What each exam tests, when it runs and what it costs — mapped to the 2025 RCEM curriculum, and matched to the UK's largest EM question bank so you revise exactly how you're examined.
Two qualifications, five exams. MRCEM (Membership) is the gateway into higher specialty training (ST4+). FRCEM (Fellowship) is the exit exam you complete during higher training to earn your CCT.
MRCEM components must be passed in order — Primary, then SBA, then OSCE. FRCEM SBA and OSCE may be sat in either order. You have seven years to complete MRCEM, then further seven-year windows to start and to finish FRCEM.
Formats, content and eligibility for all five exams. Fees are confirmed for 2026 (UK rates shown); international and centre-specific fees differ — see the RCEM calendar.
Formerly FRCEM Primary (2016–2021)
Replaced the FRCEM Intermediate SAQ (2021)
In-person clinical exam
Replaced the FRCEM Final SAQ (2021)
London only
Application windows open at 10am UK and close seven days later at 4pm UK. Theory results follow in about 6–8 weeks, OSCE results in about 5. Dates and fees are confirmed for 2026 — always confirm on the RCEM exam calendar before booking.
| Exam | 2026 sittings | Applications close | Fee · UK member / non-member |
|---|---|---|---|
| MRCEM Primary | 22 Apr · 27 Oct | 18 Dec 2025 · 22 Jul 2026 | £429 / £525 |
| MRCEM SBA | 21 Jan · 16 Sep | 5 Nov 2025 · 17 Jun 2026 | £429 / £525 |
| MRCEM OSCE | Jan · May–Jun · Nov (London) + India & Malaysia windows | See calendar | £586 / £695 |
| FRCEM SBA | 20 May · 7 Oct | 25 Feb · 8 Jul 2026 | £429 / £525 |
| FRCEM OSCE | 6–19 May · 30 Nov–11 Dec (London) | 4 Feb · 9 Sep 2026 | £586 / £695 |
Every question tagged to a Specialty Learning Outcome, so your revision mirrors the exam.
40,000+ single-best-answers, filed against the SLOs and clinical categories you'll be examined on. Counts are approximate and grow as the bank expands.
| SLO | Focus | Approx. SBAs |
|---|---|---|
| SLO1 | Adults in the ED | ~14,000 |
| SLO3 | Resuscitation & critical care | ~6,000 |
| SLO4 | Major trauma | ~3,500 |
| SLO5 | Paediatric EM | ~5,000 |
| SLO6 | Practical procedures | ~2,000 |
| SLO7 | Complex & difficult situations | ~2,500 |
| SLO8 | Leading the ED shift | ~2,000 |
| SLO10 / 11 | Critical appraisal, QI & research | ~3,000 |
| SLO12 | Management & governance concepts | ~2,000 |
Note: SLO2 (clinical decision support) and SLO9 (supervision and teaching) are cross-cutting outcomes assessed throughout the curriculum rather than as standalone SBA categories, so they are not listed separately above.
OSCE stations are now live — included in EMF Premium. The station library mirrors the real OSCE mix — resuscitation, history-taking, communication, examination, procedures and more.
Content is written and peer-reviewed by a practising UK Emergency Medicine Consultant and senior trainees, and re-checked whenever a relevant RCEM or NICE guideline changes.
EM Final Exams is an independent revision resource and is not affiliated with, endorsed by, or connected to the Royal College of Emergency Medicine (RCEM). FRCEM and MRCEM are referenced for descriptive purposes only.
Revise with the UK's largest EM question bank. Full access from £29 a month — or one payment for 3 or 6 months.
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