The objective is to ensure that as a trainee, you have the required level of knowledge and understanding of the four basic sciences - anatomy, pathology, physiology and pharmacology – as they relate to emergency medicine (EM). This is to ensure you have gained the core knowledge considered necessary towards a career as an EM physician. Please see the FACEM Curriculum.
 
The examination is criterion-referenced, which means that as a candidate, you must reach a predefined level of performance to pass the examination, rather than a fixed percentage of all candidates being successful.
 
Important to note: the written component of the Primary Examination contains up to 360 questions in total, made up of Select Choice Questions (SCQ) or specifically, Multiple Choice Questions (MCQ) only. It consists of 2 x 3 hour papers of up to 180 questions each, held over the course of one day.

Two sittings of the Primary Examination are held each year, and comprise of:

• An online written examination held in Adelaide, Auckland, Brisbane, Melbourne, Perth and Sydney. Further alternative locations may be offered on occasion.
• An oral examination (Viva) held in Melbourne. Regional locations may be offered on occasion.

Please note: For each attempt at the Primary Examination, a new application must be made and the relevant examination fee paid.

The examination may be attempted at any stage during Provisional Training, but the written component must be successfully completed before attempting the Viva examination. It is not necessary for Provisional Training time to be completed before the examination is undertaken.

Important to note: From 1 January 2018, all candidates will have a maximum of three attempts at each of the Primary Examinations including both the Written and Viva Exams. Any examination attempts before 1 January 2018 will not be counted. If you are unsuccessful on the third attempt, you may be considered for removal from the FACEM Training Program.

If you fail to present for any part of the examination, or if you withdraw from any part of the exam after the application closing date, you may not be entitled to a refund of your examination fee. For more information, see the Exceptional Circumstances and Special Consideration Policy.

To withdraw from the Primary Examination, please complete the EX184 Examination Withdrawal Form.

ACEM provides an extensive range of online resources featuring past papers, past exam reports, and much more. These are all now located on eLearning under ‘Resources for Trainees’.

Duration: 6 hours (2 x 3-hour exams)
No. of questions: 360 in total
Method: Online integrated exam
Types of questions: Types of questions: Select Choice Questions (SCQ), specifically Multiple Choice Questions (MCQ), only.
Maximum no. of attempts: 3
Location: Adelaide, Auckland, Brisbane, Melbourne, Perth, Sydney
Current Exam Fee: AUD $2,042
Terms of Candidature: view now

Next sittings

2023.1: Friday 10 February 2023
Applications open: 5 December 2022
Applications close: 20 January 2023

2023.2: Friday 4 August 2023
Applications open: 29 May 2023
Applications close: 23 June 2023

Cliftons venues are used as our regular examination locations: Adelaide, Auckland, Brisbane, Melbourne, Perth and Sydney. 

Other regional locations may be offered on occasion. Exam venue addresses are confirmed with enrolled candidates prior to each examination sitting.

For FACEM Trainees enrolled in training prior to 2022, candidates must meet the following eligibility criteria by the application closing date:

• Be an enrolled trainee of ACEM.
• Have no financial debts to the College.
• Hold current registration to practice medicine in Australia or Aotearoa New Zealand.
• Must not be on a Wellbeing Interruption to Training at any stage from the date they apply for an examination to the date(s) they sit that examination (see B5.1.4 of Regulation B – FACEM Training Program) 

For FACEM Trainees enrolling in training from 2022, candidates must meet the following eligibility criteria by the application closing date:

• Be formally enrolled as a trainee of ACEM in the FACEM training program.
• Have no financial debts to the College.
• Hold current registration to practice medicine in Australia or Aotearoa New Zealand.
• Must not be on a Wellbeing Interruption to Training at any stage from the date they apply for an examination to the date(s) they sit that examination (see B5.1.4 of Regulation B – FACEM Training Program) 

For candidates who are commencing FACEM training and intending to sit the first Primary Written Examination sitting of the applicable year, please contact [email protected] for selection enrolment and fee deadlines.

