Primex Intensive Care CICM Fellowship
FCICM · Fellowship of the College of Intensive Care Medicine

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.

Pass rate
~65%
per sitting (recent cohorts)
Sittings per year
2
March (written + oral) · September (written + oral)
Format
Written + Oral
15 SAQs · 6–8 structured vivas
Topics covered
132
study notes · 128 curriculum LOs
Organising college
CICM
Not affiliated with Primex
· Exam domains ·
Four domains.
One ICU specialist curriculum.
~40%
Critical Care Management
Clinical management of cardiovascular, respiratory, and renal failure in the ICU. Includes mechanical ventilation, haemodynamic support, AKI and RRT, ECMO, and organ system integration across complex presentations.
ARDS management · Cardiogenic shock · AKI and RRT · Mechanical ventilation weaning · Fluid management
~25%
Neurocritical Care & Infection
TBI, subarachnoid haemorrhage, stroke, delirium, and status epilepticus. Septic shock management including source control, antimicrobial stewardship, and integration of landmark trial evidence.
TBI and ICP management · Septic shock · Brain death and DCD · Status epilepticus · Delirium management
~20%
Special Situations
Trauma, burns, toxicology, obstetric critical care, paediatric ICU, and retrieval medicine. Covers the breadth of presentations a consultant intensivist manages outside the standard ICU model.
Damage control resuscitation · Paracetamol overdose · Pre-eclampsia and eclampsia · Burns · Paediatric sepsis
~15%
Ethics, Systems & Research
End-of-life decision making, goals of care, organ donation, patient safety, ICU organisation, landmark trial appraisal, and translating evidence into practice at the consultant level.
Withdrawal of treatment · Organ donation pathway · Landmark ICU trials · Patient safety culture · Family meetings
Feature 01 · SAQ Grader
Consultant-level marking. Every time.

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
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 · Oral Exam Simulator
An AI Fellowship examiner. Day or night.

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
CICM Fellowship oral exam; TBI management in ICU, consultant examiner with probing follow-ups
Feature 03 · Flashcards
Spaced repetition across all four domains.

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
CICM flashcard revealed; Zone 1 ventilation answer, with spaced repetition rating buttons
Feature 04 · Study Notes
Every topic. Referenced. Linked from every result.

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
CICM study note; Cardiac Output with Starling equations, normal values and clinical correlates
Feature 05 · CICM Curriculum Tracker
128 learning objectives. The full Fellowship curriculum tracked.

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
CICM Fellowship curriculum tracker; 128 LOs, Cardiovascular Intensive Care section with checkbox items and progress bar

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
Primex CICM 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 CICM Fellowship Examination

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 candidate reading
  • Standard intensive care manual references
  • Standard ICU practice references
  • Surviving Sepsis Campaign 2021 guidelines (open access)
  • CICM Fellowship published curriculum; cicm.org.au
Useful free resources
  • Deranged Physiology; derangedphysiology.com (SAQ bank and trial summaries)
  • CICM published Fellowship SAQ papers and examiner reports
  • ANZICS CORE data and ICU benchmarking reports
· 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 oral exam 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 CICM
· Questions ·
Frequently asked
The Fellowship grader is calibrated at specialist level, not basic science level. It expects structured management plans with specific drug doses (e.g. noradrenaline 0.1–0.5 mcg/kg/min), clinical targets (MAP, KDIGO staging, RASS), awareness of landmark trial evidence, and explicit attention to ethical and communication dimensions. A First Part-style answer covering pathophysiology without management detail will score poorly, just as it would with real examiners.
It simulates the structured oral viva format: a clinical scenario opening, prioritised management probing, and integration across organ systems. The AI examiner expects consultant-level responses and will follow up on vague answers with "What dose?", "What are your targets?", and "What would you do if the patient deteriorated?" Voice mode is available for spoken answers. The debrief flags missing ethical dimensions and MDT components, which are common loss points in the real exam.
Yes. The SAQ and MCQ bank includes questions that specifically test trial evidence knowledge: ARISE, ARDSNet, NICE-SUGAR, ProCESS, ACURASYS, TRICC, and others that feature in CICM examiner reports. The study notes also reference the landmark papers for each relevant topic so you can check the primary evidence when debriefing.
Yes, and you can install it as an app. On iPhone: open in Safari, tap the share button, then Add to Home Screen. On Android: open in Chrome, tap Install app. Works offline for study notes and flashcards, and updates automatically.
Email primex.study.ai@gmail.com and we'll get back to you.