MRCEM Primary, SBA, & OSCE

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The MRCEM is a prestigious postgraduate certification from the Royal College of Emergency Medicine — the sole regulatory body for Emergency Medicine practitioners in the UK, making it a global gold standard.

The exam has three parts: MRCEM Primary, MRCEM SBA, and MRCEM OSCE, testing both theoretical knowledge and applied clinical skills

To be eligible for the MRCEM exam, candidates must hold a primary medical degree (MBBS or equivalent) from an institution listed in the World Directory of Medical Schools. All examinations are conducted in English, and RCEM guidelines recommend a proficiency of IELTS level 7 or more for the completion of the certificate.

MRCEM Primary Eligibility: For the Primary exam, a candidate

• Must possess a primary medical degree (MBBS or equivalent).
• Postgraduate training in Emergency Medicine is not mandatory for Primary.

MRCEM SBA Eligibility: Candidates must

• Have passed the MRCEM Primary
• Have a current full medical registration with a license to practice
• Have 2 years medical experience post primary medical degree level qualification (including internship/house jobs completed post-degree)

MRCEM OSCE Eligibility: To sit the MRCEM OSCE, candidates must

• Have a current full medical registration with a license to practice

• Have 6 months FTE Emergency Medicine experience above Foundation training or equivalent (post-full registration experience)

Number of Attempts

RCEM regulations state that candidates may attempt all modules of MRCEM, Primary, SBA, and OSCE, a maximum of six times. Those who’ve already completed the allowed number of attempts may apply for one additional attempt per module, subject to the guidelines of Royal College of Emergency Medicine.

The MRCEM exam is given in three parts.

MRCEM Primary: The MRCEM Primary is a three hour long theory exam based on the RCEM Basic Sciences Curriculum.

The exam consists of 180 multiple choice questions with Single Best Answers (SBA)

MRCEM SBA: Like the Primary, MRCEM SBA is also a theory examination, but split into two sessions taking over 4 hours with a one-hour break between them.

Both sessions will be based on ‘Understanding of the full range of conditions and presentation that may be encountered in the ED’ with 180 MCQ SBAs in total.

MRCEM OSCE: The MRCEM Objective Structured Clinical Examination (OSCE) is a clinical practical exam that truly tests the applied clinical skills of candidates.

It presents 16 stations of real-life clinical scenarios to the participants to assess their clinical management, and pip communication skills.

The exam takes place over 2 hours, 42 minutes with each station allotted 8 minutes, a minute per station as reading time,  as well as two rest stations.

MRCEM Primary: 27 October 2026 (Test Centres Worldwide)

MRCEM SBA: 16 September 2026 (Test Centres Worldwide)

MRCEM OSCE: 24 July 2026 (Chennai, India)

While the first two modules of MRCEM, Primary and SBA, are conducted in collaboration with Surpass Assessment in their test centres around the globe, MRCEM OSCE tests are conducted in select locations.

Regardless of the module you are attempting, it is recommended that you book your examination slot as early as possible since the demand and availability of seats may vary.

1. Create an RCEM Account

All candidates must create an online RCEM account before applying for any MRCEM examination.

• Existing candidates should use their previously registered account.
• The name on the RCEM account must exactly match the name on the candidate’s passport or government-issued ID.

2. Eligibility

• Candidates must meet the RCEM eligibility guidelines at the point of applying.
• Candidates who have previously sat any MRCEM exam do not need to reapply for eligibility.

MRCEM Primary

• Candidates should possess a Primary Medical Qualification (PMQ) from an institution recognised by the UK- GMC

MRCEM SBA

• Candidates must have successfully passed MRCEM Primary.
• Have a current full medical registration with a license to practice
• Have 2 years medical experience post primary medical degree level qualification (including internship/house jobs completed post-degree)

MRCEM OSCE

• Candidates must have passed MRCEM SBA.
• Have a current full medical registration with a license to practice
• Have 6 months FTE Emergency Medicine experience above Foundation training or equivalent (post-full registration experience)

3.  Booking the Exam

Eligible candidates will receive an email from RCEM when the booking window opens.

MRCEM Primary & SBA

• Exams are booked through ‘Surpass Assessment’
• Candidates can select available test centres based on seat availability.
• Seats are allotted on a first-come, first-served basis.
• Early booking is strongly recommended.

MRCEM OSCE

• Booking is completed directly through the RCEM process after allocation.
• Venue allocation depends on availability.

5. ID Requirements on Exam Day

Accepted Identification methods are:

•  Passport
• Driving licence
• Government-issued photo ID
• Biometric ID card with photograph
• Aadhaar card (PVC format only)

(Failure to comply may result in refusal of entry to the examination)

6. Reasonable Adjustments

Candidates requiring reasonable adjustments due to disability or medical conditions must:

• Apply for adjustments at the time of application.
• Wait for approval before booking the exam.
• Follow the special booking instructions provided by RCEM.

7. Cancellation and Refund Policy

• Candidates may choose to Defer, or Cancel their exam booking in advance through the appropriate form provided on the RCEM website.
• Withdrawal/Forfeit, if no slot is booked, does not require an application.
• In any of the above cases, no refunds are issued for RCEM theory exams after an application has been submitted.

• MRCEM is accepted by many employers and health systems (UK, Middle East, Commonwealth and elsewhere)
• Job and training access in the UK
• Focused Emergency Medicine expertise
• Improved employability and competitive edge
• Professional development and resources
• Local-system impact in origin countries of candidates
• MRCEM is a stepping stone towards FRCEM and advanced EM fellowships or consultant-level roles