PRIMEX vs EMCQ Practice
EMCQ Practice is a community-built MCQ resource for ACEM candidates. Here is how it compares with PRIMEX's dedicated AI preparation platform in 2026.
TL;DR — who should pick which
Candidates who want freely accessible community MCQ content for supplementary ACEM practice will find EMCQ Practice a useful low-barrier resource. PRIMEX is the stronger option for structured, full-spectrum ACEM exam preparation — covering AI-graded SAQ writing, voice viva simulation, OSCE training, and a mapped curriculum tracker in a single dedicated platform.
Feature-by-feature comparison
| Feature | PRIMEX | EMCQ Practice | Notes |
|---|---|---|---|
| AI-graded SAQs (Pass/Borderline/Fail) | Yes | No | PRIMEX grades written answers with tier feedback |
| Voice viva simulator | Yes | No | PRIMEX includes spoken AI viva practice |
| Curriculum-mapped MCQ bank | Yes | Yes | EMCQ Practice is community-curated; PRIMEX maps to ACEM curriculum |
| OSCE Trainer (AI patient + examiner) | Yes | No | PRIMEX simulates clinical OSCE stations |
| Spaced-repetition flashcards | Yes | No | |
| Sourced study notes | Yes | No | |
| Curriculum tracker with LO checkboxes | Yes | No | |
| Mock exam mode | Yes | Not stated | |
| Free trial | 7-day | Free access | EMCQ Practice is a community-free resource |
| Mobile / offline (PWA) | Yes | Not stated | PRIMEX is installable as a PWA |
| Number of exams covered | 21 colleges | ACEM focus | PRIMEX covers all major AU/NZ specialty colleges |
| Australia / NZ focus | Yes | Yes | Both aimed at Australian emergency medicine trainees |
Pricing in 2026
| Plan | Price | Per-month equivalent | What's included |
|---|---|---|---|
| PRIMEX Starter | $9.99/mo | $9.99/mo | Core MCQ bank and flashcards |
| PRIMEX Monthly | $24.99/mo | $24.99/mo | Full access: AI SAQs, viva, OSCE, notes, tracker |
| PRIMEX Quarterly | $59.99/3 mo | $19.99/mo | Full access, billed quarterly |
| PRIMEX Yearly | $179.99/yr | ~$15/mo | Full access, best per-month value |
| PRIMEX Medical Student | $12.99/mo | $12.99/mo | Full access at student rate |
| EMCQ Practice | Community resource | — | Free community-curated ACEM MCQs |
Where each one wins
PRIMEX strengths
- AI-graded SAQ writing with Pass/Borderline/Fail feedback
- Voice viva simulator for Fellowship viva preparation
- OSCE Trainer with AI patient and examiner simulation
- Full ACEM curriculum tracker with structured learning outcomes
- Dedicated platform with consistent curation and updates
- 7-day free trial and PWA offline access
EMCQ Practice strengths
- Free community access — no subscription required
- Built and contributed to by ACEM trainees and peers
- Good supplementary MCQ volume at zero cost
- Community trust and peer familiarity
Moving from EMCQ Practice to PRIMEX
- Start your 7-day free PRIMEX trial at primexstudy.com.au/acem-fellowship — no credit card required during the trial.
- Import your study progress by reviewing weak topic areas in the PRIMEX ACEM curriculum tracker, then prioritise SAQ writing and viva practice in those domains.
- Use both in tandem during the transition week — EMCQ Practice for supplementary MCQ volume, PRIMEX for structured SAQ, viva, and OSCE practice.
Frequently asked questions
Which is better for ACEM — PRIMEX or EMCQ Practice?
EMCQ Practice is a valuable free community resource for MCQ volume. PRIMEX is the stronger choice for structured preparation covering SAQ writing, viva, and OSCE formats. The two are best used together rather than as direct alternatives.
Does EMCQ Practice offer AI-graded SAQs?
EMCQ Practice is a community MCQ resource and does not offer AI-graded SAQ feedback. PRIMEX provides Pass/Borderline/Fail tier grading on written SAQ responses.
Does EMCQ Practice offer voice viva practice?
Voice viva practice is not a feature of EMCQ Practice. PRIMEX includes a voice viva simulator for oral examination preparation relevant to the ACEM Fellowship.
How does pricing compare between PRIMEX and EMCQ Practice?
EMCQ Practice is a community resource and free to access. PRIMEX is a dedicated platform priced from $9.99/month, with full access at $24.99/month or $179.99/year, including a 7-day free trial.
Can I use both PRIMEX and EMCQ Practice together?
Yes — this is a common approach. EMCQ Practice supplements MCQ exposure at no cost while PRIMEX handles structured SAQ writing, viva simulation, and OSCE practice as exam day approaches.
Start your 7-day free PRIMEX trial
Full access to AI-graded SAQs, voice viva, OSCE trainer, and ACEM curriculum tracker. No credit card required.
Try PRIMEX free for 7 days