Pass your FACEM with conviction.

2 papers of 3 hours on one day · up to 180 SCQs each (up to 360) · anatomy, pathology, physiology, pharmacology.

Training Stage 1; must pass before the Primary Viva

Primary Examination: Integrated Viva: Viva

4 oral stations of 10 minutes · anatomy, pathology, physiology, pharmacology.

Training Stage 1, after passing the Primary Written

Fellowship Written Examination: SCQ paper

Select-choice paper · 3 hours · reported as up to 120 questions.

Training Stage 3

Fellowship Written Examination: SAQ paper

Written

Short-answer paper · 3 hours · computer-based · reported as up to 30 questions.

Training Stage 3

Fellowship Clinical Examination (OSCE)

Up to 12 ED stations over 2 days · 4 min reading · 7 min each.

Training Stage 4

Read a full marked case →Or start the free trial →

Fellowship Ready is independent and is not affiliated with, or endorsed by, the ACEM or any examining body.

How written marking works

You write the answer. Here it comes back marked.

The commonest way to lose marks is a generic answer: good medicine, for a different patient or a different question. The marking rewards only what the rubric rewards.

Your answer, typed under timingSAQ

A 24-year-old woman presents 9 hours after an intentional ingestion of 40 tablets of paracetamol 500 mg (20 g); she weighs 60 kg. List your immediate management of the paracetamol ingestion. (4 marks)

This is a significant overdose. I would give supportive care, check a paracetamol level and liver function tests, start N-acetylcysteine if the level is above the nomogram line, and refer to psychiatry.

Examiner-style marking, seconds later1 / 4

✗Start acetylcysteine now, without waiting for the level: presentation is more than 8 hours after a potentially toxic ingestion (≥ 10 g or ≥ 200 mg/kg)0/1
✗Regimen stated: 200 mg/kg over 4 hours, then 100 mg/kg over 16 hours (two-bag)0/1
✓Paracetamol concentration and alanine aminotransferase (ALT) on arrival1/1
✗Plan for the level: if above double the nomogram line, double the second bag to 200 mg/kg over 16 hours; no activated charcoal at 9 hours0/1

Marking note: The level does not decide whether to start acetylcysteine after 8 hours: the dose ingested does. "Start NAC if above the line" scores nothing here, and "supportive care" never scores. Name the regimen and the decision point.

Why Fellowship Ready

Knowing the medicine isn't the same as passing the exam.

Candidates who fail are rarely told which sentence lost the mark. The commonest causes are not gaps in knowledge: a generic answer, a different question answered, an examination done out of order, the clock run out. Each is fixed by practice that is timed and marked.

Specific beats safe-sounding

SAQ rubrics reward the named drug, the dose, the threshold and where the patient goes next. Vague lines like "supportive care" are marked as they are on the day: zero.

Seven minutes, planned in four

OSCE stations run on the ACEM clock, 4 minutes reading and 7 minutes in the room, with resus discussions marked on prioritisation as well as content.

Primary to Fellowship

Basic-science SCQs and viva stations for the Primary, then clinical SCQs, SAQs and OSCE stations for the Fellowship, rolled up by area so you know what to fix next.

The exam, on the clock.

Most candidates who fail know the medicine. They run out of time, answer a different question, or are not specific enough. Practice under the clock, marked the way examiners mark, is the fix.

01 · Viva

4 stations, on the real clock.

4:00 reading, then 7:00 in the station, as on the day. Patients, relatives and examiners are played by an AI so you can practise alone, or a colleague runs the station with the script, the findings and the marking sheet.

Open the stations →Primary Examination: Integrated Viva

OSCE · Live · historyReading · 4:00

Syncope in a young man: risk-stratifying history

You are the emergency registrar in a metropolitan ED. Mr Josh Tran, 26, has been brought in by ambulance after collapsing while playing indoor soccer. He was unconscious for "less than a minute" according to the paramedic handover and is now feeling well. His observations are normal, his 12-lead ECG is being repeated and will be handed to you by the examiner if you ask for it, and his capillary glucose was 6.1 mmol/L. He wants to go home to work a night shift.

