ACEM Fellowship Examination (FACEM) Syllabus

Curriculum domains

The ACEM Fellowship Examination (FACEM) syllabus is organised into 35 curriculum domains. PRIMEX maps every domain below to study topics and learning objectives so you can track coverage as you prepare.

The 35 domains

• 3.1 Cardiovascular Presentations — Aetiology, pathophysiology and management of cardiovascular disorders in the ED.
• 3.2 Respiratory Presentations — Aetiology, pathophysiology and management of respiratory disorders in the ED.
• 3.3 Gastrointestinal Presentations — Aetiology, pathophysiology and management of GI disorders in the ED.
• 3.4 Neurological Presentations — Aetiology, pathophysiology and management of neurological disorders in the ED.
• 3.5 Ophthalmological Presentations — Assessment and management of eye disorders in the ED.
• 3.6 Otolaryngologic Presentations — Assessment and management of ear, nose and throat presentations in the ED.
• 3.7 Acute Psychiatric and Addiction Related Presentations — Acute psychiatric presentations, behavioural disturbance and addiction in the ED.
• 3.8 Toxicological and Environmental Emergency Presentations — Toxicology, toxinology and environmental presentations in the ED.
• 3.9 Endocrinological Presentations — Aetiology, pathophysiology and management of endocrine disorders in the ED.
• 3.10 Haematological Presentations — Aetiology, pathophysiology and management of haematological disorders in the ED.
• 3.11 Oncological Presentations — Aetiology, pathophysiology and management of oncological presentations in the ED.
• 3.12 Renal and Urogenital Presentations — Aetiology, pathophysiology and management of renal and urogenital disorders in the ED.
• 3.13 Rheumatological Presentations — Aetiology, pathophysiology and management of rheumatological disorders in the ED.
• 3.14 Dermatological Presentations — Aetiology, pathophysiology and management of dermatological disorders in the ED.
• 3.15 Infectious Disorders — Aetiology, pathophysiology and management of infectious diseases in the ED.
• 3.16 Immunological Presentations — Aetiology, pathophysiology and management of immunological and allergic presentations in the ED.
• 3.17 Obstetric and Gynaecological Presentations — Obstetric and gynaecological presentations in the ED.
• 3.18 Metabolic Presentations — Metabolic presentations including electrolyte disorders and acid-base disturbances in the ED.
• 3.19 Orthopaedic Presentations — Orthopaedic presentations including fractures, dislocations and soft tissue injuries in the ED.
• 3.20 Trauma — Contemporary evidence-based trauma management in the ED.
• 3.21 Paediatric Presentations — Knowledge and management of paediatric presentations in the ED.
• 3.22 Geriatric Emergency Medicine — Geriatric presentations and age-specific emergency management.
• 3.23 Procedures in Emergency Medicine — Core and advanced procedures performed in the ED.
• Prioritisation and Decision Making — Clinical prioritisation, risk assessment and decision-making in the ED.
• Communication — Effective communication with patients, carers and colleagues in emergency medicine.
• Teamwork and Collaboration — Interprofessional teamwork and team leadership in the ED.
• Leadership and Management — Operational leadership, patient safety and quality management in the ED.
• Health Advocacy — Advocacy for patients, vulnerable populations and public health in emergency medicine.
• Scholarship and Teaching — Evidence-based practice, research and teaching in emergency medicine.
• Professionalism — Professional conduct, ethics and medicolegal frameworks in emergency medicine.
• 3.24 Rural and Retrieval Medicine — Practice of emergency medicine in rural, regional and retrieval contexts, including transport medicine and isolated procedural decision-making.
• 3.25 Aboriginal and Torres Strait Islander Health — Culturally safe assessment and management of Aboriginal and Torres Strait Islander patients in the emergency department.
• 3.26 Dental and Oromaxillofacial Presentations — Assessment and management of dental, oral and oromaxillofacial emergencies in the ED.
• 3.27 Disaster and Pandemic Response — Disaster preparedness, mass casualty incident command, surge management and infectious disease outbreak response.
• 3.28 Clinician Wellness and Sustainability — Recognition and prevention of burnout, second-victim phenomenon, fatigue management and healthy ED culture leadership.

How PRIMEX maps to the syllabus

• Every domain above is mapped to PRIMEX study topics, so the curriculum tracker shows coverage domain by domain.
• Question banks, AI-graded SAQ practice and viva or OSCE simulation draw from these same mapped domains.
• Spaced-repetition scheduling and progress analytics surface the domains where your coverage is thinnest.

Frequently asked questions