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New for subscribers ACEM consultant interview practice
FACEM · ACEM Fellowship

ACEM Fellowship
consultant-ready.

268 sourced study notes and 8,843 spaced-repetition flashcards across the ACEM Fellowship curriculum (268 LOs, 30 sections). AI SAQ grading on the Fail / Borderline / Pass / Distinction tier, a timed OSCE simulator across all six station types, and an unlimited Fellowship-level MCQ library. Built for the written paper and the 12-station OSCE.

Pass rate
Not published
criterion-referenced; results per sitting
Sittings per year
2
Written · May & Nov; OSCE · Mar & Sep
Format
Written + OSCE
SAQ + SCQ papers (6 hr); then up to 12-station OSCE
Study notes
268
one per LO · 30 curriculum sections
Organising college
ACEM
Not affiliated with PRIMEX
· 2026 dates ·

ACEM Fellowship Exam Dates 2026

Published dates for the upcoming sittings. Always confirm against the official ACEM exam calendar before scheduling. I refresh this section quarterly as new windows are announced.

  • Fellowship Written 2026.122 May 2026
  • Fellowship Written 2026.220 Nov 2026
  • Fellowship Clinical (OSCE) 2026.117–20 and 24–25 Mar 2026
  • Fellowship Clinical (OSCE) 2026.28–11 and 15–16 Sep 2026

OSCE applications close ~6–8 weeks before sitting. 2027 sittings not yet published.

· Exam domains ·

Topics tested in the ACEM Fellowship exam

~35%
Resuscitation & Critical Care
ACLS algorithms, RSI and airway management, sepsis bundles, post-arrest care, massive haemorrhage. The highest-stakes decisions in the ED, expected at consultant level with specific drugs and doses.
ACLS · RSI · Sepsis bundles · Damage control · Anaphylaxis
~30%
Systems Emergencies
Cardiology, neurology, toxicology, respiratory, GI, renal, psychiatric and environmental presentations. Time-critical priorities, specific drug doses and evidence-based management throughout.
ACS · Stroke · Paracetamol OD · PE · Status epilepticus
~15%
Paediatric, Obstetric & Special
Paediatric emergencies including weight-based resuscitation, neonatal presentations and DKA. Obstetric emergencies: eclampsia, ectopic, PPH. Burns, drowning, and trauma in special populations.
Paediatric sepsis · Pre-eclampsia · DKA in children · Burns · Neonatal resus
~20%
Professional Practice & OSCE
All six OSCE station types: clinical management, communication (breaking bad news, error disclosure, consent), physical examination, teaching, clinical synthesis, and case-based discussion.
Breaking bad news · Error disclosure · Teaching ABG · Clinical synthesis · SCBD
· Real imaging ·

Practice on real radiology images

Used with permission from LearningRadiology.com. Every image links to its full teaching case. Tap to open.

Published with permission from LearningRadiology.com Try a free spot diagnosis →
· What's inside ·

How candidates prepare for the ACEM Fellowship

ACEM Fellowship SAQ grader: a marked answer at Distinction tier with examiner marking points and a model answer
Marking points. Every time. No guessing.

Write a Fellowship SAQ answer and get an examiner-style debrief: tier (Fail / Borderline / Pass / Distinction), a marking checklist with every point flagged as hit or missed, an examiner comment, and a model answer. Calibrated to ACEM examiner report themes including ABCDE prioritisation, specific drug doses, and disposition decisions.

  • Fail / Borderline / Pass / Distinction tier with score estimate out of 360
  • Graded to the standard of ACEM Fellowship written examiner reports
  • Model answer with specific drug doses, routes, and time-critical priorities
  • Feedback on ABCDE structure and correct prioritisation order
  • AI question generation in Fellowship SAQ format, no repetition
ACEM Fellowship MCQ practice: a single-best-answer question answered correctly, with the correct option highlighted and a full explanation
Fellowship-level MCQs. Full explanations. Community data.

Consultant-level single-best-answer MCQs mapped to the FACEM curriculum across all systems. Every question has a full explanation for each option including the distractors. Community answer distributions show how other candidates responded, which is a useful calibration signal in the final weeks before the exam.

  • MCQs across all FACEM curriculum sections and OSCE station types
  • Consultant-level clinical reasoning, not basic science recall
  • Explanation for every option, including the distractors
  • Community answer distribution after each question
  • Timed mock mode replicating written exam conditions
ACEM Fellowship OSCE station: an open STEMI handover candidate card with setting, scenario, observations, and the candidate task
All six station types. Four minutes reading. Seven minutes on.

