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MCEM (Membership of College of Emergency Medicine, UK) Examination

The MCEM examination which is based on the College of Emergency Medicine curriculum offers an opportunity for the candidate to demonstrate both the breadth of his or her knowledge of Emergency Medicine as well as the application of that knowledge to common clinical scenarios. The candidate must be able to demonstrate good communication skills and knowledge of Emergency Medicine. The examination is competency-based and assesses knowledge, skills and behaviours necessary for the successful clinical practice of Emergency Medicine. The areas assessed will include the evaluation and initial management of clinical conditions seen in patients who present, as emergencies, to Emergency Departments. Competence in paediatrics at a level delivered in a general Emergency Department and focus mainly on seriously ill and injured, or the management of common child emergencies. The MCEM examination is set at a standard commensurate with the level of expertise necessary for entry into higher specialist training in Emergency Medicine as well as that for practice at an intermediate level for those not wishing to enter higher training. The examination consists of three parts, Part A, B and C. MCEM Part A Exam Overview This theory exam consists 50 questions, each with four stems.

Each stem needs to marked either TRUE or FALSE. It is not negatively marked. It examines basic sciences as applied to Emergency Medicine. The syllabus for the Part A is found on the College of Emergency Medicine website. Exam duration is 2 hours. Exam centres (as on April 2008) are in United Kingdom, India, Hong Kong and Singapore. Candidates are awarded either a pass or a fail. Candidate must score about 70% to pass the exam. (This pass score varies by 1-2% in different exams since it depends on the overall performance of all candidates who have written that particular exam) Pass rate for part A in both UK and India is about 19-21% 9 (i.e only 1 out of 5 candidates will pass the exam) Part A cannot be taken sooner than the second foundation year of training or its overseas equivalent. In India, a candidate must show atleast one year of working experience after MBBS graduation to be eligible to attempt Part A. (i.e one year after internship) Candidates must pass Part A of the Membership of the College of Emergency Medicine or its equivalent before proceeding to Part B. Acceptable alternatives are: Primary examination of the Australasian College of Emergency Medicine or Primary examination of the Hong Kong College of Emergency Medicine or Primary examination of South African College of Emergency Medicine. Candidates who sat the Part B prior to Autumn 2009 retain exemption from Part A MCEM Part B Exam Overview This theory paper examines data interpretation skills and consists of 16 questions. The questions present a clinical scenario and may have clinical data including radiographs, CT scans, ECGs, blood test results and clinical photographs. Exam duration is 2 hours. Exam Centres (as on April 2008) are in United Kingdom and India. Candidates are awarded either a pass or a fail. Candidate must score roughly about 70% to pass the exam. Only candidates who are successful in Part B will be permitted to take Part C. Unsuccessful candidates will be required to resit Part B at the next diet before attempting to Part C. Normally, the Part B will be held approximately 6 weeks before the Part C. The timetable for Parts B and C may vary for overseas examination. MCEM Part C Exam Overview This practical exam consists of 18 Objective Structured Clinical Examination (OSCE) stations that assess knowledge, psycho-motor ability, interpersonal skills (including communication and conflict resolution), professional behaviour and clinical decision-making skills. Exam duration is 2.5 hours Exam Centres (as on April 2008) are in United Kingdom and India. Candidates are awarded either a pass or a fail. Candidate must pass 14 of the 18 stations to pass the exam. Pass rate for part B & C in UK is about 50% (i.e only half the candidates will pass the MCEM final exam) Candidates may sit Part C three times after passing Part B. Failure at the third attempt will result in the candidate having to retake Part B before being able to attempt Part C again. Timing

Part A exam is held twice a year at all the approved centres. Part B and C are held twice a year in UK and once a year in India (Apollo Health City, Hyderabad). General Considerations All parts of the examination will be conducted in English. Successful completion of all parts is required before being eligible for Membership by examination and before being able to use the post-nominals MCEM (MRCEM from 2009 onwards tentatively).