Successfully completing the FRCEM (Fellowship of the Royal College of Emergency Medicine) examinations is an essential milestone for those aspiring to establish a career in emergency medicine. The FRCEM assessment consists of three distinct stages: MRCEM Primary, MRCEM OSCE + SBA, and FRCEM SBA + OSCE. This blog aims to elucidate the primary distinctions between the MRCEM Primary and MRCEM SBA examinations, providing insights into what candidates can anticipate and how to prepare efficiently.


1. Objective and Scope


MRCEM Primary (Previously Known as the FRCEM Primary)


  • Objective: The MRCEM Primary examination aims to assess the fundamental knowledge in basic sciences pertinent to the field of emergency medicine.
  • Scope: It encompasses subjects such as anatomy, physiology, pharmacology, microbiology, and pathology.
  • Intended Participants: This examination is generally undertaken by individuals in the initial phases of their training in emergency medicine. RCEM states that to be eligible for the MRCEM Primary, applicants must: 
    • Hold a PMQ accepted by the General Medical Council (GMC)
    • Hold a current medical registration (provisional or full)


MRCEM SBA


  • Objective: The MRCEM SBA exam measures your capability to implement clinical knowledge and skills relevant to emergency medicine.
  • Scope: It emphasises clinical topics such as resuscitation, trauma, paediatrics, toxicology, and acute medical conditions, as well as leadership and departmental management.
  • Intended Participants: This assessment is aimed at those who have finished the MRCEM Primary and have a few years of postgraduate experience.


2. Exam Structure


MRCEM Primary


  • Format: The exam consists of Single Best Answer (SBA) questions.
  • Duration: 3 hours.
  • Number of Questions: 180.
  • Content: The questions are based on the basic sciences and their application to emergency medicine.


MRCEM SBA


  • Format: The exam consists of Single Best Answer (SBA) questions.
  • Duration: Two papers, each lasting two hours. An hour’s break is provided during the exam- although you can cut this break short.
  • Number of Questions: 180.
  • Content: The SBA questions focus on clinical scenarios.


3. Difficulty Level


MRCEM Primary


  • Difficulty: The Primary examination is primarily based on knowledge and requires a comprehensive understanding of basic sciences. It is simpler than the MRCEM SBA examination and easier to pass the closer you are to medical school- as there is a good amount of overlap with the syllabuses’.
  • Preparation: Prioritize the understanding of fundamental concepts and the memorisation of critical facts.


MRCEM SBA


  • Difficulty: The MRCEM SBA examination is designed to focus more on clinical applications, necessitating the use of knowledge in practical situations.
  • Preparation: It is essential to concentrate on clinical reasoning, practice with previous examination topics, and enhance abilities in the critical evaluation of research. The RCEM e-learning section is invaluable.


4. Preparation Strategies


MRCEM Primary


  • Study Resources: Utilize textbooks such as “Revision Notes for the FRCEM Primary " along with online question banks for comprehensive preparation
  • Practice: Take mock exams to familiarise yourself with the SBA format.
  • Tip: Focus on high-yield topics like anatomy, physiology, and pharmacology.


MRCEM SBA


  • Study Resources: Utilize clinical textbooks such as “The Oxford Handbook of Emergency Medicine” and engage with scenario-based questions to enhance your practical skills
  • Tip: Join study groups or online forums to discuss clinical cases and share resources


5. Which Exam Should You Take First?


  • If you’re starting your journey in emergency medicine, the MRCEM Primary is your first step. Once you’ve passed the Primary and gained some clinical experience, you can move on to the MRCEM SBA.
  • Remember, both exams require dedication and consistent effort. Start early, create a study plan, and use reliable resources.


6. How StudyFRCEM Can Help


At StudyFRCEM, we provide the tools and resources you need to succeed in the FRCEM SBA exam. Here’s how we can support your preparation:

  1. Interactive Quizzes: Test your knowledge with our FRCEM Quiz Demo.
  2. Study Materials: Access high-quality study resources tailored to the FRCEM curriculum.


Ready to take the next step? Register Now to unlock exclusive resources and start your FRCEM journey today!


Conclusion


The MRCEM Primary and MRCEM SBA exams are both critical milestones in your emergency medicine career. While the Primary focuses on foundational knowledge, the MRCEM SBA tests your clinical skills and ability to apply that knowledge. By understanding the differences between the two exams, you can tailor your preparation strategy and increase your chances of success.


If you have any questions or need further guidance, feel free to contact us. We’re here to help you every step of the way!