Take a focused history from Mr Tran to assess the cause of his collapse and his risk.
Ask the examiner for any results you need.
Tell Mr Tran your assessment and your plan in the final minute.

Marking guide

60%

Competencies

40%

02 · SAQ paper

Write the answer. Get it marked.

Short-answer paper · 3 hours · computer-based · reported as up to 30 questions. Every answer is marked point by point against a rubric that rewards what ACEM examiners reward: specific points, the exact question answered, safe advice.

Try a case →Fellowship Written Examination

SAQ · marked against the rubric

“This is a significant overdose. I would give supportive care, check a paracetamol level and liver function tests, start N-acetylcysteine if the level is above the nomogram line, and refer to psychiatry.”

✗Start acetylcysteine now, without waiting for the level: presentation is more than 8 hours after a potentially toxic ingestion (≥ 10 g or ≥ 200 mg/kg)0/1
✗Regimen stated: 200 mg/kg over 4 hours, then 100 mg/kg over 16 hours (two-bag)0/1
✓Paracetamol concentration and alanine aminotransferase (ALT) on arrival1/1
✗Plan for the level: if above double the nomogram line, double the second bag to 200 mg/kg over 16 hours; no activated charcoal at 9 hours0/1

Examiner note: The level does not decide whether to start acetylcysteine after 8 hours: the dose ingested does. "Start NAC if above the line" scores nothing here, and "supportive care" never scores. Name the regimen and the decision point.

03 · Primary Written (SCQ)

Mocks weighted to the blueprint.

2 papers of 3 hours on one day · up to 180 SCQs each (up to 360) · anatomy, pathology, physiology, pharmacology. Every option explained, including why the wrong ones are wrong, and your weakest areas come back first.

Practise by area →Primary Written Examination

Primary Written (SCQ) mock · 360 questions · 6 h74%

Resus83%

Cardio79%

Resp, airway70%

Neuro66%

Trauma, ortho62%

Tox74%

Paeds83%

Weighted to the blueprint. Your weakest areas go to the top of next week’s drills.

04 · Decision rules

PERC is not for the moderate-risk patient.

The ED scores and rules the exams test, with their populations and traps: ATS, GCS, Wells and PERC, HEART, CURB-65 and SMART-COP, the Ottawa subarachnoid haemorrhage rule, Canadian CT Head and C-Spine Rules, NEXUS and the Ottawa ankle and knee rules.

Open the rules →Included with every plan

Reference library

Australasian Triage Scale

Glasgow Coma Scale

Wells score for pulmonary embolism

Pulmonary Embolism Rule-out Criteria

HEART score

CURB-65 and SMART-COP (community-acquired pneumonia severity)

Ottawa Subarachnoid Haemorrhage Rule

Canadian CT Head Rule

05 · Reference

After 8 hours, the dose decides, not the level.

Paracetamol, snakebite, anaphylaxis, severe asthma, sepsis, DKA, acute behavioural disturbance, trauma haemorrhage, stroke reperfusion, ectopic pregnancy, croup and how to structure the OSCE stations.

Open the reference →Included with every plan

Reference library

Australasian Triage Scale

Glasgow Coma Scale

Wells score for pulmonary embolism

Pulmonary Embolism Rule-out Criteria

HEART score

CURB-65 and SMART-COP (community-acquired pneumonia severity)

Ottawa Subarachnoid Haemorrhage Rule

Canadian CT Head Rule

06 · Study plan

Your exam date, turned into weeks.

Tell it when you sit and how many hours you have. It spreads the curriculum by blueprint weight, slots in mocks, written papers and station circuits, and moves your weakest areas forward as your results come in.

Build your plan →Free with an account

Primary Written Examination in 14 weeks10 h / week

Week 9 · this week

ResusCardioResp, airwayMock

Week 10

NeuroResusTrauma, orthoStations ×3

Week 11

ToxPaedsCardioWritten ×2

The biggest blueprint areas come round most often; your weakest move to the front.

OSCE · Live · historyReading · 4:00

Syncope in a young man: risk-stratifying history

Take a focused history from Mr Tran to assess the cause of his collapse and his risk.
Ask the examiner for any results you need.
Tell Mr Tran your assessment and your plan in the final minute.

