MRCEM Intermediate SBA Exam: Format and Syllabus Overview

The MRCEM Intermediate SBA exam is the crucial next step between the foundational MRCEM Primary and the final OSCE in the MRCEM pathway. To be eligible, candidates must have cleared the MRCEM Primary and gained at least two years of post-qualification clinical experience. This exam is designed to assess how effectively candidates apply their clinical knowledge in real-world emergency medicine scenarios.
Exam Format
The Intermediate SBA exam comprises two computer-based papers, each containing 90 Single Best Answer (SBA) questions. Each paper lasts two hours, with a one-hour break between them. Conducted in English, the exam is administered through Pearson VUE test centres worldwide.
All questions are aligned with the 2021 RCEM Emergency Medicine Curriculum, focusing on Specialty Learning Outcomes (SLOs) for years 1 to 3 of training.
Syllabus Breakdown
Below is a summary of the syllabus based on the RCEM blueprint:
- SLO 1: Complex Stable Patient — 60 questions
- SLO 3: Resuscitation & Organ Support (excluding major trauma) — 40 questions
- SLO 4: Injured Patient — 30 questions
- SLO 5: Paediatric Emergency Medicine — 25 questions
- SLO 6: Procedural Skills & Basic Anaesthetic Care — 10 questions
- SLO 7: Complex or Challenging Situations — 15 questions
For full details, candidates should refer to the RCEM’s official regulations and information pack. Understanding the exam structure and syllabus is key to a focused and effective preparation strategy.
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