Runs timed ACEM Fellowship OSCE stations: 4 minutes reading time, then 7 minutes of structured examination. The AI examiner matches the station type; clinical management, communication, physical examination, teaching, clinical synthesis, or case-based discussion. Voice mode transcribes spoken responses using medical speech recognition.

  • All six ACEM OSCE station types covered, not just clinical management
  • Timed format: 4 min reading, 7 min active station, just like the real thing
  • Communication stations: breaking bad news, error disclosure, consent, mental health
  • Teaching stations: ABG interpretation, ECG reading, RSI steps
  • Debrief with tier and specific learning points per station type
ACEM Fellowship SCBD simulator: an image-anchored cardiology case showing a 12-lead ECG prop with a structured case-based discussion prompt
Image-prop case discussions: ECG, CXR, CT, ABG.

2-3 of the ACEM Fellowship OSCE's 12 stations are Structured Case-Based Discussions where you read a prop (ECG, CXR, CT, ABG, observation chart) and verbalise a LISA-framework response: Label, Issues and priorities, Send for help, Actions. This tab runs a rolling station in your chosen ACEM domain against a real per-exam image library, including PTB-XL cardiology ECGs and sourced radiology images, then grades each case against a per-rubric breakdown with FACEM-trainee anti-leniency calibration.

  • Eight image-prop station themes: resuscitation, cardiology + ECG, respiratory + CXR, trauma + imaging, neurology + CT or MRI, toxicology, paediatrics, procedural + ultrasound
  • Real PTB-XL ECG renders for the cardiology station; sourced radiology and pathology images for the others
  • LISA framework grading (Label, Issues and priorities, Send for help, Actions) against a per-case rubric
  • FACEM-trainee anti-leniency calibration: a missed time-critical action (cath lab activation on a STEMI, massive transfusion in haemorrhagic shock) fails even when surrounding content is acceptable
  • Rolling station mode: 5 image-anchored cases over about 40 minutes in your chosen ACEM domain
ACEM Fellowship flashcard: a flipped spaced-repetition card with Again, Hard, Good and Easy rating buttons
8,843 cards. Spaced repetition. Every FACEM section.

Curriculum-mapped flashcard decks with spaced repetition across every FACEM section. Cards cover clinical management protocols, drug doses, antidotes, toxidrome recognition, communication frameworks, and clinical vignettes. Cards you struggle with come back sooner; cards you know drop back automatically.

  • 8,843 cards mapped to the ACEM Fellowship curriculum
  • Card types: drug dose, management protocol, toxidrome, communication framework
  • Antidote cards: specific doses and indications for common poisonings
  • MCQ drill mode for rapid-fire practice between OSCE sessions
  • One click from any card to the full study note on that topic
ACEM Fellowship study note: a curriculum-mapped LO article on acute transfusion reactions with a structured table
268 study notes. One per LO. Linked from every result.

268 sourced study notes across the FACEM curriculum, one for every covered learning objective. Consistent seven-section format, referenced to the published ACEM Fellowship curriculum, Australasian guidelines, and primary literature. Notes surface automatically alongside SAQ and OSCE debriefs, so you move from feedback to the relevant note in one click.

  • 268 study notes across the FACEM curriculum, one per LO
  • Consistent 7-section structure: scannable, not a wall of text
  • Mapped to the published ACEM Fellowship curriculum and Australasian guidelines
  • Full-text search across all notes
  • Linked from SAQ debrief, OSCE feedback, and flashcards
ACEM Fellowship curriculum tracker: 268 learning objectives grouped by presentation with per-section progress counts
268 learning objectives. Every section. Nothing missed.

The FACEM Curriculum 2021 (v4.11) defines 268 Fellowship-assessed learning objectives across 30 sections. PRIMEX surfaces all 268 in a Curriculum tab with a checkbox checklist and per-section progress bars; each LO row drops you straight into its mapped study note, an MCQ set, an SAQ, or the matching flashcards.

  • All 268 LOs across 30 sections, from the FACEM Curriculum 2021 (v4.11)
  • Curriculum tab with LO checklist and per-section progress bars
  • Each LO row launches notes, MCQs, SAQs or flashcards in one click
  • Per-LO focused study note for the LOs that need a deeper pass
  • Identify gaps before your exam date
One readiness score. Always know where you stand.

An adaptive study plan that counts down to your ACEM Fellowship exam date and tells you what to study next. A single readiness score blends coverage, accuracy, retention and consistency into one number out of 100, so you can see at a glance whether you are tracking ahead or behind pace.

