Primex Intensive Care CICM First Part
FPE · CICM First Part Examination

CICM First Part
mastered.

SAQ grading with marking points and tier, AI MCQ bank, cross-table viva simulation with voice mode, spaced-repetition flashcards and sourced study notes. Built around the four domains of the First Part Examination.

Pass rate
~50%
per sitting (recent cohorts)
Sittings per year
2
March (written + viva) · September (written + viva)
Format
Written + Viva
20 SAQs · 8 cross-table vivas
Topics covered
176
study notes · 244 curriculum LOs
Organising college
CICM
Not affiliated with Primex
· Exam domains ·
Four domains.
All applied to the ICU.
~55%
Physiology
Organ system physiology applied to critical illness: cardiovascular, respiratory, renal, neurological, GI, endocrine, haematology, and acid-base in the ICU context.
Oxygen delivery · ARDS pathophysiology · Cardiac output · Acid-base disorders · Intracranial pressure
~25%
Pharmacology
ICU drug management including vasopressors, sedation, analgesics, antibiotics, and anticoagulants. Pharmacokinetic changes in critical illness and organ failure.
Vasopressors · Sedation and analgesia · Antibiotic PK · Opioid pharmacology · Drug dosing in organ failure
~10%
Measurement & Equipment
Haemodynamic monitoring, mechanical ventilation, ECMO, point-of-care testing, and ICU equipment principles including waveform interpretation and indirect calorimetry.
PA catheter · Ventilator waveforms · ECMO principles · ICP monitoring · Point-of-care testing
~10%
Microbiology & Research
Common ICU pathogens, antibiotic resistance mechanisms, and infection control. Research methodology, study design, critical appraisal, and biostatistics relevant to the ICU literature.
ICU pathogens · Antibiotic resistance · Study design · Critical appraisal · Sensitivity and specificity
Feature 01 · SAQ Grader
Marking points. Every time. No guessing.

Write a First Part SAQ and get an examiner-style debrief: tier (Fail / Borderline / Pass / Distinction), score estimate out of 20, a marking checklist with every point flagged as hit or missed, an examiner comment, and a full model answer. Written to the standard of CICM exam reports.

  • Fail / Borderline / Pass / Distinction tier with score out of 20
  • Every marking point checked against CICM examiner report themes
  • Model answer with specific values, normal ranges, and ICU application
  • Topic sessions or random sets from the question bank
  • AI question generation in First Part SAQ format
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 · Viva Simulator
An AI cross-table examiner. Day or night.

Runs sessions in First Part cross-table viva format: 2-minute reading time on a single basic science topic, then 10 minutes of ICU-applied probing with a structured debrief. Voice mode transcribes spoken answers using medical speech recognition.

  • Timed cross-table format: 2 min reading, 10 min viva on one topic
  • ICU-specific follow-ups: sepsis, ARDS, organ failure scenarios
  • Voice mode: speak your answer, no typing needed
  • Debrief with tier, strengths, gaps, and key learning after each session
  • Covers all physiology, pharmacology, and measurement topics
CICM First Part viva; sedation and analgesia in ICU, timed station with examiner dialogue
Feature 03 · Flashcards
Spaced repetition across all four domains.

Curriculum-mapped flashcard decks with spaced repetition: cards you get right come up less often, cards you miss come back sooner. Card types include mechanism, drug profile, pharmacokinetics, normal values, and ICU clinical correlates.

  • Spaced repetition: review what you're forgetting, not what you know
  • Card types: mechanism, PK/PD, normal values, drug comparison, equations
  • MCQ drill mode for rapid-fire practice
  • One click from card to full study note
  • Image cards: pressure-volume loops, waveforms, pharmacokinetic curves
CICM flashcard revealed; Zone 1 ventilation in ICU, with spaced repetition buttons
Feature 04 · Study Notes
Every topic. Referenced. Linked from every result.

Structured study notes for every topic in the First Part curriculum. Written to a consistent seven-section format and aligned to the published CICM First Part curriculum, Australian guidelines and primary literature. They surface automatically alongside SAQ and viva debriefs.

  • All 176 First Part curriculum topics covered
  • Consistent 7-section structure: scannable, not a wall of text
  • Aligned to the published CICM First Part curriculum and Australian guidelines
  • Full-text search across all notes
  • Linked from SAQ debrief, viva feedback, and flashcards
CICM study note; Cardiac Output with equations, normal values and clinical sections
Feature 05 · CICM Curriculum Tracker
244 learning objectives. Every CICM First Part LO mapped.

The CICM First Part curriculum defines 244 learning objectives across 17 sections. Primex maps every LO to the study notes and flashcards that cover it, with a Curriculum tab showing a checkbox checklist and progress bar so you know exactly how much of the syllabus you've covered.

  • All 244 CICM First Part LOs across 17 sections
  • 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 First Part curriculum tracker; 244 LOs, Cellular Physiology section expanded 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 First Part 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 First Part 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 First Part Examination

The CICM First Part Examination tests the scientific foundations of intensive care medicine: physiology, pharmacology, and clinical measurement. It is the gateway to the Fellowship examination and to advanced ICU training. The exam sits twice yearly and has a pass rate of approximately 50%, reflecting the breadth of content and depth of mechanism expected.

  • OrganiserCollege of Intensive Care Medicine of Australia and New Zealand (CICM)
  • FormatWritten paper (20 SAQs, 10 min each, 20 marks per question), followed by 8 cross-table vivas of 10 min each for candidates who pass the written component
  • DomainsPhysiology (~55%), Pharmacology (~25%), Measurement & Equipment (~10%), Microbiology & Research (~10%)
  • SittingsTwice yearly, typically March and September
  • Pass rateApproximately 50% per sitting
Standard candidate reading
  • Standard intensive care manual references
  • Standard applied respiratory physiology references
  • Standard medical physiology references
  • Standard ICU pharmacology references
Useful free resources
  • Deranged Physiology; derangedphysiology.com
  • CICM First Part curriculum document; cicm.org.au
  • CICM published SAQ papers and examiner 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
  • MCQ drill mode
  • SAQ question bank & sessions
  • SAQ Grader & AI marking
  • AI Viva simulation
  • 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
It is built from published CICM First Part marking criteria and examiner report language, and calibrated to the depth expected at the First Part level. It won't match any single examiner exactly, but it gives consistent structured feedback on whether your answer covers the expected physiological mechanisms, specific values, and ICU-applied clinical context that examiners look for. Community voting helps flag edge cases where the AI gets it wrong.
Yes. The timed station mode runs a 2-minute reading period followed by 10 minutes of probing on a single basic science topic. The AI examiner asks ICU-applied follow-ups including "how does this change in sepsis?", demands specific values and normal ranges, and gives a structured debrief with tier and key learning at the end. Voice mode is available so you can speak your answers rather than type.
They are written in First Part style: "Describe the physiological consequences of...", "Outline the pharmacology of...", "Compare and contrast...". The AI generates questions across the four domains and avoids repetition. Published past papers are a different resource to this, but the format and depth are matched.
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.