This is it.

The final set of exams before your training is complete.

About the exam

The FRCEM exams are changing.  Please go to the RCEM website or read the following document to see how the changes apply to you

Please go to the new exam structure page to see how the FRCEM will be changing.


The FRCEM comes in 5 sections - all must be passed to be awarded fellowship!! This is not easy and as a consequence the pass rate is low.  Follow our tips on How to Pass the exam and use the extensive resources on this site to maximise your chances.  

After you have applied, the first part that you have to complete is the CTR.  The Critical Appraisal and Clinical SAQ come next followed by the OSCEs and then the Vivas (CTR and Management).  Check the Exam Timetable for more info.

Clinical Topic Review (CTR) The candidate will prepare a written dissertation of no more than 3,500 words on a given clinical topic.
Viva on CTR - 15 mins.  This takes place at the same time as the management viva.

Critical Appraisal SAQ
Critical Appraisal SAQ paper on a published paper - 90 mins

Clinical SAQ
20 questions - 2hrs 30 mins

12 stations lasting 8 mins and 2 stations lasting 17 mins. - 2hrs 30 mins duration

Management Viva - 35 mins
Part 1 - In-tray exercise - you will be given documents simulating a Consultant' "in-tray" of management scenarios.
Part 2 - Long case - you will be given a single clinically related topic for discussion. 15 mins ech part plus 5 mins for reading.


How to apply

We strongly recommend that you read the College FRCEM Regulations (effective from Spring 2014), which details the eligibility criteria, before you apply.

Follow the link to the College dates and fees page to plan your application.

Application forms are available via the College FRCEM page.