Passing the FRCEM exams on your first attempt is challenging but entirely possible with the right approach. It requires a solid understanding of the syllabus, a structured study plan, and smart exam strategies.


Understanding the FRCEM Exam Structure


The FRCEM exam consists of three key stages, each designed to test different aspects of emergency medicine knowledge:

  • MRCEM Primary: Focuses on basic sciences like anatomy, physiology, pharmacology, pathology, microbiology, and evidence-based medicine.
  • MRCEM SBA & OSCE: Assesses applied clinical knowledge based on real-world emergency medicine scenarios.
  • FRCEM Final SBA & OSCE: Evaluates practical clinical skills, decision-making, and evidence-based application in patient care. The OSCE simulates scenarios you may encounter as a consultant, and the SBA expects a similar level of critical thinking and knowledge.


Step 1: Build a Study Plan & Stick to It


Success requires a well-organized study schedule. Break up your preparation into manageable stages rather than overdoing:

  • Set realistic goals: Allocate study hours based on your work schedule.
  • Use time blocks: Dedicate specific time slots for different subjects. The Pomodoro Technique (25-minute focused study, 5-minute break) can be useful.
  • Mix revision techniques: Active recall, practice questions, and teaching others reinforce learning.

 Need help structuring your study plan? Contact us for guidance! 

Step 2: Choose the Right Study Resources


Not all study materials are created equal. Focus on high-yield resources:

  • Books: "FRCEM Primary Revision Notes," "Oxford Handbook of Emergency Medicine."
  • Question Banks: Pastest, PassMedicine, FRCEMtutor for the Primary and MRCEM SBA, StudyFRCEM for the FRCEM SBA
  • Online Courses: Bromley is the stand-out national course for the OSCEs, although there may be more local to you
  • Flashcards & Mnemonics: Anki and visual learning tools for better retention.

 Practice is key—Try our free quiz demo to test your knowledge! 

Step 3: Master Practice Questions & Mock Exams


Passively reading books won’t be enough—you need active engagement through practice.

  • Solve at least 50-100 questions per day, increasing as the exam approaches.
  • Time yourself to simulate exam conditions.
  • Focus on why you got an answer wrong rather than just memorizing facts.


Step 4: Exam-Day Strategies


The big day is here—stay calm and stick to a game plan:

  • Get a good night's sleep before the exam. Sleep enhances recall.
  • Read questions carefully to avoid common traps.
  • Manage time effectively, especially for OSCE stations. If you can't remember something, move on to maximize marks—remember that there is no negative marking for the SBA exams.


Final Thoughts

The FRCEM exams require dedication, but passing on the first attempt is within reach with a structured study plan, the right resources, and consistent practice. Stay focused, trust your preparation, and keep pushing forward! 
Ready to take the next step? Register now and start your FRCEM journey today!