  • Days-to-exam countdown and pace tracking, ahead or behind
  • Readiness score out of 100, blended from four signals
  • Coverage, accuracy, retention and consistency broken out
  • Streak counter and weekly attempt target
  • Study this next: the topic queued for today, one tap to open
Emergency physician consultant interview practice: a standardised panel session with selectable question categories covering department flow, patient safety, and retrieval
A panel-realistic emergency-physician consultant job interview, on demand.

Rehearse the standardised panel interview format Australian and New Zealand hospitals use for emergency-physician staff specialist appointments. Eight standardised questions cover ED flow and access block, NEAT and four-hour operationalisation, morbidity and mortality reviews, mental-health emergency management, paediatric ED capability, retrieval and trauma reception, Indigenous health and cultural safety, and credible motivation for the role. The panel stays silent until your answer is complete. The debrief returns a tier band, per-dimension rubric scores against ACEM CanMEDS-derived domains, framework beat checks, and the moments your answer demonstrated each role.

  • Standardised panel format mirrored from NSW Health PD2023_024 and equivalent state recruitment policies
  • Eight questions covering ED flow, M and M, mental-health emergency, paediatric ED, retrieval, cultural safety
  • Calibrated rubric scoring per dimension with full band descriptions
  • ACEM domains (CanMEDS-derived) demonstrated and missed per answer
  • Framework beat tracking for STAR-FR, SPIES, PEARLS, PDSA, ISBAR
  • Save your CV for grounded model answers tied to your real ED trajectory
· About this exam ·

ACEM Fellowship format and structure: FACEM written and OSCE

The ACEM Fellowship Examination is the final step to FACEM qualification. It has two components: a written examination of two 180-minute papers (one short-answer SAQ paper and one select-choice SCQ paper, 6 hours total), and a clinical OSCE of up to 12 stations with six station types covering clinical management, communication, physical examination, teaching, clinical synthesis, and case-based discussion. Each OSCE station runs 11 minutes. ACEM publishes no fixed pass-rate percentage: the Fellowship is criterion-referenced and results are released per sitting. PRIMEX is built by Dr Jay Marshall, an anaesthetics registrar in Taree, NSW.

  • OrganiserAustralasian College for Emergency Medicine (ACEM)
  • FormatWritten examination of two 180-minute papers (SAQ paper + SCQ paper, 6 hours total), then a clinical OSCE of up to 12 stations (11 minutes each)
  • DomainsMedical presentations (23 sections), professional competency domains, OSCE station types
  • SittingsTwice yearly: written in May and November, clinical OSCE in March and September
  • Pass rateACEM publishes no fixed pass-rate percentage; the Fellowship is criterion-referenced and results are released per sitting
· PRIMEX by the numbers ·

ACEM Fellowship pass rates and exam statistics

Curriculum learning objectives mapped
268
Sourced study notes
268 (one per LO)
Spaced-repetition flashcards
8,843
Curriculum sections covered
30
SAQ grading tier
Fail / Borderline / Pass / Distinction
OSCE stations per cycle
12 (all six ACEM station types)
Curriculum version
FACEM Curriculum 2021 (v4.11)
Trial
7 days, free

Every one of the 268 FACEM learning objectives is taken from the FACEM Curriculum 2021 (v4.11). Each LO has its own focused study note and is mapped to spaced-repetition flashcards. The Curriculum tab persists checkbox progress across sessions and shows per-section progress bars, so you know exactly how much of the syllabus is covered.

Free, no signup

Practice every topic with the same AI grader the in-app uses

Five high-yield learning objectives. One free SAQ + 3 MCQs each, graded against college-standard marking points. No signup needed.

· Questions ·

Common questions about the ACEM Fellowship exam

· Pricing ·

Pricing and 7-day free trial

Library, study notes, voice viva, OSCE simulator and image-stem practice, all included on every plan. No locked tiers, no per-feature paywalls.

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  • All 21 exams: SAQ, MCQ, Viva & Voice
  • Flashcards with spaced repetition & MCQ drill
  • Study notes for every curriculum topic
  • SAQ library & sessions
  • Study plan with pace tracking
  • Community feed
Start free trial
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7 days free, then $24.99/mo
  • All 21 exams: SAQ, MCQ, Viva & Voice
  • Flashcards with spaced repetition & MCQ drill
  • Study notes for every curriculum topic
  • SAQ library & sessions
  • Study plan with pace tracking
  • Community feed
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