Introduction

Passing the Royal College of Emergency Medicine (RCEM) exams requires a well-planned strategy. Whether you are preparing for the MRCEM Primary, MRCEM SBA, FRCEM SBA, or FRCEM OSCE, an organised study plan, the right resources, and consistent practice will significantly improve your chances of success. This guide outlines the essential steps to help you pass efficiently and confidently.

1. Understand the Exam Format

A clear understanding of the exam structure will allow you to focus your preparation effectively:

1. MRCEM Primary: 180 Single Best Answer (SBA) questions covering basic sciences relevant to emergency medicine.

2. MRCEM SBA: 180 SBA questions assessing applied clinical knowledge and decision-making.

3. FRCEM SBA: Higher-level SBA exam focusing on advanced EM competencies.

4. FRCEM OSCE: Practical exam assessing advanced reasoning, communication, and procedural skills.

Familiarity with the format will help you prioritise topics and refine your exam technique.

2. Develop a Structured Study Plan

A structured approach to studying is essential. Instead of last-minute cramming, develop a balanced study plan that integrates theory, question practice, and revision.

Effective Planning Strategies:

✅ Set clear goals: Study 2–3 hours per day, 5–6 days per week.

✅ Use active recall: Regularly test yourself instead of passive reading.

✅ Prioritise weak areas: Spend extra time on challenging topics.

✅ Simulate exam conditions: Use timed practice to build speed and confidence.

For MRCEM Primary, a 3–6 month study period is recommended, depending on experience.

3. Utilise the Right Study Resources

Choosing high-yield resources is crucial for effective preparation.

Recommended Resources:

📚 Moussa Issa Books – Comprehensive, structured, and aligned with RCEM curriculum.

📚 The EM Learning Centre – Includes updated Moussa Issa content, thousands of RCEM-style questions, and the only integrated EM revision community.

Use a small selection of high-quality resources to avoid information overload.

4. Master Time Management During the Exam

Time management is critical for all RCEM exams. Practising under exam conditions will significantly improve your performance.

Time-Saving Techniques:

📍 SBA Questions: Read the last line first to identify the question focus.

📍 FRCEM OSCE: Use structured frameworks (ABCDE, SBAR) for clarity.

📍 Mock exams: Repeated timed practice builds efficiency and confidence.

5. Leverage Group Study and Online Communities

Studying with others enhances motivation and deepens learning.

The EM Learning Centre community allows members to:

☑️ Share experiences and correct exam questions

☑️ Clarify complex topics

☑️ Receive peer and expert support

6. Prevent Burnout and Maintain Consistency

Long-term exam preparation requires balance and discipline.

Strategies to Avoid Burnout:

✔️ Pomodoro Technique: 25–45 minute sessions with breaks.

✔️ Prioritise 7–8 hours of sleep.

✔️ Exercise regularly to improve cognition.

✔️ Rest at least one full day each week.

7. Exam Day Strategies

On exam day, confidence and composure matter.

Key Strategies:

🔴 Arrive early – Avoid last-minute stress.

🟠 Manage time wisely – Skip difficult questions and return later.

🟡 Stay composed – Essential for OSCE performance.

Final Thoughts

Passing the RCEM exams is achievable with a structured study plan, high-quality resources, and consistent practice. Focusing on essential topics, using Moussa Issa Books and The EM Learning Centre, and engaging in a supportive learning community will significantly enhance your preparation.

By following these strategies, you can streamline your study process and maximise your chances of success.

Resources:

RCEM Website: https://rcem.ac.uk/exam-regulations-and-policies/

EM Learning Centre: www.emlearningcentre.com