Applications are by electronic submission (online form).

Please see ‘Exam Dates’ above for future information on when you can apply.

Duration: 40 minutes (4 x 10minute stations) although approx. 1 hour including examiner marking time.
Method: Verbal stations based on the four basic science subjects.
Maximum no. of attempts: 3
Location: AMC National Test Centre, Melbourne
Current Exam Fee: AUD $2,268
Terms of Candidature: view now

Next sittings

2023.1: Thursday 11 & Friday 12 May 2023
Applications open: 13 February 2023
Applications close: 10 March 2023

2023.2: Thursday 2 & Friday 3 November 2023
Applications open: 7 August 2023
Applications close: 1 September 2023

For FACEM Trainees enrolled in training prior to 2022, candidates must meet the following eligibility criteria by the application closing date:

• Be an enrolled trainee of ACEM.
• Have no financial debts to the College.
• Have successfully completed the Primary Written Exam.
• Hold current registration to practice medicine in Australia or Aotearoa New Zealand.
• Must not be on a Wellbeing Interruption to Training at any stage from the date they apply for an examination to the date(s) they sit that examination (see B5.1.4 of Regulation B – FACEM Training Program)

For FACEM Trainees enrolling in training from 2022, candidates must meet the following eligibility criteria by the application closing date:

• Be an enrolled trainee of ACEM.
• Have no financial debts to the College.
• Have successfully completed the Primary Written Exam.
• Hold current registration to practice medicine in Australia or Aotearoa New Zealand.
• Have commenced Training Stage One
• Must not be on a Wellbeing Interruption to Training at any stage from the date they apply for an examination to the date(s) they sit that examination (see B5.1.4 of Regulation B – FACEM Training Program)  

Applications are by electronic submission (online form).

Please see ‘Exam Dates’ above for future information on when you can apply.

The two-part Fellowship Exam is a major component of the FACEM Training Program. It tests your knowledge at the level expected of a junior consultant.

The Written and Clinical Fellowship Exams (OSCE) are offered at your 12-month and 36-month points of Advanced training respectively. Therefore the exams are designed as separate stand-alone assessments. However, you must pass the Written to be eligible for the Clinical.

Please note: For each attempt at the Fellowship Examination, a new application must be made and the relevant examination fee paid.

Important to note: From 1 January 2018, all candidates will have a maximum of three attempts at the Fellowship Written Examination and a maximum of four attempts at the Clinical (OSCE) Examination. Any examination attempts before 1 January 2018 will not be counted. If you are unsuccessful on your final attempt, you may be considered for removal from the FACEM Training Program.

If you fail to present for any part of the examination, or if you withdraw from any part of the exam after the application closing date, you may not be entitled to a refund of your examination fee. For more information, see the Exceptional Circumstances and Special Consideration Policy. 

To withdraw from the Fellowship Examination, please complete the EX184 Examination Withdrawal Form.

ACEM provides an extensive range of online resources featuring past papers, past exam reports, and much more. These are all now located on eLearning under ‘Resources for Trainees’.

Duration: 6 hours in total (2 x 180 min exams)
Method: 1 x Short Answer Questions (SAQ) Exam and 1 x Select Choice Question (SCQ) Exam (Multiple Choice Questions only)
Maximum no. of attempts: 3
Location: Auckland, Adelaide, Brisbane, Melbourne, Perth and Sydney. Further alternative locations may be offered on occasion
Current Exam Fee: AUD $2,682
Terms of Candidature: view now

Next sittings

2023.1: Friday 19 May 2023
Applications open: 20 February 2023
Applications close: 17 March 2023

2023.2: Friday 17 November 2023
Applications open: 28 August 2023
Applications close: 22 September 2023

Cliftons venues are used as our regular examination locations: Adelaide, Auckland, Brisbane, Melbourne, Perth and Sydney. 

Other regional locations may be offered on occasion. Exam venue addresses are confirmed with enrolled candidates prior to each examination sitting.

