Primex Emergency Medicine ACEM Fellowship
FACEM · ACEM Fellowship Examination

ACEM Fellowship
ready.

SAQ grading with examiner-style feedback, OSCE simulation across all six station types, MCQ practice, spaced-repetition flashcards and sourced study notes. Built for the written paper and the 12-station OSCE.

Pass rate
~70%
per sitting (estimated)
Sittings per year
2
Written & OSCE · Apr & Oct
Format
Written SAQ + OSCE
10 SAQs · 180 min; then 12-station OSCE
Topics covered
157
study notes · 206 curriculum LOs
Organising college
ACEM
Not affiliated with Primex
· Exam domains ·
Four domains. Two components. One fellowship.
~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
Feature 01 · SAQ Grader
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
Primex SAQ grader showing a Distinction tier, 5/5 score and examiner comment praising structure, mechanistic detail and clinical relevance
Primex SAQ grader marking grid showing every required point with a green Present tick or red Missing flag, plus structure and priority action feedback
Feature 02 · MCQ Practice
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
Primex MCQ showing a clinical stem with the correct answer revealed and a community answer distribution bar across all five options
Primex MCQ explanation panel breaking down why the correct answer is correct and why each distractor is wrong, ending with a take-home candidate pearl
Feature 03 · OSCE Simulator
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 OSCE simulator; respiratory examination station, 4-minute reading + 7-minute active
Feature 04 · Flashcards
Spaced repetition across all FACEM presentations.

Curriculum-mapped flashcard decks with spaced repetition across all FACEM curriculum sections. Card types include clinical management protocols, drug dose reference, antidote cards, toxidrome recognition, communication frameworks, and clinical vignettes. MCQ drill mode for rapid-fire practice.

  • Spaced repetition: review what you're forgetting, not what you know
  • 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 card to full study note
ACEM flashcard revealed; salicylate monitoring guideline with Again/Hard/Good/Easy rating
Feature 05 · Study Notes
Every topic. Referenced. Linked from every result.

Structured study notes for 157 topics in the FACEM curriculum. Written to a consistent seven-section format and aligned to the published ACEM Fellowship curriculum, Australasian guidelines and primary literature. They surface automatically alongside SAQ debriefs and OSCE feedback, so you read the note directly from the result.

  • 157 FACEM curriculum topics covered, mapped to 206 LOs
  • Consistent 7-section structure: scannable, not a wall of text
  • Aligned to the published ACEM Fellowship curriculum and Australasian guidelines
  • Full-text search across all notes
  • Linked from SAQ debrief, OSCE feedback, and flashcards
ACEM study note; Snake Envenomation with pathophysiology, VICC protocol and management steps

Feature N · Curriculum Tracker

Every ACEM Fellowship learning objective. Tracked. Not missed.

The official ACEM Fellowship curriculum mapped to every topic, note and flashcard. The Curriculum tab lists every LO under its section header, with checkboxes, a progress bar, and per-LO launchers that drop you straight into a focused note, an MCQ set, an SAQ, or the matching flashcards.

  • Official ACEM Fellowship curriculum mapped to every topic
  • Curriculum tab with LO checklist and progress bar
  • 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
Primex curriculum tracker for ACEM Fellowship showing a section expanded with each learning objective offering check-off, Topic LOs, LO notes, MCQ, SAQ and Flashcards launchers

Feature N · Study Plan & Readiness

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
Primex ACEM Fellowship study plan dashboard showing days to exam, percent complete, exam readiness score out of 100 with coverage, accuracy, retention and consistency breakdowns, plus a Study this next card
· About this exam ·
The ACEM Fellowship Examination

The ACEM Fellowship Examination is the final step to FACEM qualification. It has two components: a written paper of 10 SAQs in 180 minutes, and a 12-station OSCE with six station types covering clinical management, communication, physical examination, teaching, clinical synthesis, and case-based discussion. Each OSCE station is 11 minutes (4 minutes reading, 7 minutes active). Approximately 70% of candidates pass at each sitting, though overall fellowship completion rates are lower given the combined requirements of the training programme.

