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The FRCEM OSCE exam assesses the complex and challenging situations that are faced in Emergency Medicine practice.

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.


The FRCEM OSCE consists of 16 8-minute stations, with one minute reading time between stations. There are also two rest stations in the exam.

Station Specialty Learning Outcome
1 Complex stable patient SLO1
2 Complex stable patient SLO1
3 Complex stable patient SLO1
6 Supervising and teaching SLO9
7 Resus SLO3
8 Resus SLO3
9 Resus SLO3
10 Injured patient SLO4
11 Injured patient SLO4
12 Paediatric Emergency Medicine SLO5
13 Management SLO12
14 Management SLO12
15 Management or Research SLO12 / SLO10
16 Management or Research SLO12 / SLO10

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Check out one of our most popular blog posts authored by one of our esteemed members, who was honoured with the prestigious Luka Randic medal. Dive into their insightful journey on how they meticulously prepared for the RCEM exams.

Blog – Reflections on revising for the FRCEM examinations

Getting Ready for the exam

Preparing for the FRCEM (Fellowship of the Royal College of Emergency Medicine) OSCE (Objective Structured Clinical Examination) exam requires a structured and comprehensive approach. Here are some steps to help you prepare effectively:

Understand the Exam Format:

Familiarise yourself with the structure and format of the FRCEM OSCE exam. Understand the stations, time limits, and scoring system. This will give you an idea of what to expect during the exam.

Review the Exam Blueprint:

Carefully review the exam blueprint or syllabus to understand the key areas that will be assessed. Pay close attention to the clinical skills, emergency procedures, communication skills, and professional behaviours that are part of the exam.

Develop Clinical Skills:

Practice and refine your clinical skills. This includes history-taking, physical examination, procedural skills, and communication techniques. Focus on accuracy, efficiency, and effective patient interaction. Consider attending clinical skills workshops or courses to enhance your practical abilities.

Practice OSCE Stations:

Find a collection of OSCE practice stations and scenarios specific to emergency medicine. Work through them to simulate the exam experience. Practice both the clinical and communication skills required for each station. Pay attention to time management and maintaining professionalism during the encounter.

Review Relevant Guidelines and Protocols:

Familiarize yourself with the latest clinical guidelines, protocols, and algorithms related to emergency medicine. Understand how to apply these guidelines in various scenarios that may be encountered during the OSCE. This will help you provide evidence-based care and make appropriate decisions during the exam.

Enhance Communication Skills:

Communication skills are vital in the FRCEM OSCE exam. Practice effective communication techniques such as active listening, empathy, and clear explanations of management plans. Focus on establishing rapport with simulated patients and ensuring they understand the information provided.

Utilise Online Resources:

Take advantage of online resources that offer FRCEM OSCE-specific study materials. These may include videos demonstrating clinical skills, communication techniques, and sample OSCE stations. Online platforms often provide feedback and guidance to help you improve your performance.

Seek Feedback and Self-Reflection:

Regularly seek feedback from peers, instructors, or mentors regarding your performance. Engage in self-reflection to identify areas for improvement. Review your performance after each practice session or mock exam to assess your strengths and weaknesses.

Manage Stress and Maintain Well-being:

The FRCEM OSCE can be demanding, so its important to manage stress and maintain your well-being. Practice relaxation techniques, maintain a healthy lifestyle, get enough sleep, and take breaks during your preparation to ensure you are mentally and physically prepared.

Remember, consistent practice, exposure to various scenarios, and feedback are key to success in the FRCEM OSCE exam. By following these steps and dedicating sufficient time and effort to your preparation, you can increase your chances of achieving a favourable outcome.

Good luck!

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