Marking guide

60%

Competencies

40%

SAQ · marked against the rubric

✗Start acetylcysteine now, without waiting for the level: presentation is more than 8 hours after a potentially toxic ingestion (≥ 10 g or ≥ 200 mg/kg)0/1
✗Regimen stated: 200 mg/kg over 4 hours, then 100 mg/kg over 16 hours (two-bag)0/1
✓Paracetamol concentration and alanine aminotransferase (ALT) on arrival1/1
✗Plan for the level: if above double the nomogram line, double the second bag to 200 mg/kg over 16 hours; no activated charcoal at 9 hours0/1

Primary Written (SCQ) mock · 360 questions · 6 h74%

Resus83%

Cardio79%

Resp, airway70%

Neuro66%

Trauma, ortho62%

Tox74%

Paeds83%

Weighted to the blueprint. Your weakest areas go to the top of next week’s drills.

Reference library

Australasian Triage Scale

Glasgow Coma Scale

Wells score for pulmonary embolism

Pulmonary Embolism Rule-out Criteria

HEART score

CURB-65 and SMART-COP (community-acquired pneumonia severity)

Ottawa Subarachnoid Haemorrhage Rule

Canadian CT Head Rule

Reference library

Australasian Triage Scale

Glasgow Coma Scale

Wells score for pulmonary embolism

Pulmonary Embolism Rule-out Criteria

HEART score

CURB-65 and SMART-COP (community-acquired pneumonia severity)

Ottawa Subarachnoid Haemorrhage Rule

Canadian CT Head Rule

Primary Written Examination in 14 weeks10 h / week

Week 9 · this week

ResusCardioResp, airwayMock

Week 10

NeuroResusTrauma, orthoStations ×3

Week 11

ToxPaedsCardioWritten ×2

The biggest blueprint areas come round most often; your weakest move to the front.

Pricing

Pay monthly, or once until your exam.

An exam pass lasts until the day after your exam, up to six months, and never renews.

Written exams

A$39/mo

or A$249 once, until your exam

Primary Written SCQ mocks, Fellowship SCQ bank and timed SAQ papers with examiner-style marking against the key.

Choose Written exams

Viva and OSCE

A$39/mo

or A$249 once, until your exam

Primary Viva stations in all four sciences and Fellowship OSCE stations on the 4 + 7 minute clock, with spoken-answer feedback.

Choose Viva and OSCE

Everything

A$59/mo

or A$399 once, until your exam

Primary and Fellowship, written and clinical, plus the decision-rule reference and study plan.

Choose Everything

Prices include GST. Every plan starts free, no card required.

Try it before you decide.

Start free: 2 written cases, 20 MCQs and 3 stations, no card required.

Start free →Read a sample

Loading…

Preparing for12 specialties

● Emergency medicine · ACEM

Pass your FACEM
with conviction.

Primary Written · Primary Written (SCQ)Primary Viva · Viva Fellowship Written · SCQ paper Fellowship Written · SAQ paper OSCE

Start free: 2 written cases, 20 MCQs and 3 stations, no card required.

Start free →or read a full marked case first

2500+

MCQs

Written cases

Stations

Curriculum areas

Reference topics

What we do

Every ACEM exam, done thoroughly.

Each part of each exam, on its real format and clock, on the same engine trainees already use for the psychiatry fellowship.

Primary Written Examination: Primary Written (SCQ)

2 papers of 3 hours on one day · up to 180 SCQs each (up to 360) · anatomy, pathology, physiology, pharmacology.

Training Stage 1; must pass before the Primary Viva

Primary Examination: Integrated Viva: Viva

4 oral stations of 10 minutes · anatomy, pathology, physiology, pharmacology.

Training Stage 1, after passing the Primary Written

Fellowship Written Examination: SCQ paper

Select-choice paper · 3 hours · reported as up to 120 questions.

Training Stage 3

Fellowship Written Examination: SAQ paper

Written

Short-answer paper · 3 hours · computer-based · reported as up to 30 questions.

Training Stage 3

Fellowship Clinical Examination (OSCE)

Up to 12 ED stations over 2 days · 4 min reading · 7 min each.

Training Stage 4