Emergency Medicine (FRCEM OSCE)
Walk into your FRCEM OSCE having already done it — dozens of times
Practise FRCEM 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 FRCEM OSCE, and how do you practise for it?
The Royal College of Emergency Medicine Final FRCEM OSCE: a circuit of sixteen 8-minute stations, each preceded by 1 minute of reading time, set at the standard required of a newly appointed Emergency Medicine consultant. MedMock practises the 13 stations of the 16-station circuit that work as a spoken assessment, grouped into seven station types: four non-physical station types practised in full (Running the Department, Supervision and Teaching, Management, and Research and Critical Appraisal) and three clinical station types practised for history taking, clinical reasoning and explanation with the examiner supplying examination findings on request (Complex Stable Patient, Injured Patient, and Paediatric Emergency, where a parent or carer always takes the role-player part because MedMock never voices a child). Physical examination, practical procedures and the three Resuscitation simulation stations are not simulated. MedMock lets you practise it out loud against an AI patient, with examiner-style feedback on any station you finish.
Last updated 24 October 2026
FRCEM 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 FRCEM.
How it works
Choose a station
Pick from 7 station types drawn from the real FRCEM curriculum, or run a full mock that takes you through them as a circuit.
Have the conversation
Speak naturally, out loud. The AI patient or examiner responds in real time — with follow-up questions, emotions, cues and unexpected turns, just like the real stations.
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 Final FRCEM OSCE has 16 eight-minute stations (each after 1 minute of reading time). MedMock practises the 13 stations that work as a spoken assessment, grouped into seven station types: seven circuit stations practised in full (Running the Department ×2, Supervision and Teaching ×1, Management ×2, and Management or Research ×2) and six clinical stations practised partly — covering history taking, clinical reasoning and explanation with examination findings supplied by the examiner on request, without physical examination or practical skills (Complex Stable Patient ×3, Injured Patient ×2, and Paediatric Emergency ×1, where a parent or carer takes the role-player part). The three Resuscitation stations are not simulated.
Running the Department
RCEM SLO8, consultant-in-charge ED board round and situational awareness (two stations in the real 16-station circuit). Eight minutes after 1 minute of reading time: prioritise multiple concurrent patients, manage crowding, ambulance offload delays, staffing allocation, escalation and patient flow.
Supervision & Teaching
RCEM SLO10, supervising or teaching a junior doctor or allied health professional in the Emergency Department (one station in the real circuit). Eight minutes after 1 minute of reading time: support clinical decision-making, debrief an acute encounter or teach a focused emergency medicine topic.
Management
RCEM SLO11, Emergency Department leadership and clinical governance (two stations in the real circuit). Eight minutes after 1 minute of reading time: handle complaints, serious incident investigation, Duty of Candour, inter-specialty conflict, colleague performance or service governance.
Research & Critical Appraisal
RCEM SLO9 and SLO11, critical appraisal of a provided journal abstract or quality-improvement and research governance discussion (up to two stations in the real circuit). Eight minutes after 1 minute of reading time: appraise study design, bias, statistical results and applicability to ED practice.
Complex Stable Patient
RCEM SLO1, complex stable adult patient in the Emergency Department (three stations in the real circuit). Eight minutes after 1 minute of reading time: take a focused history, request examination findings from the examiner, reason through the differential diagnosis and agree a management plan. Physical examination and practical skills are not simulated.
Injured Patient
RCEM SLO5, adult trauma and injury assessment (two stations in the real circuit). Eight minutes after 1 minute of reading time: take a focused mechanism and trauma history, request examination and imaging findings from the examiner, and explain your management and disposition plan. Physical examination and practical skills are not simulated.
Paediatric Emergency
RCEM SLO4, paediatric emergency presentation (one station in the real circuit). Eight minutes after 1 minute of reading time: take a focused history from the parent or carer, request examination findings from the examiner, address safeguarding and explain the management plan. MedMock never voices a child, so a parent or carer always takes the part, and physical examination is not simulated.
Sample FRCEM questions
Two questions from the topics that come up most in MedMock's FRCEM bank.
“You are the consultant in charge of the Emergency Department at 17:00 on a Monday. Resus is full, six ambulances are waiting to offload, and ITU cannot take an intubated patient for two hours. Walk the examiner through how you prioritise and manage the department.”
“A foundation doctor administered ten times the intended dose of intravenous morphine to an older patient with renal impairment, who then required a naloxone infusion and HDU admission. Discuss your immediate actions, Duty of Candour and governance response.”
Example scenarios
A sample of the FRCEM scenarios you can practise, each as a spoken conversation.
“You are the consultant in charge of the ED at 17:00 on a Monday. Resus is full, six ambulances are waiting to offload, an ST3 asks for help with a sedated agitated patient in Majors, and ITU cannot take an intubated patient for two hours. Walk the examiner through how you prioritise and manage the department.”
“An FY2 doctor administered ten times the intended dose of intravenous morphine to an elderly patient with renal impairment. The patient required naloxone infusion and HDU admission. Discuss your immediate actions, Duty of Candour and governance response.”
“A 68-year-old man with atrial fibrillation on apixaban presents after two episodes of transient right-arm weakness and slurred speech that resolved thirty minutes ago. Take a focused history, request the examination findings you need, and explain your management plan.”
FRCEM dates 2026–27
The Final FRCEM OSCE runs in multiple UK and international sittings across the RCEM examination year; check the Royal College of Emergency Medicine exam calendar for the current application windows and OSCE sitting dates. Checked against RCEM on 20 October 2026.
Exam dates change. MedMock is not affiliated with RCEM; confirm every date, application window and venue on the official site before you book. RCEM
FRCEM 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 FRCEM stations?
Yes. You can pick any of the 7 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 FRCEM OSCE?
Rehearse real FRCEM 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 FRCEM OSCE before you walk in
Start with the £5 taster, a one-off payment for 30 credits: practise FRCEM OSCE scenarios out loud and get any of them marked when you are ready.
Practise FRCEM stations