CICM Fellowship
consultant-ready.

The clinical hot cases sit at the heart of the oral section: to pass the orals you need at least half of the oral marks and no severe fail in the Clinical component, so a weak hot case can end an otherwise strong attempt. PRIMEX runs the full 20-minute format: 2 minutes outside the bedspace reading a written stem, 10 minutes at the bedside performing a focused examination, then 10 minutes presenting to two examiners. The AI plays the patient with documented findings revealed only when you ask for the specific manoeuvre or piece of data, then switches to examiner role for the discussion. Scored independently by two examiners out of ten using the supervision-anchored scale: five out of ten is "comfortable leaving the candidate to run the ICU with minimal supervision".

• 46 hand-authored cases across 9 ICU domains: respiratory and ventilation, cardiovascular, sepsis and infection, neurocritical care, renal and metabolic, trauma and surgical, toxicology, obstetric critical care, endocrine
• 2-minute stem, 10-minute bedside, 10-minute discussion timers enforced on screen
• Bedside reveal-on-ask: state a specific manoeuvre and you get the documented finding, nothing more. Vague requests get pushed back, like a real examiner
• Investigations released individually on request: vent settings, ABG, CXR, echo, bloods, microbiology, fluid balance
• Discussion phase probes problem list, management plan, escalation triggers, drug doses, complications, ethics
• Debrief: two examiner scores out of 10 with independent rationales, anchored rationale across all five marking domains, list of common pitfalls actually hit, single most important learning point

Runs sessions in FCICM oral exam format: clinical scenario opening, prioritised management probing, integration across organ systems. Expects consultant-level responses with specific drug doses, targets, and awareness of ethical dimensions. Voice mode available so you can practise speaking the answer, not typing it.

• FCICM oral format with consultant-level examiner persona
• Opens on a clinical ICU scenario, then probes management priorities
• Expects doses, MAP targets, KDIGO staging, and landmark trial names
• Voice mode: speak your answers, no typing needed
• Debrief flags missing ethics, complication management, and MDT components

Write a Fellowship SAQ and get specialist-level feedback: tier (Fail, Borderline, Pass, Distinction), a marking checklist, an examiner comment written in the style of CICM Fellowship reports, and a model answer demonstrating consultant-level ICU reasoning with specific drug doses, targets, and management hierarchies.

• Fail, Borderline, Pass, or Distinction tier at specialist depth
• Marking points include doses, targets, monitoring, and complication management
• Model answer with drug dosing, infusion rates, and management hierarchy
• Flags missing ethical and communication components, which examiners penalise
• References landmark ICU trial evidence where relevant

139 sourced study notes across the Second Part curriculum, one for every covered learning objective. Consistent seven-section format, referenced to landmark trial evidence and current guidelines. Notes surface automatically alongside SAQ, hot case, and oral exam debriefs, so you move from feedback to the relevant note in one click.

• 139 study notes across the Second Part curriculum, one per covered LO
• Consistent 7-section structure: scannable, not a wall of text
• Landmark trial evidence cited by acronym (ARISE, ARDSNet, NICE-SUGAR, PROSEVA, EOLIA, ACURASYS)
• Full-text search across all notes
• Linked from SAQ debrief, oral exam feedback, and flashcards

4,587 Fellowship-level flashcards with spaced repetition. Card types include management algorithm, drug dosing, guideline threshold, landmark trial, clinical decision, and ethics framework. Review what you're forgetting, not what you already know.

• 4,587 cards with spaced repetition: review what you're forgetting, not what you know
• Card types: management algorithm, drug dosing, guideline threshold, trial evidence
• Ethics and communication framework cards for end-of-life topics
• One click from any card to the full study note

The CICM Fellowship curriculum defines 139 learning objectives across the core ICU domains. PRIMEX maps every LO to the study notes and flashcards that cover it. Work through them systematically with per-section progress bars and one-click jump to the relevant note.

• All 139 CICM Fellowship LOs mapped to study notes
• Checkbox completion persisted across sessions
• Click any LO to jump directly to the relevant study note
• Per-section and overall progress bars at a glance

An adaptive study plan that counts down to your CICM 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

Rehearse the standardised panel interview format hospitals use for ICU staff specialist appointments. Six standardised questions cover service-level capacity and access (bed block, retrieval coordination, surge planning), end-of-life decision-making and organ donation, multidisciplinary team leadership, audit and quality improvement, ethical conflict, and credible motivation for the unit you are applying to. The panel stays silent until your answer is complete. The debrief returns a tier band, per-dimension rubric scores against CICM Domains of Practice mapped to CanMEDS, 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
• Six questions covering service capacity, end-of-life, MDT leadership, audit, ethics, motivation
• Calibrated rubric scoring per dimension with full band descriptions
• CICM Domains of Practice (CanMEDS-aligned) 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 ICU trajectory