Information about MRCEM Primary exam Best info in 2024

Table of contents

The MRCEM Primary examination is the first exam towards fellowship from Royal college of emergency medicine (RCEM – UK). You’ll learn about eligibility, exam pattern, what to read, number of attempts allowed, how to prepare, how to apply etc. information about MRCEM Primary exam.

Read about the full FRCEM Journey


  • Hold a medical qualification approved by the General Medical Council (GMC) for the purposes of registration.
  • Candidates registered with the Irish Medical Council (IMC) or an international medical council are required to upload a copy of their current medical registration document at the time of application.

Number of attempts

Candidates are permitted a maximum of six attempts. Previous attempts at the FRCEM Primary 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.

Exam pattern

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

Marks per subject

Anatomy – 60

Upper limb
Lower limb
Head and Neck
CNS + Cranial Nerve Lesions

Pathology 9

Inflammatory responses
Immune responses
Wound healing

Physiology 60

Basic celluar
Renal physiology

Evidence Based
Medicine 10

Study methodology
Principles of critical appraisal

Pharmacology 24

Fluids / electrolytes
Immunology /vaccines

Microbiology 17

Principles of microbiology
Pathogen groups

Pass mark and Results

The standard set using the Angoff Method (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.

The passing score doesn’t change based on students performance. So sharing your knowledge with your friends will not make it tough for you. Discuss important topics and clear together. And if you need assistance, check our online classes scheduled 2-3 months before every exam. If you miss them, we might have a last minute crash course too. Check our homepage.

Results will be available on the candidates Dashboard on RCEM website.

Previous pass mark.

The official reports will publish the details of pass mark and other overall statistics. Here is the pass mark (cut off ) for MRCEM Primary in last sittings.

  • 97.5 Dec 2016 (No Qs removed. Anat 60, Physio 60, Pharma 27, Micro 18, Path 9, EBM 6)
  • 97 in Jun 2017 (No Qs removed. Anat 60, Physio 60, Pharma 27, Micro 18, Path 9, EBM 6)
  • 97 in Dec 2017 (16 Qs removed. Anat 54, Physio 53, Pharma 25, Micro 17, Path 9, EBM 6)
  • 93 in Jun 2018 (14 Qs removed. Anat 60, Physio 54, Pharma 24, Micro 15, Path 8, EBM 5)
  • 93.65 in Dec 2018 (15 Qs removed, Anat 56, Physio 54, Pharma 26, Micro 16, Path 8, EBM 5)
  • 98.4 in Jun 2019
  • 97 in Dec 2019
  • 100 and 98 in Aug 2020 (Exam was on 2 days)
  • 100 in Dec 2020
  • 103 in Jul 2021
  • 104 in Dec 2021
  • 110 in Jun 2022
  • 108 in Nov 2022

2024 MRCEM Primary exam schedule

ExaminationExam DatesCentresApplication DatesResults Date
MRCEM Primary21 May 2024Pearson VUE21 Feb – 28 Feb 202403 Jul 2024
MRCEM Primary29 Oct 2024Pearson VUE24 Jul – 31 Jul 2023 TBC
Updated 21 May 2023 – Please check official RCEM page for accurate info. If it says Pearson Vue, it’ll be conducted in UK and internationally.

Exam fee

As on 21 May 2023, the RCEM page lists the MRCEM Primary fee as – £369

Ready to apply?

Read How to apply for MRCEM primary exam

Revision workshops

If you need some help revise the topics faster, please check our home page for any upcoming online revisions. Check reviews on Facebook page.

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