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.

The MRCEM OSCE is the third exam required for Membership of the Royal College of Emergency Medicine and assesses the clinical and communication skills of trainees and ensures that they are those of someone ready for higher training.

For more details regarding the MRCEM Primary like who can sit the exam, where the exam takes place and how it is marked and when the results are given visit the RCEM Exam pages.

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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

The glossary of terms used in the RCEM examinations can be found on the Royal College of Emergency Medicine website.

Exam Dates and Fees

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.

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