CICM Fellowship
consultant-ready.
SAQ grading at specialist level, AI oral exam simulation, spaced-repetition flashcards and sourced study notes across clinical ICU management, procedures, ethics, and special populations. Built for the FCICM.
One ICU specialist curriculum.
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 / 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


Runs sessions in FCICM oral exam format: clinical scenario opening, prioritised management probing, and integration across organ systems. Expects consultant-level responses with specific drug doses, targets, and awareness of ethical dimensions. Voice mode available.
- 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

Fellowship-level flashcard decks with spaced repetition. Card types include management algorithm, drug dosing, guideline threshold, landmark trial, clinical decision, and ethics framework. Review what you are forgetting, not what you already know.
- 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 card to full study note
- MCQ drill mode for rapid-fire management decision practice

Sourced, structured study notes for every topic in the Fellowship curriculum. Written to a consistent seven-section format and referenced to Oh's ICU Manual, Surviving Sepsis Campaign guidelines, and landmark trial primary papers. They surface automatically alongside SAQ and oral exam debriefs.
- All 132 Fellowship curriculum topics covered
- Consistent 7-section structure: scannable, not a wall of text
- Referenced to Oh's, SSC guidelines, ARISE, ARDSNet, NICE-SUGAR, and more
- Full-text search across all notes
- Linked from SAQ debrief, oral exam feedback, and flashcards

The CICM Fellowship curriculum defines 128 learning objectives across the core ICU domains. Primex maps every LO to the study notes and flashcards that cover it. The Curriculum tab lets you work through them systematically, with per-section progress bars and click-through to the relevant note.
- All 128 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

Feature N · Study Plan & Readiness
One readiness score. Always know where you stand.
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
The CICM Fellowship Examination (FCICM) assesses readiness to practice as a consultant intensivist. Unlike the First Part, it is not a basic science exam: it expects structured management plans at specialist level, with specific drug doses, clinical targets, ethical reasoning, and awareness of the evidence base. The pass rate is approximately 65% at each sitting.
- OrganiserCollege of Intensive Care Medicine of Australia and New Zealand (CICM)
- FormatWritten paper (15 SAQs at specialist level), followed by 6–8 structured oral vivas of approximately 10 min each for candidates who pass the written component
- DomainsCritical Care Management (~40%), Neurocritical Care & Infection (~25%), Special Situations (~20%), Ethics, Systems & Research (~15%)
- SittingsTwice yearly, typically March and September
- Pass rateApproximately 65% per sitting
- Standard intensive care manual references
- Standard ICU practice references
- Surviving Sepsis Campaign 2021 guidelines (open access)
- CICM Fellowship published curriculum; cicm.org.au
- Deranged Physiology; derangedphysiology.com (SAQ bank and trial summaries)
- CICM published Fellowship SAQ papers and examiner reports
- ANZICS CORE data and ICU benchmarking reports
a 7-day free trial.
- ✓ 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 oral exam simulation
- ✗ SAQ Grader & AI marking
- ✗ MCQ drill mode
- ✗ SAQ question bank & sessions
- ✗ Community feed
- ✓ 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
- ✓ 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
- ✓ 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 40% vs monthly plan
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