For FACEM Trainees or SIMGs enrolled in training or the SIMG pathway prior to 2022, candidates must meet the following eligibility criteria by the application closing date:

• Be an enrolled trainee or SIMG  trainee of ACEM.
• Have no financial debts to the College.
• Hold current registration to practice medicine in Australia or Aotearoa New Zealand.
• Have progressed to Late Phase Advanced Training in the FACEM Training Program.
• Must not be on a Wellbeing Interruption to Training at any stage from the date they apply for an examination to the date(s) they sit that examination (see B5.1.4 of Regulation B – FACEM Training Program) 

For FACEM Trainees or SIMGs enrolling in training or the SIMG pathway from 2022, candidates must meet the following eligibility criteria by the application closing date:

• Be an enrolled trainee or SIMG of ACEM.
• Have no financial debts to the College.
• Hold current registration to practice medicine in Australia or Aotearoa New Zealand.
• Have progressed to Training Stage Three.
• Must not be on a Wellbeing Interruption to Training at any stage from the date they apply for an examination to the date(s) they sit that examination (see B5.1.4 of Regulation B – FACEM Training Program)

Applications are by electronic submission (online form).

Please see ‘Exam Dates’ above for future information on when you can apply.

The Objective Structured Clinical Examination (OSCE) - the Fellowship Clinical Exam - is a clinical test held over two consecutive days.
 
The examination will consist of a variety of clinical stations based on scenarios that candidates would expect to see as part of their work in the Emergency Department.
 
Each of the 12 OSCE stations are 11 minutes' duration. This will include four minutes of reading time followed by seven minutes of assessment.  Of the 12 stations, there will be a minimum of one of each of the following type of stations:

• History taking
• Physical examination (COVID modified)
• A challenging communication situation: patient/relative/staff member
• Team Based Simulation (COVID modified)
• Teaching/advice to junior staff
• Standardised Case-Based Discussion

For a more detailed summary of what to expect on the day of your exams please refer to the Educational Resources on eLearning.

Duration: 132 minutes total over two consecutive days
Method: Up to 12 clinical examination stations
Maximum no. of attempts: 4
Location: AMC National Test Centre, Melbourne. Regional locations may be offered on occasion.
Current Exam Fee: AUD $3,792
Terms of Candidature: view now

Next sittings

2023.1: Tuesday 28 – Friday 31 March and Tuesday 4 – Wednesday 5 April 2023
Applications open: 12 December 2022
Applications close: 27 January 2023
Eligibility deadline date: 5 February 2023

2023.2: Tuesday 12 – Friday 15 September and Tuesday 19 – Wednesday 20 September 2023
Applications open: 19 June 2023
Applications close: 14 July 2023
Eligibility deadline date: 6 August 2023

For FACEM Trainees or SIMGs enrolled in training or the SIMG pathway​ prior to 2022, candidates must meet the following eligibility criteria by the eligibility deadline:

• Be an enrolled trainee or SIMG  of ACEM.
• Have no financial debts to the College.
• Hold current registration to practice medicine in Australia or Aotearoa New Zealand.
• Have completed at least 36 months of the 48 months of accredited Advanced Training (not including any required additional training time).
• Have satisfied the trainee research requirement.
• Have successfully completed the Fellowship Written Exam.
• Must not be on a Wellbeing Interruption to Training at any stage from the date they apply for an examination to the date(s) they sit that examination (see B5.1.4 of Regulation B – FACEM Training Program) 

For FACEM Trainees or SIMGs enrolling in training or the SIMG pathway from 2022 candidates must meet the following eligibility criteria by the eligibility deadline:

• Be an enrolled trainee or SIMG  of ACEM.
• Have no financial debts to the College.
• Hold current registration to practice medicine in Australia or Aotearoa New Zealand.
• Have progressed to Training Stage Four.
• Must not be on a Wellbeing Interruption to Training at any stage from the date they apply for an examination to the date(s) they sit that examination (see B5.1.4 of Regulation B – FACEM Training Program)

Applications are by electronic submission (online form).

Please see ‘Exam Dates’ above for future information on when you can apply.