Emergency Med (MRCEM OSCE)
Walk into your MRCEM OSCE having already done it — dozens of times
Practise MRCEM stations out loud against a simulated patient who responds realistically, any time of day. Get examiner-style feedback on any station you finish, in seconds.
What is the MRCEM OSCE, and how do you practise for it?
The MRCEM OSCE is the third and final part of Membership of the Royal College of Emergency Medicine, after the MRCEM Primary and MRCEM SBA, and is set at the standard for entry to higher specialty training. The real exam is sixteen 8-minute stations, each with 1 minute of reading time beforehand, plus two 8-minute rest stations (2 hours 42 minutes in all), blueprinted to the RCEM curriculum's learning outcomes. To sit it you need current full medical registration with a licence to practise, 6 months' full-time-equivalent Emergency Medicine experience above Foundation level, and passes in the MRCEM Primary and MRCEM SBA. MedMock simulates 9 station types from that 16-station exam, covering every blueprint area (procedures are talked through rather than performed), each timed at the real 8 minutes with 1 minute of reading time. MedMock lets you practise it out loud against an AI patient, with examiner-style feedback on any station you finish.
Last updated 29 October 2026
MRCEM OSCE practice, on demand
MedMock gives you a simulated patient who responds realistically, available 24/7. Pick a station, have a spoken conversation, and ask for examiner-style feedback when you finish, scored against what genuinely matters in the MRCEM.
How it works
Choose a station
Pick from 9 station types drawn from the real MRCEM curriculum, or run a full mock that takes you through them as a circuit.
Have the conversation
Speak naturally, out loud. The AI patient responds in real time — with emotions, cues and unexpected turns, just like a real encounter.
Get instant feedback
The moment you finish, you get specific, examiner-style feedback and a score — what you did well, what cost you marks, and precisely what to fix before the next attempt.
Practise every station
The real MRCEM OSCE samples its stations across the curriculum. MedMock offers 9 station types drawn from it, and a full mock runs them as a circuit. Rehearse each one until it feels routine.
History Taking (Adult)
RCEM SLO1, complex stable patient. Eight minutes with an adult who has come to the Emergency Department: take a focused history, explain your working diagnosis and agree the next steps with them.
Psychiatric Assessment
RCEM SLO1, complex stable patient. Eight minutes with an adult in a mental-health crisis in the Emergency Department: assess their mental state and risk, and agree a safe plan with them.
Answer Clinical Questions
RCEM SLO2, answer clinical questions. Eight minutes with an examiner, who presents an adult Emergency Department case with its observations and results and asks you focused questions about diagnosis, investigations, management and disposition.
Resuscitation Team Leader
RCEM SLO3, resuscitation. Eight minutes leading the team through the resuscitation of a critically unwell patient, with the examiner telling you how the patient responds to what you do.
Injured Patient
RCEM SLO4, injured patient. Eight minutes assessing and managing an injured adult: talk the examiner through your assessment, and they give you the findings as you ask for them. Decide on imaging, pain relief and referral.
History Taking (Paediatric via Parent)
RCEM SLO5, paediatric emergency medicine. Eight minutes with the parent of an unwell or injured child, who is not in the room: take the history, address the parent's concerns and agree the next steps.
Procedure / Practical Skill
RCEM SLO6, procedural skills. Eight minutes with an examiner: talk them through an Emergency Department procedure from the decision to perform it to aftercare. In the real exam you perform it on a manikin; here you describe each step aloud.
Communication / Breaking Bad News / Consent
RCEM SLO7, complex and challenging situations. Eight minutes with a patient or relative: breaking bad news, seeking consent, or another difficult conversation such as a complaint.
Teaching
RCEM SLO9, supervise and teach. Eight minutes teaching a junior colleague a focused Emergency Medicine topic or skill.
Sample MRCEM questions
Two questions from the topics that come up most in MedMock's MRCEM bank.
“Speak to the mother of an 8-week-old girl who has had a temperature of 38.4°C at home and has been feeding poorly for the last day. Take a focused history, identify any red-flag features, and explain the next steps.”
“Tell a mother that her 19-year-old son has died following a high-speed motorcycle accident despite full resuscitative efforts.”
Example scenarios
A sample of the MRCEM scenarios you can practise, each as a spoken conversation.
“Tell a mother that her 19-year-old son has died following a high-speed motorcycle accident despite full resuscitative efforts.”
“You are the Emergency Medicine registrar. A 65-year-old man has arrived in resus in cardiac arrest. Lead the resuscitation.”
“A 22-year-old woman took a paracetamol overdose four hours ago and is refusing treatment. Assess her, including her capacity to refuse.”
“A 58-year-old man has had central chest pain for 40 minutes. His ECG shows ST elevation in leads II, III and aVF. What does the ECG show, and what is your immediate management?”
“A 34-year-old motorcyclist has come off his bike at 50 mph. His pulse is 124 and his blood pressure 92/60. Talk me through your assessment.”
MRCEM dates 2026–27
The next MRCEM sitting we hold is: 18–29 January 2027 (London). Checked against RCEM on 23 September 2026.
Time until 18–29 January 2027 (London)
— d — h — m — sExam dates change. MedMock is not affiliated with RCEM; confirm every date, application window and venue on the official site before you book. RCEM
MRCEM practice — your questions answered
How does the feedback work?
When you finish a station you can have it marked, and the scorecard comes back in seconds — what you did well, what cost you marks, and exactly what to work on next. Scorecards, mark schemes and model answers are included at no extra credit cost.
Can I practise specific MRCEM stations?
Yes. You can pick any of the 9 station types to drill a weak area, or run a full mock circuit to simulate the real exam.
How much does it cost?
You can start with a one-off £5 taster: 30 credits, which is 30 minutes of speaking practice, with no subscription. After that, or at any time, you can choose a monthly plan, which includes a monthly credit allowance. Current prices are on the pricing page.
Formats change from year to year: check the official candidate guidance or applicant handbook from the body that runs your exam or interview (the Royal Colleges, NHS England, the GMC and others) for your sitting.
Ready for your MRCEM OSCE?
Rehearse real MRCEM scenarios out loud and get instant, examiner-style feedback.
- Instant, personalised feedback
- Real voice-to-voice conversation
- Repeatable attempts, a different run every time
Guides to help you prepare
Be ready for your MRCEM OSCE before you walk in
Start with the £5 taster, a one-off payment for 30 credits: practise MRCEM OSCE scenarios out loud and get any of them marked when you are ready.
Practise MRCEM stations