEM OSCE, before you clear the Intermediate SBA (2021).

Eligibility : 1. Must have valid / current Medical registration approved by GMC.
2. Completed the UK foundation programme or equivalent. (FY1 and FY2) (FY1 is house surgeonship / internship. FY2 is next year of training post)
3. Passed the FRCEM Primary or MRCEM Part A after 1st August 2012 or MRCEM Primary SBA (2021).
4. Passed the FRCEM Intermediate SAQ or MRCEM Part B after 1st August 2012 or MRCEM Intermediate SBA (2021).
5. Must have 36 months experience (FY-1 is 12 months. + Out of next 24 moths, minimum 6 months of Emergency medicine is a must.)

More info about MRCEM OSCEHow to apply for MRCEM OSCEFRCEM 2015 EM Curriculum

FRCEM Intermediate certificate

What is FRCEM Intermediate certificate? Doesn’t exist as per 2021 changes

The FRCEM Intermediate Certificate examinations are mapped to the competences of Year 1-3 of the Emergency Medicine 2015 Curriculum (ACCS Plus).  Note: No formal certification is issued (Issued to MRCEM or after full FRCEM only).
The FRCEM Intermediate Certificate consists of the following components:

1- Must’ve cleared the FRCEM Primary exam (or have an exemption*).
2- FRCEM Intermediate Short Answer Question (SAQ) Paper comprising of a 3 hour paper of 60, 3 mark questions
3- FRCEM Intermediate Situational Judgement Paper (SJP) comprising of a 2 hour paper of 120 single best answer questions (SBAQ).
* Trainees who are enrolled on the Defined Route of Entry into Emergency Medicine (DRE-EM) programme and obtained MRCS or MRCSI after 1 January 2012 are exempt from the FRCEM Primary examination.



Locations

Where are the FRCEM exams conducted? (As of Aug 2020)

  • FRCEM Primary- London, Dublin, Edinburgh, Leeds, Cardiff, Chennai, Hyderabad, New Delhi, Reykjavik, Kuala Lumpur, Muscat
  • FRCEM Intermediate SAQ – London, Dublin, Edinburgh, Leeds, Cardiff, Chennai, Hyderabad, New Delhi, Muscat, Kuala Lumpur
  • FRCEM intermediate SJP – London, Dublin, Edinburgh, Leeds, Cardiff, Kuala Lumpur
  • MRCEM OSCE – London and centres in India
  • FRCEM Final SAQ/CA – London, Nottingham, Manchester, Cardiff, Edinburgh, Dublin, Southampton
  • FRCEM OSCE – London
  • FRCEM Final QIP – Online submission

Fee structure

FRCEM Examination fee structure (current as of Feb 2021)

FRCEM Intermediate and MRCEM exams
  • FRCEM Primary – £330
  • FRCEM Intermediate Short Answer Question paper – £335
  • FRCEM Intermediate Situational Judgement Paper – £220
  • MRCEM (OSCE) Objective Structured Clinical Examination – £450.00 (UK and India Centres)
  • MRCEM Primary – £330
  • MRCEM SBA – £335 

FRCEM Final Examinations

  • Clinical SAQ – £345
  • Critical appraisal SAQ – £265
  • QIP – £150
  • OSCE – £465
  • FRCEM SBA – £345

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