  • OrganiserAustralasian College for Emergency Medicine (ACEM)
  • FormatWritten SAQ paper (10 questions, 180 minutes), then 12-station OSCE (4 min reading + 7 min per station)
  • DomainsMedical presentations (23 sections), professional competency domains, OSCE station types
  • SittingsTwice yearly, typically April and October
  • Pass rateApproximately 70% per sitting for the written component; OSCE pass rates are similar
Standard candidate reading
  • Standard comprehensive emergency medicine references
  • Standard adult emergency medicine references
  • UpToDate (clinical decision support, Australasian access)
  • ACEM Fellowship published curriculum (acem.org.au)
Useful free resources
  • Emergencypedia; FACEM exam preparation (emergencypedia.com)
  • LITFL; ACEM Fellowship resources (litfl.com)
  • ACE 'EM; peer-reviewed Australian EM education (aceem.net)
  • EMCrit; emergency critical care podcast and resources
· Pricing ·
Every plan starts with
a 7-day free trial.
Starter
$9.99
7 days free, then $9.99/mo
  • One specialist exam (your choice)
  • Study notes for every curriculum topic
  • Flashcards with spaced repetition
  • 10 MCQs per topic (sampler)
  • Study plan with pace tracking
  • AI OSCE simulation
  • SAQ Grader & AI marking
  • MCQ drill mode
  • SAQ question bank & sessions
  • Community feed
Start free trial
Monthly
$24.99
7 days free, then $24.99/mo
  • All 21 specialist exams: SAQ, MCQ, Viva & Voice
  • Flashcards with spaced repetition & MCQ drill
  • Study notes for every curriculum topic
  • SAQ question bank & sessions
  • Study plan with pace tracking
  • Community feed
Start free trial
3 Months
$59.99
7 days free, then $59.99/3mo
= $19.99/mo · save 20% vs monthly
  • All 21 specialist exams: SAQ, MCQ, Viva & Voice
  • Flashcards with spaced repetition & MCQ drill
  • Study notes for every curriculum topic
  • SAQ question bank & sessions
  • Study plan with pace tracking
  • Save 20% vs monthly
Start free trial
Important: Step 2 of 2

After payment, you'll land on a confirmation page. Click the button there to create your account and your subscription links automatically. If you pay with Apple Pay or Google Pay, use the button on that confirmation page before closing it. No email matching needed; it connects via a one-time link.

Free trial on every plan (7 days) Cancel anytime before trial ends Not affiliated with ACEM
· Questions ·
Frequently asked
Yes, all six ACEM OSCE station types are covered. Communication stations include breaking bad news (unexpected death, catastrophic injury), medical error disclosure, non-accidental injury mandatory reporting, capacity assessment, consent for procedures, and impaired colleague management. Teaching stations cover ABG interpretation, ECG reading, and RSI steps. The AI plays the patient, family member, or junior doctor as appropriate for the station type.
It's calibrated to the ACEM Fellowship written examiner report themes published after each sitting. The most common failure points; leaving parts of the SAQ blank, missing specific drug doses, not stating adrenaline dose in anaphylaxis, failing to include disposition decisions; are all explicitly checked. The model answer follows ABCDE structure with specific doses, timeframes, and monitoring at every step.
Yes. Each timed station starts with 4 minutes reading time, then runs 7 minutes of active examination, just like the real ACEM OSCE. The examiner opens with the appropriate prompt for that station type, probes with realistic follow-on questions, and gives a structured debrief at the end with tier and specific learning points.
Yes, and you can install it as an app. On iPhone: open in Safari → share button → Add to Home Screen. On Android: open in Chrome → Install app. Works offline and updates automatically.
Email primex.study.ai@gmail.com and we'll get back to you.